Barbed versus conventional suture for spinal surgery: a systematic review and meta-analysis.

Autor: Pustilnik HN; Universidade Salvador. Electronic address: hugonpustilnik@gmail.com., Cerqueira GA; Escola Bahiana de Medicina e Saúde Pública., Fontes JHM Junior; União Metropolitana de Educação e Cultura., Meira DA; Escola Bahiana de Medicina e Saúde Pública., Medrado Nunes GS; Universidade Federal da Bahia., da Cunha BLB; Universidade do Estado da Bahia., Porto de Oliveira S Junior; Escola Bahiana de Medicina e Saúde Pública., da Paz MGDS; Hospital Geral Roberto Santos, Neurosurgery Department., Alcântara Ferreira T Junior; Hospital Geral Roberto Santos, Neurosurgery Department., de Avellar LM; Hospital Geral Roberto Santos, Neurosurgery Department., Quadros DG; Núcleo Oscar Freire.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2024 Nov 06. Date of Electronic Publication: 2024 Nov 06.
DOI: 10.1016/j.wneu.2024.10.117
Abstrakt: Background: Barbed sutures eliminate knots and may offer some advantages over conventional sutures. This meta-analysis compares clinical, surgical and economic outcomes of barbed sutures with standard closure techniques in spinal surgery.
Methods: We systematically searched PubMed, Embase and Web of Science for studies comparing barbed and conventional suture for patients undergoing spinal surgery.
Results: We included 6 studies in the analysis, totaling 965 patients. There was no significant difference between the groups in relation to deep infection (RR 0.49; 95% CI: 0.19-1.28; I 2 = 0%), hospital stay duration (MD -0.55; 95% CI: -1.11 to 0.01; I 2 = 8%), postoperative hematoma (RR 0.35; 95% CI: 0.04-3.00; I 2 = 0%), reintervention due to wound healing problems (RR 0.98; 95% CI: 0.49-1.94; I 2 = 5%), superficial infection (RR 0.49; 95% CI: 0.19-1.28; I 2 = 0%), total hospitalization cost (MD -440.81; 95% CI: -1118.90 to 237.29; I 2 = 63%) and wound dehiscence/seroma, (RR 0.81; 95% CI: 0.29-2.27; I 2 = 0%). There was a significant lower operating room time (MD -15.37; 95% CI: -29.43 to -1.32; I 2 = 87%) and suturing time (MD -16.17; 95% CI: -20.58 to -11.75; I 2 = 91%) in the barbed suture group, beyond a significantly lower risk of total infection (RR 0.55; 95% CI: 0.31-0.98; I 2 = 0%).
Conclusion: Our meta-analysis showed that barbed sutures were associated with reduced operating room time, suturing time, and infection rates. These results highlight the safety and potential efficacy of using barbed sutures.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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