Suture-TOOL: A suturing device for swift and standardized abdominal aponeurosis closure

Autor: Gabriel Börner, Marcus Edelhamre, Peder Rogmark, Agneta Montgomery
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Surgery in Practice and Science, Vol 11, Iss , Pp 100137- (2022)
Druh dokumentu: article
ISSN: 2666-2620
DOI: 10.1016/j.sipas.2022.100137
Popis: Introduction: Surgeons can reduce incisional hernia formation by adhering to standardized techniques for incisional wound closure. This is often neglected by the time a long operation is to be ended and can lead to the risk of developing an incisional hernia or a wound rupture. To address this issue, a suturing machine (Suture-TOOL) was developed for swift and standardized abdominal closure. The aim was to compare the user safety, speed, and suturing quality between Suture-TOOL and manual Needle-Driver suturing. Method: Fifteen surgeons who were specialists in surgery, urology, and gynaecology as well as surgical trainees were invited. The Suture-TOOL was presented to the surgeons who read the instructions for use before starting the test. Each surgeon closed nine 15 cm-long incisions in a human body model; six with Suture-TOOL and three with the Needle-Driver technique. Gloves were examined for puncture damage. Endpoints were suture-length/wound-length (SL/WL)-ratio, closure time, number of stitches, learning curve, and glove puncture rate. A VAS-evaluation concerning different Suture-Tool user impressions was completed. Results: A SL/WL-ratio ≥4 was 98% for Suture-TOOL versus 69% for Needle-Driver (p
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