Category: Int J Gynecology Obstetrics

A comparison of barbed and smooth sutures for ovine cesarean delivery.

A comparison of barbed and smooth sutures for ovine cesarean delivery.

Int J Gynaecol Obstet. 2011 Jun;113(3):215-7

Authors: Greenberg JA, Walden S, Hammer CM, Grazul-Bilska AT, Vonnahme KA

Abstract
OBJECTIVE: To determine the adequacy of barbed and smooth sutures for closing the uterus and fascia in pregnant ewes.
METHODS: Nine ewes that underwent cesarean delivery were randomized to each receive 2 different suture materials for both the uterus and the fascia. The sutures used were: barbed poliglecaprone 25, smooth poliglecaprone 25, braided polyglactin 910, and smooth chromic sutures on the uterus; and barbed polydioxanone (PDO), barbed poliglecaprone 25, braided polyglactin 910, and smooth chromic sutures on the fascia.
RESULTS: In 4 of the ewes, the fascia suture line failed prematurely, leading to dehiscence prior to planned euthanasia and necropsy. The remaining 5 ewes were euthanized on days 2, 7, or 28. All suture materials (smooth and barbed) were adequate for uterine closures. Barbed PDO, smooth poliglecaprone 25, and braided polyglactin 910 were adequate for fascia closures, whereas both barbed poliglecaprone 25 and smooth chromic resulted in premature suture line ruptures and fascia dehiscence.
CONCLUSION: In a small pilot study, absorbable knotless barbed suture was adequate and equivalent to absorbable knotted smooth suture for closing the uterus following ovine cesarean delivery. On the rectus fascia, however, sutures-whether barbed or smooth-with lower tensile strength resulted in fascial dehiscence.

PMID: 21457976 [PubMed – indexed for MEDLINE] ]]>

A pilot study to assess the adequacy of the Brigham 20 Kit for cesarean delivery.

A pilot study to assess the adequacy of the Brigham 20 Kit for cesarean delivery.

Int J Gynaecol Obstet. 2012 Feb 17;

Authors: Greenberg JA, Wylie B, Robinson JN

Abstract
OBJECTIVE: To determine whether a kit of only 20 instruments could be used to perform cesarean deliveries in a consistently safe manner for the purpose of providing better surgical instruments to healthcare providers in limited-resource environments. METHODS: In a small pilot study, 10 obstetricians in 2 hospitals in Boston, USA, used and evaluated the adequacy of the Brigham 20 Kit for cesarean delivery among 10 women. RESULTS: On average, the obstetricians rated the Brigham 20 Kit 8.7 out of 10 for adequacy and made some minor suggestions regarding the kit’s instrumentation configuration. CONCLUSION: The limited-instrument Brigham 20 Kit seemed adequate to perform cesarean deliveries safely. Larger clinical trials are needed to assess the value of this new concept for cesarean delivery in limited-resource environments.

PMID: 22342056 [PubMed – as supplied by publisher] ]]>