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Review
. 2017;6(2):175-181.
doi: 10.1007/s13669-017-0208-0. Epub 2017 May 6.

A High-Strength, Absorbable, Antibacterial Knotless Tissue Control Device for Fascial Closure

Jesse G Nawrocki  1 , Heather Nonnenmann  1 , Mark Mooney  1 , Nadia Sutton  1 , Niels-Derrek Schmitz  2
Affiliations
Review

A High-Strength, Absorbable, Antibacterial Knotless Tissue Control Device for Fascial Closure

Jesse G Nawrocki et al. Curr Obstet Gynecol Rep. 2017.

Abstract

Purpose of review: This review provides an overview of the STRATAFIX™ SYMMETRIC PDS™ Plus Knotless Tissue Control Device design and performance characteristics and highlights the device's relevance for use in gynecological procedures. Various device testing was conducted on tensile strength, fixation tab mass comparison to conventional suture knot tower, initiation stitch strength, and wound holding strength to highlight the STRATAFIX™ SYMMETRIC PDS™ Plus Device's key product attributes that may benefit general and minimally invasive gynecological procedures.

Recent findings: This article serves as a technological assessment of the latest barbed suture offered by Ethicon-STRATAFIX™ SYMMETRIC PDS™ Plus Knotless Tissue Control Device. This device is indicated for soft tissue approximation and can be used to close high tension areas, such as fascia.

Summary: Barbed sutures were successfully introduced to gynecologic surgery many years ago, and their safety and effectiveness have been demonstrated in a variety of gynecological surgical procedures. By eliminating the need to tie surgical knots, barbed suture provides a few key advantages over conventional suture, such as reducing operating room time, eliminating potential knot-related complications, and reducing suturing difficulty in open and minimally invasive gynecological procedures. Additionally, there are tensile strength and wound holding strength advantages (vs. conventional PDS™ Plus Suture) described in the product testing highlighted in this review that may be relevant for gynecological procedures.

Keywords: Barbed sutures; Knotless tissue control device; Stratafix™.

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Conflict of interest statement

Conflict of Interest

Jesse G. Nawrocki, Heather Nonnenmann, Mark Mooney, Nadia Sutton, and Niels-Derrek Schmitz all declare to be salaried employees with stock options of Johnson & Johnson – Ethicon.

Due to the nature of this section and the anticipation of bias from the author as it pertains to his article topic, the article has been reviewed by Dr. Jon I. Einarsson of Brigham and Women’s Hospital and by Dr. Mark Levie of Montefiore Medical Center. Both reviewers do not have any conflict of interest with the product reviewed in the article, and they assert that the article is factual and free of excessive bias toward the subject.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Figures

Fig. 1
Fig. 1
Example of a STRATAFIX™ SYMMETRIC PDS™ Plus Device
Fig. 2
Fig. 2
Illustrations of the basic steps to close an incision using STRATAFIX SYMMETRIC PDS™ Plus devices
See this image and copyright information in PMC

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