Assessment of a Quick Monofilament Suture in Paediatric Urology - A Prospective, Single Centre, Observational Cohort Study

Petra Baumann; Stefan Gfroerer

doi:doi:10.11648/j.js.20231106.11

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Assessment of a Quick Monofilament Suture in Paediatric Urology - A Prospective, Single Centre, Observational Cohort Study

Petra Baumann^*, Stefan Gfroerer

Published in Journal of Surgery (Volume 11, Issue 6)

Received: 16 August 2023 Accepted: 12 October 2023 Published: 9 November 2023

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Abstract

Absorbable sutures of different filament structure and absorption profile are commonly used for the repair of paediatric urological pathologies. Review of the literature shows that there is no consensus about the optimal suture technique and the ideal suture material. The selected type of the suture material (either monofilament or braided and either fast absorbable or long-term absorbable) as well as the suture technique (continuous or interrupted) are mainly based on the surgeon´s preference. The present prospective observational study assessed, for the first time, the clinical performance of a new quick-absorbable monofilament suture (Monosyn^® Quick) made from a triblock copolymer in paediatric urology and compares the clinical outcome to the available literature data. A total of 53 children were enrolled. The intraoperative handling of the sutures was judged by the paediatric surgeons using a 5-point Likert scale (1: poor to 5: excellent). The handling parameters were knot security, tensile strength, pliability and tissue drag. The outcomes of the wound healings were rated by the patients/parents and observers (surgeons) using the Patient and Observer Scar Assessment Scale (POSAS) at 3 months ±10 days after surgery. The resulting hospital stay was short with an average of 1.32 ±1.27 days. Neither wound healing complications nor other adverse events occurred until 3 months after surgery. The mean POSAS value was 11.56 ±5.84 for the Patient component and 12.52 ±6.51 for the Observer component, indicating an excellent aesthetic result. All suture handling dimensions were mostly rated with 4 to 5 points revealing a comfortable and safe handling. In conclusion, this is the first study which prospectively evaluates the handling and clinical outcomes of a quick absorbable, monofilament suture in paediatric urological repairs. Results indicate that the investigated suture represents a viable suture for paediatric urological surgeries.

Published in	Journal of Surgery (Volume 11, Issue 6)
DOI	10.11648/j.js.20231106.11
Page(s)	124-131
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Urology, Paediatrics, Quick-Absorbable, Monofilament, Suture, Surgery, Hypospadias, Orchidopexy

References

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APA Style

Baumann, P., Gfroerer, S. (2023). Assessment of a Quick Monofilament Suture in Paediatric Urology - A Prospective, Single Centre, Observational Cohort Study. Journal of Surgery, 11(6), 124-131. https://doi.org/10.11648/j.js.20231106.11

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ACS Style

Baumann, P.; Gfroerer, S. Assessment of a Quick Monofilament Suture in Paediatric Urology - A Prospective, Single Centre, Observational Cohort Study. J. Surg. 2023, 11(6), 124-131. doi: 10.11648/j.js.20231106.11

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AMA Style

Baumann P, Gfroerer S. Assessment of a Quick Monofilament Suture in Paediatric Urology - A Prospective, Single Centre, Observational Cohort Study. J Surg. 2023;11(6):124-131. doi: 10.11648/j.js.20231106.11

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@article{10.11648/j.js.20231106.11,
  author = {Petra Baumann and Stefan Gfroerer},
  title = {Assessment of a Quick Monofilament Suture in Paediatric Urology - A Prospective, Single Centre, Observational Cohort Study},
  journal = {Journal of Surgery},
  volume = {11},
  number = {6},
  pages = {124-131},
  doi = {10.11648/j.js.20231106.11},
  url = {https://doi.org/10.11648/j.js.20231106.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231106.11},
  abstract = {Absorbable sutures of different filament structure and absorption profile are commonly used for the repair of paediatric urological pathologies. Review of the literature shows that there is no consensus about the optimal suture technique and the ideal suture material. The selected type of the suture material (either monofilament or braided and either fast absorbable or long-term absorbable) as well as the suture technique (continuous or interrupted) are mainly based on the surgeon´s preference. The present prospective observational study assessed, for the first time, the clinical performance of a new quick-absorbable monofilament suture (Monosyn® Quick) made from a triblock copolymer in paediatric urology and compares the clinical outcome to the available literature data. A total of 53 children were enrolled. The intraoperative handling of the sutures was judged by the paediatric surgeons using a 5-point Likert scale (1: poor to 5: excellent). The handling parameters were knot security, tensile strength, pliability and tissue drag. The outcomes of the wound healings were rated by the patients/parents and observers (surgeons) using the Patient and Observer Scar Assessment Scale (POSAS) at 3 months ±10 days after surgery. The resulting hospital stay was short with an average of 1.32 ±1.27 days. Neither wound healing complications nor other adverse events occurred until 3 months after surgery. The mean POSAS value was 11.56 ±5.84 for the Patient component and 12.52 ±6.51 for the Observer component, indicating an excellent aesthetic result. All suture handling dimensions were mostly rated with 4 to 5 points revealing a comfortable and safe handling. In conclusion, this is the first study which prospectively evaluates the handling and clinical outcomes of a quick absorbable, monofilament suture in paediatric urological repairs. Results indicate that the investigated suture represents a viable suture for paediatric urological surgeries.
},
 year = {2023}
}

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TY - JOUR
T1 - Assessment of a Quick Monofilament Suture in Paediatric Urology - A Prospective, Single Centre, Observational Cohort Study
AU - Petra Baumann
AU - Stefan Gfroerer
Y1 - 2023/11/09
PY - 2023
N1 - https://doi.org/10.11648/j.js.20231106.11
DO - 10.11648/j.js.20231106.11
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 124
EP - 131
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20231106.11
AB - Absorbable sutures of different filament structure and absorption profile are commonly used for the repair of paediatric urological pathologies. Review of the literature shows that there is no consensus about the optimal suture technique and the ideal suture material. The selected type of the suture material (either monofilament or braided and either fast absorbable or long-term absorbable) as well as the suture technique (continuous or interrupted) are mainly based on the surgeon´s preference. The present prospective observational study assessed, for the first time, the clinical performance of a new quick-absorbable monofilament suture (Monosyn® Quick) made from a triblock copolymer in paediatric urology and compares the clinical outcome to the available literature data. A total of 53 children were enrolled. The intraoperative handling of the sutures was judged by the paediatric surgeons using a 5-point Likert scale (1: poor to 5: excellent). The handling parameters were knot security, tensile strength, pliability and tissue drag. The outcomes of the wound healings were rated by the patients/parents and observers (surgeons) using the Patient and Observer Scar Assessment Scale (POSAS) at 3 months ±10 days after surgery. The resulting hospital stay was short with an average of 1.32 ±1.27 days. Neither wound healing complications nor other adverse events occurred until 3 months after surgery. The mean POSAS value was 11.56 ±5.84 for the Patient component and 12.52 ±6.51 for the Observer component, indicating an excellent aesthetic result. All suture handling dimensions were mostly rated with 4 to 5 points revealing a comfortable and safe handling. In conclusion, this is the first study which prospectively evaluates the handling and clinical outcomes of a quick absorbable, monofilament suture in paediatric urological repairs. Results indicate that the investigated suture represents a viable suture for paediatric urological surgeries.

VL - 11
IS - 6
ER -

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Author Information

Petra Baumann

Department of Medical Scientific Affairs, Aesculap, Tuttlingen, Germany

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Stefan Gfroerer

Department of Paediatric Surgery and Paediatric Urology, University Hospital Frankfurt, Frankfurt am Main, Germany; Department of Paediatric Surgery, Helios Clinic, Berlin-Buch, Berlin, Germany

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APA Style

Baumann, P., Gfroerer, S. (2023). Assessment of a Quick Monofilament Suture in Paediatric Urology - A Prospective, Single Centre, Observational Cohort Study. Journal of Surgery, 11(6), 124-131. https://doi.org/10.11648/j.js.20231106.11

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ACS Style

Baumann, P.; Gfroerer, S. Assessment of a Quick Monofilament Suture in Paediatric Urology - A Prospective, Single Centre, Observational Cohort Study. J. Surg. 2023, 11(6), 124-131. doi: 10.11648/j.js.20231106.11

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AMA Style

Baumann P, Gfroerer S. Assessment of a Quick Monofilament Suture in Paediatric Urology - A Prospective, Single Centre, Observational Cohort Study. J Surg. 2023;11(6):124-131. doi: 10.11648/j.js.20231106.11

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@article{10.11648/j.js.20231106.11,
  author = {Petra Baumann and Stefan Gfroerer},
  title = {Assessment of a Quick Monofilament Suture in Paediatric Urology - A Prospective, Single Centre, Observational Cohort Study},
  journal = {Journal of Surgery},
  volume = {11},
  number = {6},
  pages = {124-131},
  doi = {10.11648/j.js.20231106.11},
  url = {https://doi.org/10.11648/j.js.20231106.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231106.11},
  abstract = {Absorbable sutures of different filament structure and absorption profile are commonly used for the repair of paediatric urological pathologies. Review of the literature shows that there is no consensus about the optimal suture technique and the ideal suture material. The selected type of the suture material (either monofilament or braided and either fast absorbable or long-term absorbable) as well as the suture technique (continuous or interrupted) are mainly based on the surgeon´s preference. The present prospective observational study assessed, for the first time, the clinical performance of a new quick-absorbable monofilament suture (Monosyn® Quick) made from a triblock copolymer in paediatric urology and compares the clinical outcome to the available literature data. A total of 53 children were enrolled. The intraoperative handling of the sutures was judged by the paediatric surgeons using a 5-point Likert scale (1: poor to 5: excellent). The handling parameters were knot security, tensile strength, pliability and tissue drag. The outcomes of the wound healings were rated by the patients/parents and observers (surgeons) using the Patient and Observer Scar Assessment Scale (POSAS) at 3 months ±10 days after surgery. The resulting hospital stay was short with an average of 1.32 ±1.27 days. Neither wound healing complications nor other adverse events occurred until 3 months after surgery. The mean POSAS value was 11.56 ±5.84 for the Patient component and 12.52 ±6.51 for the Observer component, indicating an excellent aesthetic result. All suture handling dimensions were mostly rated with 4 to 5 points revealing a comfortable and safe handling. In conclusion, this is the first study which prospectively evaluates the handling and clinical outcomes of a quick absorbable, monofilament suture in paediatric urological repairs. Results indicate that the investigated suture represents a viable suture for paediatric urological surgeries.
},
 year = {2023}
}

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VL - 11
IS - 6
ER -

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