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SONICISION™ 7 CURVED JAW

The only cordless ultrasonic dissection device on the market is now able to seal and dissect vessels up to and including 7mm.

V-Loc™ Wound Closure Device

Deliver superior patient outcomes*, 1-15

The V-Loc™ wound closure device is a revolutionary technology. Its uni-directional barbs close wounds securely without the need to tie knots.

Managing the risks

Obesity and Anaesthesia 

The altered anatomy and physiology associated with obesity present specific challenges to anaesthesia.16,17 In this article we consider risks associated with obesity and anaesthesia and how to manage them.

Puritan Bennett™ 980 Ventilator Training

Follow this series of educational training videos and resources to learn about the safe and effective use of the Puritan Bennett™ 980 (PB980) ventilator in a structured curriculum.

  • *As compared to conventional sutures.

  • 1. Kim JH, Byun SW, Song JY, Kim YH, et al. Barbed versus conventional 2-layer continuous running sutures for laparoscopic vaginal cuff closure. Medicine (Baltimore). 2016;95(39):e4981.

  • 2. Fouda, U. M., Elsetohy, K. A. & Elshaer, H. S. Barbed Versus Conventional Suture: A Randomized Trial for Suturing the Endometrioma Bed After Laparoscopic Excision of Ovarian Endometrioma. J. Minim. Invasive Gynecol. 2016; 23(6), 962–8.

  • 3. Tillmanns TD, Mabe A, Ulm MA, Lee D, et al. Vaginal Cuff Closure in Robotic Hysterectomy: A Randomized Controlled Trial Comparing Barbed Versus Standard Suture. Journal of Gynecologic Surgery. 2016;32(4):215-219.

  • 4. Song T, Kim TJ, Kim WY, Lee SH. Comparison of barbed suture versus traditional suture in laparoendoscopic single-site myomectomy. Eur J Obstet Gynecol Reprod Biol. 2015;185:99-102.

  • 5. Bautista T, Shabbir A, Rao J, So J, Kono K, Durai P. Enterotomy closure using knotless and barbed suture in laparoscopic upper gastrointestinal surgeries. Surg Endosc. 2015;30(4):1699-1703. doi:10.1007/s00464-015-4395-3

  • 6. Bracale U, Merola G, Cabras F, Andreuccetti J, Corcione F, Pignata G. The Use of Barbed Suture for Intracorporeal Mechanical Anastomosis During a Totally Laparoscopic Right Colectomy: Is It Safe? A Retrospective Nonrandomized Comparative Multicenter Study. Surg Innov. 2018;25(3):267-273. doi:10.1177/1553350618765871

  • 7. Rajih E, Meskawi M, Alenizi A et al. Long-term urinary functional outcome of vesicourethral anastomosis with bidirectional poliglecaprone (Monocryl®) vs. barbed polyglyconate suture (V-LocTM 180) in robot-assisted radical prostatectomy. Canadian Urological Association Journal. 2019;14(3). doi:10.5489/cuaj.5959

  • 8. Ye J, Zhang S, Tian X, Wang G, Zhao L, Ma L. Knotless retroperitoneoscopic nephron-sparing surgery for small renal masses: Comparison of bipolar sutureless technique and barbed suture technique. Journal of International Medical Research. 2018;46(4):1649-1656. doi:10.1177/0300060518760737

  • 9. Radford A, Turner A, Ashraf J, Subramaniam R. Robotic Pyeloplasty in Children: A “Barbed” Shortcut. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2018;28(4):486-489. doi:10.1089/lap.2017.0494

  • 10. Chihara N, Suzuki H, Sukegawa M et al. Absorbable barbed suture device for laparoscopic peritoneal closure after hernia repair via the transabdominal preperitoneal approach: A single‐center experience with 257 cases. Asian J Endosc Surg. 2018;12(2):162-166. doi:10.1111/ases.12626

  • 11. Koide S, Smoll NR, Liew J, Smith K, et al. A randomized 'N-of-1' single blinded clinical trial of barbed dermal sutures vs. smooth sutures in elective plastic surgery shows differences in scar appearance two-years post-operatively. J Plast Reconstr Aesthet Surg. 2015;68(7):1003-1009.

  • 12. Kim T, Park J, Jeong S et al. Feasibility of a novel laparoscopic technique with unidirectional knotless barbed sutures for the primary closure of duodenal ulcer perforation. Surg Endosc. 2018;32(8):3667-3674. doi:10.1007/s00464-018-6099-y

  • 13. Liu J, Bardawil E, Zurawin R et al. Robotic Single-Site Sacrocolpopexy with Retroperitoneal Tunneling. JSLS. 2018;22(3):e2018.00009. doi:10.4293/jsls.2018.00009

  • 14. Bai Y, Pu C, Yuan H et al. Assessing the Impact of Barbed Suture on Vesicourethral Anastomosis During Minimally Invasive Radical Prostatectomy: A Systematic Review and Meta-analysis. Urology. 2015;85(6):1368-1375. doi:10.1016/j.urology.2015.02.033

  • 15. Wang M, Mu X, Yang F, Niu Y, Xing N. Self-retaining barbed suture reduces warm ischemia time during laparoscopic partial nephrectomy. Minimally Invasive Therapy & Allied Technologies. 2018;27(5):272-277. doi:10.1080/13645706.2018.1438473

  • 16. Brodsky (2018) Recent advances in anesthesia of the obese patient. Version 1. F1000Res. 2018; 7: F1000 Faculty Rev-1195. Available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081976/

  • 17. SOBAUK (2015) Peri‐operative management of the obese surgical patient. Guideline Available at https://anaesthetists.org/Home/Resources-publications/Guidelines/Peri-operative-management-of-the-obese-surgical-patient
     

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