Pilot Evaluation of the TissueStat-A Novel Device for Minimally Invasive Spine Surgery Fascial Closure.

IF 1.7 4区医学 Q3 CLINICAL NEUROLOGY

Clinical Spine Surgery Pub Date : 2025-08-28 DOI:10.1097/BSD.0000000000001923

Jonathan Dalton, Alexander Crawford, Rachel Huang, Alec Giakas, Yulia Lee, Emily Berthiaume, Aditya Mazmudar, Ali Farooqi, Brandon Martinazzi, Rajkishen Narayanan

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引用次数: 0

Abstract

Study design: Pilot Evaluation Study.

Objective: To assess the ease-of-use and performance of TissueStat, a novel minimally invasive spine surgery (MIS) fascial closure device, compared with conventional suturing techniques.

Summary of background data: Wound issues in spine surgery can be a major source of morbidity and decreased patient satisfaction. A robust, multilayered closure can lead to decreased complications and need for revision surgery. However, the development of technology to assist in MIS fascial closures has lagged.

Methods: Participants completed a fascial suturing trial using a benchtop model with both conventional suture and TissueStat. Time to completion and accuracy of each suture pass with were compared using the Student t test. After the trial, participants filled out a survey to quantify the ease of use and accuracy of conventional suture versus TissueStat. Survey responses were compared using descriptive statistics.

Results: Eight participants were recruited (5 orthopaedic surgery residents and 3 orthopaedic spine surgery fellows). This group performed 16 attempts with the conventional suturing technique and 16 attempts with TissueStat. The average time to knot completion of the conventional suturing technique was slower than TissueStat [3 min and 22 s (range: 1:27-5:19) vs. 2 min and 1 s (range: 1:22-3:15), P=0.001]. The average distance from the suture location to the target dot was larger for the conventional suturing compared with TissueStat (1.25 vs. 0.22 mm, P=0.007). Participants reported a higher average ease of use score for TissueStat compared with conventional suture (9.4 vs. 3.9). Participants reported a higher average accuracy rating for TissueStat compared with the conventional suture (9.3 vs. 6.1). All participants answered that TissueStat offered the higher quality closure and allowed better suture targeting.

Conclusion: TissueStat may be a useful tool to decrease operative time, improve closure accuracy/quality, and assist with meticulous fascial soft-tissue handling.

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微创脊柱外科筋膜闭合新装置tissuestat的初步评估。

研究设计：试点评估研究。目的：评价一种新型微创脊柱外科（MIS）筋膜缝合装置TissueStat与传统缝合技术相比的易用性和性能。背景资料总结：脊柱手术中的伤口问题可能是发病率和患者满意度下降的主要原因。坚固的多层闭合可以减少并发症和翻修手术的需要。然而，辅助MIS筋膜闭合的技术发展滞后。方法：参与者使用常规缝合和TissueStat的台式模型完成筋膜缝合试验。使用学生t检验比较每次缝合通过的完成时间和准确性。试验结束后，参与者填写了一份调查问卷，以量化传统缝合与TissueStat的易用性和准确性。使用描述性统计对调查结果进行比较。结果：共招募8名参与者（5名骨科住院医师和3名骨科脊柱外科研究员）。本组常规缝合16次，TissueStat缝合16次。常规缝合技术的平均结线完成时间比TissueStat慢[3分钟22秒（范围：1:27-5:19）比2分钟1秒（范围：1:22-3:15），P=0.001]。常规缝合与TissueStat相比，缝合点与目标点的平均距离更大（1.25比0.22 mm， P=0.007）。参与者报告说，与传统缝合相比，TissueStat的平均易用性评分更高（9.4比3.9）。参与者报告说，与传统缝合相比，TissueStat的平均准确率更高（9.3比6.1）。所有参与者都回答说，TissueStat提供了更高质量的闭合，并允许更好的缝合靶向。结论：tisestat可以缩短手术时间，提高缝合准确性/质量，并有助于细致地处理筋膜软组织。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Spine Surgery Medicine-Surgery

CiteScore

3.00

自引率

5.30%

发文量

236

期刊介绍： Clinical Spine Surgery is the ideal journal for the busy practicing spine surgeon or trainee, as it is the only journal necessary to keep up to date with new clinical research and surgical techniques. Readers get to watch leaders in the field debate controversial topics in a new controversies section, and gain access to evidence-based reviews of important pathologies in the systematic reviews section. The journal features a surgical technique complete with a video, and a tips and tricks section that allows surgeons to review the important steps prior to a complex procedure. Clinical Spine Surgery provides readers with primary research studies, specifically level 1, 2 and 3 studies, ensuring that articles that may actually change a surgeon’s practice will be read and published. Each issue includes a brief article that will help a surgeon better understand the business of healthcare, as well as an article that will help a surgeon understand how to interpret increasingly complex research methodology. Clinical Spine Surgery is your single source for up-to-date, evidence-based recommendations for spine care.