STUDY OBJECTIVE: To compare closure times, cuff healing, and postoperative dyspareunia between barbed and traditional sutures during laparoscopic total hysterectomy. DESIGN: A randomized clinical trial (Canadian Task Force classification I). SETTING: A university hospital. PATIENTS: Sixty-three women undergoing total laparoscopic hysterectomy. INTERVENTIONS:Total laparoscopic hysterectomy was performed using standard techniques. The vaginal cuff closure method was randomized to barbed suture (Quill; Angiotech Pharmaceuticals, Inc., Vancouver, Canada) or standard suture (Vicryl; Ethicon Inc., Somerville, NJ). The time required for cuff closure was documented. Patients were examined postoperatively to assess cuff healing, and a standardized sexual function questionnaire was administered preoperatively and at 3 months postoperatively. MEASUREMENTS AND MAIN RESULTS: The mean vaginal cuff closure time was 10.4 minutes versus 9.6 minutes in the barbed versus standard suture group (p = .51). Cuff healing appeared similar between the 2 groups. Rates of dyspareunia, partner dyspareunia, and sexual function were similar in both groups at 3 months postoperatively. Vaginal cuff closure times were significantly faster among attendings compared with residents/fellows (7.1 vs. 12.8 minutes, respectively; p < .0001). The study was designed to have a statistical power of 80% to detect a difference of 5 minutes in cuff closure time between the 2 groups (α level of 0.05). CONCLUSION:Laparoscopic vaginal cuff closure times are similar when using barbed sutures and braided sutures.
RCT Entities:
STUDY OBJECTIVE: To compare closure times, cuff healing, and postoperative dyspareunia between barbed and traditional sutures during laparoscopic total hysterectomy. DESIGN: A randomized clinical trial (Canadian Task Force classification I). SETTING: A university hospital. PATIENTS: Sixty-three women undergoing total laparoscopic hysterectomy. INTERVENTIONS: Total laparoscopic hysterectomy was performed using standard techniques. The vaginal cuff closure method was randomized to barbed suture (Quill; Angiotech Pharmaceuticals, Inc., Vancouver, Canada) or standard suture (Vicryl; Ethicon Inc., Somerville, NJ). The time required for cuff closure was documented. Patients were examined postoperatively to assess cuff healing, and a standardized sexual function questionnaire was administered preoperatively and at 3 months postoperatively. MEASUREMENTS AND MAIN RESULTS: The mean vaginal cuff closure time was 10.4 minutes versus 9.6 minutes in the barbed versus standard suture group (p = .51). Cuff healing appeared similar between the 2 groups. Rates of dyspareunia, partner dyspareunia, and sexual function were similar in both groups at 3 months postoperatively. Vaginal cuff closure times were significantly faster among attendings compared with residents/fellows (7.1 vs. 12.8 minutes, respectively; p < .0001). The study was designed to have a statistical power of 80% to detect a difference of 5 minutes in cuff closure time between the 2 groups (α level of 0.05). CONCLUSION: Laparoscopic vaginal cuff closure times are similar when using barbed sutures and braided sutures.
Authors: Mobolaji O Ajao; Christian R Larsen; Elmira Manoucheri; Emily R Goggins; Maja T Rask; Mary K B Cox; Avery Mushinski; Xiangmei Gu; Sarah L Cohen; Martin Rudnicki; Jon I Einarsson Journal: Surg Endosc Date: 2019-06-06 Impact factor: 4.584
Authors: Jasmine Tan-Kim; Charles W Nager; Cara L Grimes; Karl M Luber; Emily S Lukacz; Heidi W Brown; Kimberly L Ferrante; Keisha Y Dyer; Anna C Kirby; Shawn A Menefee Journal: Int Urogynecol J Date: 2014-11-25 Impact factor: 2.894
Authors: L van den Haak; J P T Rhemrev; M D Blikkendaal; A C M Luteijn; J J van den Dobbelsteen; S R C Driessen; F W Jansen Journal: Gynecol Surg Date: 2016-01-12
Authors: Jin Hwi Kim; Seung Won Byun; Jae Yeon Song; Yeon Hee Kim; Hee Joong Lee; Tae Chul Park; Keun Ho Lee; Soo Young Hur; Jong Sup Park; Sung Jong Lee Journal: Medicine (Baltimore) Date: 2016-09 Impact factor: 1.889