Taejong Song1, San-Hui Lee2. 1. Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea. 2. Department of Obstetrics and Gynecology, National Health Insurance Service Ilsan Hospital, Goyang, Korea. Electronic address: sanaram@naver.com.
Abstract
STUDY OBJECTIVE: To compare surgical outcomes between barbed suture and traditional suture used in repair of the vaginal vault during single-port total laparoscopic hysterectomy (TLH). DESIGN: Case-control study (Canadian Task Force classification II-2). SETTING: Two institutions. PATIENTS: One hundred two patients with benign uterine disease. INTERVENTIONS: Single-port TLH using barbed suture (n = 43) or traditional suture (n = 59). MEASUREMENTS AND MAIN RESULTS: Patient characteristics (age, body mass index, demographic data), procedures performed, uterine weight, and uterine disease were similar between the 2 study groups. There were also no differences in operative complications, conversion to other surgical approaches, operative blood loss, postoperative pain, and duration of hospital stay between the 2 groups. Use of barbed suture significantly reduced the time required for vaginal cuff suturing (11.4 vs 22.5 minutes; p < .001), as well as total operative time (92.0 vs 105.2 minutes; p = .002). Use of barbed suture is less technically demanding than traditional suture (p < .001). CONCLUSION: Use of barbed suture in single-port TLH may aid surgeons by reducing operative time, suturing time, and surgical difficulty.
STUDY OBJECTIVE: To compare surgical outcomes between barbed suture and traditional suture used in repair of the vaginal vault during single-port total laparoscopic hysterectomy (TLH). DESIGN: Case-control study (Canadian Task Force classification II-2). SETTING: Two institutions. PATIENTS: One hundred two patients with benign uterine disease. INTERVENTIONS: Single-port TLH using barbed suture (n = 43) or traditional suture (n = 59). MEASUREMENTS AND MAIN RESULTS:Patient characteristics (age, body mass index, demographic data), procedures performed, uterine weight, and uterine disease were similar between the 2 study groups. There were also no differences in operative complications, conversion to other surgical approaches, operative blood loss, postoperative pain, and duration of hospital stay between the 2 groups. Use of barbed suture significantly reduced the time required for vaginal cuff suturing (11.4 vs 22.5 minutes; p < .001), as well as total operative time (92.0 vs 105.2 minutes; p = .002). Use of barbed suture is less technically demanding than traditional suture (p < .001). CONCLUSION: Use of barbed suture in single-port TLH may aid surgeons by reducing operative time, suturing time, and surgical difficulty.
Authors: Erik Leijte; Elke Arts; Bart Witteman; Jack Jakimowicz; Ivo De Blaauw; Sanne Botden Journal: Surg Endosc Date: 2019-01-22 Impact factor: 4.584