Barbed versus conventional 2-layer continuous running sutures for laparoscopic vaginal cuff closure.

Abstract:

:We compared results using unidirectional barbed sutures and conventional sutures for vaginal cuff closure during total laparoscopic hysterectomy (TLH).The electronic medical records and surgical videos of 170 patients who underwent TLH between January 2013 and March 2015 at Uijeong-bu St. Mary's Hospital of Catholic University of Korea were reviewed. Vaginal cuffs were closed using the 2-layer continuous running technique with unidirectional barbed sutures (V-Loc; Covidien, Mansfield, MA) in 64 patients and with polycolic acid Vicryl; Ethicon, Somerville, NJ sutures in 106 patients. Procedure time, clinical characteristics, and postoperative complications were compared between the 2 study groups. There were no differences in clinical characteristics (age, body mass index, and demographic data) between groups. The mean suturing time was significantly reduced in the barbed group (7.2 vs 12.2 minutes; P < 0.001), although the mean number of stitches was greater than in the Vicryl group (14.1 vs 12.3, P < 0.001). Perioperative complications, including episodes of vaginal bleeding, vaginal cuff cellulitis, and postoperative fever, did not differ between groups. There were no instances of vaginal cuff dehiscence in either group. Unidirectional barbed sutures can be used safely to reduce procedure time and surgical difficulty relative to conventional sutures in laparoscopic vaginal cuff closure.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Kim JH,Byun SW,Song JY,Kim YH,Lee HJ,Park TC,Lee KH,Hur SY,Park JS,Lee SJ

doi

10.1097/MD.0000000000004981

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

e4981

issue

39

eissn

0025-7974

issn

1536-5964

pii

00005792-201609270-00060

journal_volume

95

pub_type

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