Comparison of Unidirectional Barbed Suture and Polyglactin 910 Suture in the Vaginal Vault Closure in Patients Undergoing Total Laparoscopic Hysterectomy

Morgan-Ortiz, Fred; Contreras-Soto, J.O.; Soto-Pineda, J.M.; López-Zepeda, M.A.

doi:10.1016/j.jmig.2012.08.420

Cited by 9 publications

(12 citation statements)

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“…In the literature, it is noted that only two articles measured cuff suturation time with unidirectional barbed suture. In these articles, cuff closure time with 3/0 V‐Loc unidirectional barbed suture was reported as 12.7 and 11.4 min, respectively . In our study, vaginal cuff closure time was shorter than that reported in the literature for either of bidirectional and unidirectional barbed sutures.…”

Section: Discussioncontrasting

confidence: 52%

“…In these articles, cuff closure time with 3/0 V-Loc unidirectional barbed suture was reported as 12.7 and 11.4 min, respectively. 18,19 In our study, vaginal cuff closure time was shorter than that reported in the literature for either of bidirectional and unidirectional barbed sutures. Our technique does not include backward stitching for a second layer approximation and to secure distal end.…”

Section: Discussioncontrasting

confidence: 51%

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Unidirectional barbed suture for vaginal cuff closure without backward stitch in total laparoscopic hysterectomy

Misirlioğlu

Boza

Arslan

et al. 2018

J of Obstet and Gynaecol

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Section: Discussioncontrasting

confidence: 52%

Section: Discussioncontrasting

confidence: 51%

Unidirectional barbed suture for vaginal cuff closure without backward stitch in total laparoscopic hysterectomy

Misirlioğlu

Boza

Arslan

et al. 2018

J of Obstet and Gynaecol

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“…4,10,12,14,15,18 However, after our statistical analysis, it was shown that there is no statistically significant difference in vaginal cuff dehiscence between the 2 groups. The morphology of tissue collagen structure, the distribution of blood supply, and the possibility of infection should be taken into account as possible reasons.…”

Section: Discussionmentioning

confidence: 73%

The Role of Knotless Barbed Suture in Gynecologic Surgery

2014

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Knotless barbed sutures are an innovative suturing material that can facilitate laparoendoscopic operations. The purpose of this study is to examine the available evidence on the application of barbed sutures on both laparoscopic and robotic operations in the field of gynecologic surgery. A systematic search was performed in PubMed, Scopus, and Cochrane databases. In total, 1991 patients were included in the study. The duration of closure with knotless suture ranged from 3.9 to 13 minutes, which was less than the use of conventional suture in every study. The duration of suturing was significantly less in the barbed suture group during hysterectomy, the mean difference between the observed groups was 2.41 minutes per operation (95% confidence interval, 1.23-3.59) whereas in myomectomy there was no statistically significant difference between compared groups. Concerning the estimated blood loss and the presence of major bleeding in hysterectomy, no statistical difference between the 2 groups was observed, while the estimated blood loss in myomectomy was found to be statistically significant (P = .04). Regarding the dehiscence of vaginal cuff in hysterectomy, no statistically significant difference was observed (1031 patients, odds ratio = 1.63; 95% confidence interval = 0.37-7.25). The complete absence of knots, the even distribution of tissue strength along the wound, and the reduction of operation time are the main advantages of this type of sutures. Additional clinical trials of higher methodological quality are necessary to further clarify suturing advantages and postoperative outcomes of the barbed sutures.

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“…There is growing evidence that barbed sutures are as safe and well-tolerated as conventional sutures and that their use is associated with reduced operative time in cases of laparoscopic vaginal cuff closure. [8–12] However, most previous studies compared results for continuous running barbed sutures to conventional figure-of-eight sutures, and operative time and procedure time are typically analyzed using medical records rather than surgical videos. Finally, most previous studies involved bidirectional barbed sutures rather than unidirectional sutures.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2016

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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.

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Comparison of Unidirectional Barbed Suture and Polyglactin 910 Suture in the Vaginal Vault Closure in Patients Undergoing Total Laparoscopic Hysterectomy

Cited by 9 publications

References 0 publications

Unidirectional barbed suture for vaginal cuff closure without backward stitch in total laparoscopic hysterectomy

Unidirectional barbed suture for vaginal cuff closure without backward stitch in total laparoscopic hysterectomy

The Role of Knotless Barbed Suture in Gynecologic Surgery

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

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