Decreased Incidence of Vaginal Cuff Dehiscence after Laparoscopic Closure with Bidirectional Barbed Suture

What Is the Role of Barbed Suture in Laparoscopic Myomectomy? A Meta-Analysis and Pregnancy Outcome Evaluation

“…In agreement with Siedhoff et al [22], we supposed that lower difficulty linked to barbed suture could be explained by characteristics of filaments and shorter learning curve.…”

Vaginal Cuff Dehiscence; Risk Factors and Associated Morbidities

“…5,11 Hur et al 4 previously speculated that switching from cuff closure with Polysorb suture (Covidien, Dublin, Ireland) to delayed absorbable monofilament suture may have resulted in a decreased incidence of cuff dehiscence. Other authors suggested that using a 2-layer closure may help reduce the risk even further.…”

“…Risk factors are ill-defined 5 and include factors that influence wound healing, as well as mechanical factors such as early resumption of sexual activity, trauma, and increased intra-abdominal pressure. [5][6][7][8][9] Limited data exist about the effect of different approaches to colpotomy creation, suture materials, 2 or suturing techniques 10,11 on the risk of vaginal cuff separation. 12 Furthermore, the available retrospective reports often lack clear descriptions of the technique of colpotomy used, especially in abdominal and vaginal hysterectomies.…”

Vaginal Cuff Closure during Robotic Assisted Total Laparoscopic Hysterectomy: Comparing Vicryl to Barbed Sutures

“…6 In another study comparing incidence of vaginal cuff dehiscence after laparoscopic closure, Siedhoff et al 7 reported a lower rate among women who underwent bidirectional barbed suturing (n ϭ 149 surgeries) compared with all other closure methods (n ϭ 238 surgeries, 9 with monofilament suture and 229 with braided sutures) (0.0% vs. 4.2%; P ϭ .008). We had only 1 cuff dehiscence (with the Vicryl figure-of-8 closure) in the entire cohort.…”