Unidirectional Barbed Suture versus Continuous Suture with Intracorporeal Knots in Laparoscopic Myomectomy: A Randomized Study

Alessandri, Franco; Remorgida, Valentino; Venturini, Pier Luigi; Ferrero, Simone

doi:10.1016/j.jmig.2010.06.007

Cited by 121 publications

(100 citation statements)

References 16 publications

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“…Nowadays, the introduction of absorbable barbed suture in laparoscopic gynecological surgery has entailed good results and several surgical facilitations because there is no need of intracorporeal knots to ensure good control of tissue bleeding [19-23]. Indeed, the presence of barbs leads to the cohesion of filament to tissues, and intra-corporeal knots are not required.…”

Section: Introductionmentioning

confidence: 99%

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

Gardella

Dominoni

Iacobone

et al. 2018

Gynecol Obstet Invest

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Background: This work analyzes the feasibility and effectiveness of barbed suture during laparoscopic myomectomy. Methods: Eight works have been carefully examined for the meta-analysis from all papers published online until November 2017. Results: Barbed suture proved to be superior to traditional suture technique in blood loss in laparoscopic myomectomy (Standardized Mean Difference [SMD] –0.650, 95% CI –1.420 to –0.119, p = 0.098, test for heterogenity p < 0.0001, I² = 95.54%), Hb drop (SMD –1.452, 95% CI –3.590 to 0.687, p = 0.183, test for heterogenity p < 0.0001, I² = 99.08%), suturing difficulty (SMD –0.638, 95% CI –0.935 to –0.342, p ≤ 0.001, test for heterogenity p = 0.25, I² = 27.84%), suturing time (SMD –1.197, 95% CI –1.848 to –0.549, p ≤0.001, test for heterogenity p = 0.0001, I² = 83.30%) and total operative time (SMD –0.687, 95% CI –0.804 to –0.569, p ≤ 0.001, test for heterogenity p = 0.292, I² = 17.44%). Barbed suture demonstrated to be better in comparison with the control group even with regard to the length of hospitalization (SMD –0.278, 95% CI –0.543 to 0.012, p = 0.040, test for heterogenity p = 0.025, I² = 61.85%), and to perioperative complications (SMD 0.708, 95% CI 0.503–0.996, p = 0.048, test for heterogenity p = 0.79, I² = 0%). Conclusion: Barbed suture significantly facilitates laparoscopic myomectomy by reducing the total operative/suturing time, estimated blood loss/Hb drop, and reduction of perioperative complications.

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Section: Introductionmentioning

confidence: 99%

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

Gardella

Dominoni

Iacobone

et al. 2018

Gynecol Obstet Invest

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“…To date, the efficacy and safety of this novel suture in gynecologic (31)(32)(33)(34)(35), urologic (36)(37)(38) and orthopedic surgery (39) have been reported. With respect to digestive surgery though, only a few studies, including our 2011 report of the first use of barbed sutures in gastrointestinal anastomoses, have proven the safety and suitability of barbed sutures in terms of anastomotic leakages or stenosis, but there have been no prospective studies for bowel anastomosis following LG for malignant disease.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic gastrointestinal anastomoses using knotless barbed absorbable sutures are safe and reproducible: a single-center experience with 242 patients

Lee

Kawai

Tashiro

et al. 2016

Jpn. J. Clin. Oncol.

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Objective: Intracorporeal reconstruction of the digestive tract is technically challenging. The V-Loc 180 wound closure device (Covidien) is a self-anchoring unidirectional barbed suture that obviates the need for knot tying. The aim of this prospective cohort study was to investigate the use of the novel suture in gastrointestinal enterotomy closure. Methods: The subjects comprised patients with malignant disease who were scheduled to undergo laparoscopic gastrectomy with curative intent. The barbed suture was used to close the entry hole for the linear stapler during intracorporeal reconstruction following laparoscopic gastric resection. The primary endpoint was the proportion of patients who developed anastomotic leakage at the site where the barbed suture was applied. Results: Between July 2012 and March 2015, 242 patients were enrolled. Of 362 anastomoses, the enterotomy hole at 256 sites was closed using the barbed suture. These 256 sites consisted of 95 gastroduodenostomies, 25 gastrogastrostomies, 13 gastrojejunostomies, 90 jejunojejunostomies, 17 esophagojejunostomies and 16 primary closures of the stomach following local gastric resection. There were no anastomosis-related complications, conversion to usual sutures, mechanical closure of the entry hole and reoperation due to adhesive obstructions or mortality over a median follow-up period of 17.8 months.Conclusions: The use of the unidirectional barbed absorbable suture for gastrointestinal closure is safe and effective in laparoscopic gastrectomy.

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“…One solution has been the introduction of the unidirectional barbed suture for vaginal cuff closure. The latter has demonstrated a lower technical difficulty [8][9][10] as well as a decrease in the surgical time, intraoperative complications and a lower incidence of suture dehiscence [9,11]. The use of the barbed suture has been described in multiple gynecological procedures, such as the hysterectomy, myomectomy and colposacropexy [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

The Use of Barbed Suture for Vaginal Cuff Closure in Total Laparoscopic Hysterectomy

Roda JL

2015

OGIJ

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Unidirectional Barbed Suture versus Continuous Suture with Intracorporeal Knots in Laparoscopic Myomectomy: A Randomized Study

Cited by 121 publications

References 16 publications

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

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

Laparoscopic gastrointestinal anastomoses using knotless barbed absorbable sutures are safe and reproducible: a single-center experience with 242 patients

The Use of Barbed Suture for Vaginal Cuff Closure in Total Laparoscopic Hysterectomy

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