Bidirectional barbed suture in laparoscopic myomectomy: clinical features.
J Laparoendosc Adv Surg Tech A
; 23(12): 1006-10, 2013 Dec.
Article
en En
| MEDLINE
| ID: mdl-24320206
ABSTRACT
OBJECTIVE:
To compare bidirectional knotless barbed suture versus standard sutures, with either extracorporeal or intracorporeal knots, and to assess the feasibility, safety, and rapidity in repairing a uterine wall defect after laparoscopic myomectomy. SUBJECTS ANDMETHODS:
This was a randomized clinical study having a Canadian Task Force Classification of I. In tertiary-care university-based teaching hospitals, 117 women who underwent laparoscopic myomectomy were enrolled. In accord with randomization, uterine wall defects were closed with either extracorporeal (poliglecaprone 25; Monocryl™-1; Ethicon Inc., Somerville, NJ) or intracorporeal (polyglactin 910; Vicryl™-1; Ethicon Inc.) knots or a bidirectional knotless barbed suture (Quill™-0; Angiotech Pharmaceuticals, Inc., Vancouver, BC, Canada).RESULTS:
Time required to suture was significantly lower in the group operated on with a bidirectional suture than in groups with traditional sutures (P<.001). No significant difference was observed in operative time among the study groups. The degree of surgical difficulty was significantly lower in the Quill group than in the other groups.CONCLUSIONS:
Use of barbed sutures reduces the time required to repair a uterine wall defect during laparoscopic myomectomy. In a follow-up of patients carried out at 3 months, 6 months, and 1 year after the surgery, there were no wound dehiscence, no bleeding, and no other potential major complications.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Suturas
/
Útero
/
Técnicas de Sutura
/
Laparoscopía
/
Miomectomía Uterina
Tipo de estudio:
Clinical_trials
/
Observational_studies
Aspecto:
Ethics
Límite:
Adult
/
Female
/
Humans
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Laparoendosc Adv Surg Tech A
Año:
2013
Tipo del documento:
Article
País de afiliación:
Italia