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

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'...

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Autores principales: Kim, Jin Hwi, Byun, Seung Won, Song, Jae Yeon, Kim, Yeon Hee, Lee, Hee Joong, Park, Tae Chul, Lee, Keun Ho, Hur, Soo Young, Park, Jong Sup, Lee, Sung Jong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5265943/
https://www.ncbi.nlm.nih.gov/pubmed/27684850
http://dx.doi.org/10.1097/MD.0000000000004981
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author Kim, Jin Hwi
Byun, Seung Won
Song, Jae Yeon
Kim, Yeon Hee
Lee, Hee Joong
Park, Tae Chul
Lee, Keun Ho
Hur, Soo Young
Park, Jong Sup
Lee, Sung Jong
author_facet Kim, Jin Hwi
Byun, Seung Won
Song, Jae Yeon
Kim, Yeon Hee
Lee, Hee Joong
Park, Tae Chul
Lee, Keun Ho
Hur, Soo Young
Park, Jong Sup
Lee, Sung Jong
author_sort Kim, Jin Hwi
collection PubMed
description 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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spelling pubmed-52659432017-02-06 Barbed versus conventional 2-layer continuous running sutures for laparoscopic vaginal cuff closure Kim, Jin Hwi Byun, Seung Won Song, Jae Yeon Kim, Yeon Hee Lee, Hee Joong Park, Tae Chul Lee, Keun Ho Hur, Soo Young Park, Jong Sup Lee, Sung Jong Medicine (Baltimore) 5600 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. Wolters Kluwer Health 2016-09-30 /pmc/articles/PMC5265943/ /pubmed/27684850 http://dx.doi.org/10.1097/MD.0000000000004981 Text en Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 5600
Kim, Jin Hwi
Byun, Seung Won
Song, Jae Yeon
Kim, Yeon Hee
Lee, Hee Joong
Park, Tae Chul
Lee, Keun Ho
Hur, Soo Young
Park, Jong Sup
Lee, Sung Jong
Barbed versus conventional 2-layer continuous running sutures for laparoscopic vaginal cuff closure
title Barbed versus conventional 2-layer continuous running sutures for laparoscopic vaginal cuff closure
title_full Barbed versus conventional 2-layer continuous running sutures for laparoscopic vaginal cuff closure
title_fullStr Barbed versus conventional 2-layer continuous running sutures for laparoscopic vaginal cuff closure
title_full_unstemmed Barbed versus conventional 2-layer continuous running sutures for laparoscopic vaginal cuff closure
title_short Barbed versus conventional 2-layer continuous running sutures for laparoscopic vaginal cuff closure
title_sort barbed versus conventional 2-layer continuous running sutures for laparoscopic vaginal cuff closure
topic 5600
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5265943/
https://www.ncbi.nlm.nih.gov/pubmed/27684850
http://dx.doi.org/10.1097/MD.0000000000004981
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