Abstract
Purpose: Total laparoscopic or robotic hysterectomy represents one of the most performed gynecological procedures nowadays. Minimally invasive procedures seem to increase the risk of vaginal cuff dehiscence (VCD). Barbed suture is a new class of suture introduced to aid surgeons during laparoscopic suturing, with the aim to reduce operative time, blood loss, and vaginal dehiscence. Methods: We identified all articles that report a series of laparoscopic or robotic-assisted hysterectomy using barbed suture compared to conventional suture for vaginal cuff closure. The main outcome measures were vaginal cuff suturing time, vaginal bleeding, and vaginal dehiscence with or without small bowel evisceration. Suturing time was meta-analyzed as the standardized mean difference, which is the difference in means of two arms divided by pooled standard deviation with 95 % confidence intervals. For vaginal bleeding and dehiscence risk difference were calculated for each study and then meta-analyzed. Fixed models were considered if heterogeneity was low (I2
| Original language | English |
|---|---|
| Pages (from-to) | 489-497 |
| Number of pages | 9 |
| Journal | Archives of Gynecology and Obstetrics |
| Volume | 292 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Feb 21 2015 |
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Keywords
- Barbed suture
- Laparoscopic hysterectomy
- Minimally invasive surgery
- Robotically assisted hysterectomy
- Vaginal cuff closure
ASJC Scopus subject areas
- Obstetrics and Gynaecology
- Medicine(all)
Cite this
Barbed suture in minimally invasive hysterectomy : a systematic review and meta-analysis. / Bogliolo, Stefano; Musacchi, Valentina; Dominoni, Mattia; Cassani, Chiara; Gaggero, Chiara Roberta; De Silvestri, Annalisa; Gardella, Barbara; Spinillo, Arsenio.
In: Archives of Gynecology and Obstetrics, Vol. 292, No. 3, 21.02.2015, p. 489-497.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Barbed suture in minimally invasive hysterectomy
T2 - a systematic review and meta-analysis
AU - Bogliolo, Stefano
AU - Musacchi, Valentina
AU - Dominoni, Mattia
AU - Cassani, Chiara
AU - Gaggero, Chiara Roberta
AU - De Silvestri, Annalisa
AU - Gardella, Barbara
AU - Spinillo, Arsenio
PY - 2015/2/21
Y1 - 2015/2/21
N2 - Purpose: Total laparoscopic or robotic hysterectomy represents one of the most performed gynecological procedures nowadays. Minimally invasive procedures seem to increase the risk of vaginal cuff dehiscence (VCD). Barbed suture is a new class of suture introduced to aid surgeons during laparoscopic suturing, with the aim to reduce operative time, blood loss, and vaginal dehiscence. Methods: We identified all articles that report a series of laparoscopic or robotic-assisted hysterectomy using barbed suture compared to conventional suture for vaginal cuff closure. The main outcome measures were vaginal cuff suturing time, vaginal bleeding, and vaginal dehiscence with or without small bowel evisceration. Suturing time was meta-analyzed as the standardized mean difference, which is the difference in means of two arms divided by pooled standard deviation with 95 % confidence intervals. For vaginal bleeding and dehiscence risk difference were calculated for each study and then meta-analyzed. Fixed models were considered if heterogeneity was low (I2
AB - Purpose: Total laparoscopic or robotic hysterectomy represents one of the most performed gynecological procedures nowadays. Minimally invasive procedures seem to increase the risk of vaginal cuff dehiscence (VCD). Barbed suture is a new class of suture introduced to aid surgeons during laparoscopic suturing, with the aim to reduce operative time, blood loss, and vaginal dehiscence. Methods: We identified all articles that report a series of laparoscopic or robotic-assisted hysterectomy using barbed suture compared to conventional suture for vaginal cuff closure. The main outcome measures were vaginal cuff suturing time, vaginal bleeding, and vaginal dehiscence with or without small bowel evisceration. Suturing time was meta-analyzed as the standardized mean difference, which is the difference in means of two arms divided by pooled standard deviation with 95 % confidence intervals. For vaginal bleeding and dehiscence risk difference were calculated for each study and then meta-analyzed. Fixed models were considered if heterogeneity was low (I2
KW - Barbed suture
KW - Laparoscopic hysterectomy
KW - Minimally invasive surgery
KW - Robotically assisted hysterectomy
KW - Vaginal cuff closure
UR - http://www.scopus.com/inward/record.url?scp=84938751810&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84938751810&partnerID=8YFLogxK
U2 - 10.1007/s00404-015-3653-x
DO - 10.1007/s00404-015-3653-x
M3 - Article
C2 - 25700658
AN - SCOPUS:84938751810
VL - 292
SP - 489
EP - 497
JO - Archives of Gynecology
JF - Archives of Gynecology
SN - 0170-9925
IS - 3
ER -