Barbed suture in minimally invasive hysterectomy: a systematic review and meta-analysis

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17 Citations (Scopus)

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 languageEnglish
Pages (from-to)489-497
Number of pages9
JournalArchives of Gynecology and Obstetrics
Volume292
Issue number3
DOIs
Publication statusPublished - Feb 21 2015

Fingerprint

Hysterectomy
Sutures
Meta-Analysis
Uterine Hemorrhage
Robotics
Operative Time
Outcome Assessment (Health Care)
Confidence Intervals

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

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title = "Barbed suture in minimally invasive hysterectomy: a systematic review and meta-analysis",
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 ",
keywords = "Barbed suture, Laparoscopic hysterectomy, Minimally invasive surgery, Robotically assisted hysterectomy, Vaginal cuff closure",
author = "Stefano Bogliolo and Valentina Musacchi and Mattia Dominoni and Chiara Cassani and Gaggero, {Chiara Roberta} and {De Silvestri}, Annalisa and Barbara Gardella and Arsenio Spinillo",
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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

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