Vaginal cuff closure with absorbable bidirectional barbed suture during total laparoscopic hysterectomy

Stefano Bogliolo, Chiara Nadalini, Anna Daniela Iacobone, Valentina Musacchi, Alice Peroglio Carus

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Objective Hysterectomy represents one of the most performed procedures in gynecological surgery. The minimally invasive approach increases patients' benefits and reduces hospitalization costs. The aim of this study was to demonstrate the efficacy and safety of double barbed suture in vaginal cuff closure during total laparoscopic hysterectomy. Study design A retrospective cohort study of 88 consecutive patients treated with total laparoscopic hysterectomy for benign or precancerous conditions was undertaken from January 2010 to December 2011. Vaginal cuff suture was performed with traditional interrupted suture with polycolic acid (Vicryl™) in 40 patients and with bidirectional barbed device, Quill SRS™, in 48 patients. Results No difference in vaginal cuff dehiscence, major vaginal bleeding or spotting, and infection was evident between the two groups, with significant reduction in operative times for the bidirectional barbed suture group. Conclusion Vaginal cuff suture performed with bidirectional barbed QUILL SRS™ is a safe and well-tolerated procedure that reduces operative times.

Original languageEnglish
Pages (from-to)219-221
Number of pages3
JournalEuropean Journal of Obstetrics and Gynecology and Reproductive Biology
Volume170
Issue number1
DOIs
Publication statusPublished - Aug 2013

Fingerprint

Hysterectomy
Sutures
Operative Time
Precancerous Conditions
Polyglactin 910
Gynecologic Surgical Procedures
Metrorrhagia
Uterine Hemorrhage
Hospitalization
Cohort Studies
Retrospective Studies
Safety
Costs and Cost Analysis
Equipment and Supplies
Acids
Infection

Keywords

  • Barbed suture
  • Total laparoscopic hysterectomy
  • Vaginal cuff dehiscence

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

Cite this

Vaginal cuff closure with absorbable bidirectional barbed suture during total laparoscopic hysterectomy. / Bogliolo, Stefano; Nadalini, Chiara; Iacobone, Anna Daniela; Musacchi, Valentina; Carus, Alice Peroglio.

In: European Journal of Obstetrics and Gynecology and Reproductive Biology, Vol. 170, No. 1, 08.2013, p. 219-221.

Research output: Contribution to journalArticle

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AU - Iacobone, Anna Daniela

AU - Musacchi, Valentina

AU - Carus, Alice Peroglio

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N2 - Objective Hysterectomy represents one of the most performed procedures in gynecological surgery. The minimally invasive approach increases patients' benefits and reduces hospitalization costs. The aim of this study was to demonstrate the efficacy and safety of double barbed suture in vaginal cuff closure during total laparoscopic hysterectomy. Study design A retrospective cohort study of 88 consecutive patients treated with total laparoscopic hysterectomy for benign or precancerous conditions was undertaken from January 2010 to December 2011. Vaginal cuff suture was performed with traditional interrupted suture with polycolic acid (Vicryl™) in 40 patients and with bidirectional barbed device, Quill SRS™, in 48 patients. Results No difference in vaginal cuff dehiscence, major vaginal bleeding or spotting, and infection was evident between the two groups, with significant reduction in operative times for the bidirectional barbed suture group. Conclusion Vaginal cuff suture performed with bidirectional barbed QUILL SRS™ is a safe and well-tolerated procedure that reduces operative times.

AB - Objective Hysterectomy represents one of the most performed procedures in gynecological surgery. The minimally invasive approach increases patients' benefits and reduces hospitalization costs. The aim of this study was to demonstrate the efficacy and safety of double barbed suture in vaginal cuff closure during total laparoscopic hysterectomy. Study design A retrospective cohort study of 88 consecutive patients treated with total laparoscopic hysterectomy for benign or precancerous conditions was undertaken from January 2010 to December 2011. Vaginal cuff suture was performed with traditional interrupted suture with polycolic acid (Vicryl™) in 40 patients and with bidirectional barbed device, Quill SRS™, in 48 patients. Results No difference in vaginal cuff dehiscence, major vaginal bleeding or spotting, and infection was evident between the two groups, with significant reduction in operative times for the bidirectional barbed suture group. Conclusion Vaginal cuff suture performed with bidirectional barbed QUILL SRS™ is a safe and well-tolerated procedure that reduces operative times.

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