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Barbed suture vs traditional suture in single-port total laparoscopic hysterectomy
1Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.
Study Objective:
To compare surgical outcomes between barbed suture and traditional suture used in repair of the vaginal vault during single-port total laparoscopic hysterectomy (TLH).
Design:
Case-control study (Canadian Task Force classification II-2).
Setting:
Two institutions.
Patients:
One hundred two patients with benign uterine disease.
Interventions:
Single-port TLH using barbed suture (n = 43) or traditional suture (n = 59).
Measurements And Main Results:
Patient characteristics (age, body mass index, demographic data), procedures performed, uterine weight, and uterine disease were similar between the 2 study groups. There were also no differences in operative complications, conversion to other surgical approaches, operative blood loss, postoperative pain, and duration of hospital stay between the 2 groups. Use of barbed suture significantly reduced the time required for vaginal cuff suturing (11.4 vs 22.5 minutes; p < .001), as well as total operative time (92.0 vs 105.2 minutes; p = .002). Use of barbed suture is less technically demanding than traditional suture (p < .001).
Conclusion:
Use of barbed suture in single-port TLH may aid surgeons by reducing operative time, suturing time, and surgical difficulty.
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