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Updated: Feb 12, 2026
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Published on: March 12, 2011
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Umbilical Quilting Suture Technique during Single-Port Laparoscopic Surgery
Jung Woo Chang1, Jeongseok Oh1, Un Suk Jung2
1Department of Plastic and Reconstructive Surgery.
Summary
A new quilting suture technique significantly improves umbilical shape after single-port laparoscopic surgery (SPLS) in gynecology. This method enhances patient satisfaction and creates a more natural-looking umbilicus compared to conventional closure.
Area of Science:
- Minimally Invasive Gynecologic Surgery
- Surgical Techniques
- Reconstructive Surgery
Background:
- Single-port laparoscopic surgery (SPLS) is increasingly utilized in gynecology due to its less invasive nature and smaller scars.
- A common complication of SPLS is umbilical distortion from intensive procedures through a small incision.
- This study addresses the challenge of achieving satisfactory postoperative umbilical aesthetics in SPLS.
Purpose of the Study:
- To introduce and evaluate a novel quilting suture technique for umbilical closure in SPLS.
- To compare the aesthetic outcomes and patient satisfaction of the quilting suture technique versus conventional closure.
- To determine the long-term effectiveness of the quilting suture technique in preserving umbilical morphology.
Main Methods:
- A prospective study involving 32 patients undergoing SPLS, divided into two groups: conventional closure (Group A, 14 patients) and quilting suture technique (Group B, 18 patients).
- Umbilical shape was assessed by a plastic surgeon, and patient satisfaction was recorded.
- Evaluations were conducted immediately post-surgery and monthly for six months.
Main Results:
- The quilting suture group (Group B) demonstrated superior umbilical shape preservation, maintaining natural depression and vertical lines, unlike Group A.
- Plastic surgeon evaluations showed significantly higher scores for Group B (15.1 initially, 17.8 at 6 months) compared to Group A (10.4 initially, 15.2 at 6 months).
- Patient satisfaction scores were higher in Group B (7.3 initially, 9.2 at 6 months) than in Group A (4.9 initially, 8.1 at 6 months).
Conclusions:
- The quilting suture technique is effective in creating an aesthetically ideal umbilicus following SPLS.
- This technique significantly enhances patient satisfaction with the cosmetic outcome.
- The quilting suture method offers a valuable solution for preventing umbilical distortion in single-port laparoscopic gynecologic procedures.
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