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Related Experiment Video

Updated: Nov 5, 2025

Reverse Needle Continuous Suture of the Pancreatic Duct to Jejunal Mucosal Pancreaticointestinal Anastomosis in Laparoscopic Pancreaticoduodenectomy
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A comparative study between continuous and interrupted sutures in open pyeloplasty.

Sandeep Gupta1, Ankit Verma1, Dilip Kumar Pal1

  • 1Department of Urology, IPGMER, Kolkata, West Bengal, India.

Urologia
|May 19, 2021
PubMed
Summary
This summary is machine-generated.

Continuous suturing in open pyeloplasty for pelvi-ureteric junction obstruction (PUJO) significantly reduces operative time and hospital stay. This technique is preferable for better surgical outcomes and patient recovery.

Keywords:
Pelvi-ureteric junction obstructioncomplicationspyeloplastyrecurrence rate

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Area of Science:

  • Urology
  • Surgical Techniques
  • Obstructive Uropathy

Background:

  • Pelvi-ureteric junction obstruction (PUJO) is a common cause of obstructive uropathy requiring surgical intervention.
  • Pelvi-ureteral anastomosis is a time-consuming step in pyeloplasty surgery.
  • Suturing technique critically impacts surgical outcomes in PUJO management.

Purpose of the Study:

  • To compare the outcomes of continuous versus interrupted suturing in open pyeloplasties for PUJ obstruction.
  • To evaluate the impact of suturing methods on operative time, recovery, and complications.

Main Methods:

  • A comparative study of 60 patients with PUJO undergoing open pyeloplasty.
  • Patients were divided into two groups: continuous suturing (Group A) and interrupted suturing (Group B).
  • Key outcomes measured included operative time, suturing time, post-operative drainage, hospital stay, and GFR.

Main Results:

  • No significant difference in complication or recurrence rates between continuous and interrupted suturing groups (p > 0.05).
  • Continuous suturing demonstrated statistically significant reductions in mean operative time, suturing time, post-operative drainage duration, drain output, and hospital stay (p < 0.0001).

Conclusions:

  • Continuous suturing technique is preferable for open pyeloplasty in PUJO.
  • This method offers advantages in reduced operative time, shorter recovery periods, and decreased resource utilization.