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Updated: Jun 13, 2025

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Barbed suture in laparoscopic myomectomy.

Federica Savasta1, Alessandro Libretti2, Livio Leo3

  • 1Department of Gynecology and Obstetrics, University of Eastern Piedmont, Maggiore della Carità Hospital, Novara, Italy - federica_savasta@hotmail.it.

Minerva Obstetrics and Gynecology
|September 16, 2024
PubMed
Summary
This summary is machine-generated.

Barbed sutures in laparoscopic myomectomy reduce suturing time and blood loss. These sutures are as safe as conventional ones for obstetric outcomes and do not negatively impact pregnancy.

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Area of Science:

  • Gynecology
  • Minimally Invasive Surgery

Background:

  • Uterine myomas are common benign tumors in women of reproductive age.
  • Laparoscopic myomectomy is a preferred surgical approach, but knot tying is challenging and hemorrhage risk is high.

Purpose of the Study:

  • To review the literature on the safety and efficacy of barbed sutures versus conventional sutures in laparoscopic myomectomy.
  • To evaluate the impact of barbed sutures on operative time, blood loss, and reproductive outcomes.

Main Methods:

  • A narrative review of six papers from a 2018 meta-analysis was conducted.
  • Studies included were those with a control group, excluding case reports and reviews.

Main Results:

  • Laparoscopic myomectomy with barbed sutures significantly reduced suturing time and blood loss compared to conventional sutures.
  • Obstetric outcomes and pregnancy results were not adversely affected by the use of barbed sutures.

Conclusions:

  • Barbed sutures offer a safer and potentially easier alternative to conventional sutures for laparoscopic myomectomy.
  • The use of barbed sutures in myomectomy does not compromise obstetric or pregnancy outcomes.