Evaluating the Anchorflow Suture Technique Versus Conventional Continuous Suturing in Vaginal Cuff Closure During...

Area of Science:

• Gynecological Surgery
• Minimally Invasive Procedures

Background:

• Total laparoscopic hysterectomy (TLH) is a frequent gynecological procedure.
• Vaginal cuff closure is a critical step influencing operative efficiency and patient outcomes.

Purpose of the Study:

• To compare the efficiency and safety of the novel Anchorflow Suture (AFS) technique against conventional continuous suturing for vaginal cuff closure in TLH.

Main Methods:

• A multicenter retrospective cohort study included 208 women undergoing TLH for benign conditions.
• Participants were divided into AFS and continuous suturing groups.
• Surgical parameters and postoperative outcomes were statistically analyzed (p < 0.05).

Main Results:

• Vaginal cuff closure time was significantly shorter with AFS (10.26 min) versus continuous suturing (13.36 min, p < 0.001).
• Operative time was not significantly different between groups (p = 0.15).
• Both techniques showed comparable safety, with no vaginal cuff dehiscence and similar rates of complications like bleeding and granulation tissue.

Conclusions:

• The AFS technique offers a significant reduction in vaginal cuff closure time during TLH.
• AFS demonstrates a comparable safety profile to continuous suturing, enhancing surgical efficiency.
• Further prospective research is recommended to assess long-term effects on pelvic floor integrity and sexual function.