Long unidirectional barbed suturing technique with extracorporeal traction in laparoscopic myomectomy.

ABSTRACT: BACKGROUND: Myomectomy is now often performed laparoscopically rather than by laparotomy to alleviate the risk of postoperative adhesions and reduce postoperative pain. However, intracorporeal knot-tying under direct laparoscopy is difficult and requires proficiency. We conducted a retrospective study comparing the results of a long unidirectional barbed suturing technique (with V-Loc180 suture) and the results of conventional suturing as applied to laparoscopic myomectomy. METHODS: In women who underwent laparoscopic myomectomy in our university hospital between January 2011 and April 2013, uninterrupted suturing of 2 or more layers was performed. These women were divided into 2 groups according to the method of suturing: those in whom standard absorbable sutures were used (group P, n =42) and those in whom our suturing technique was used (group V, n =41). Patient characteristics and surgical variables were compared between the 2 groups. RESULTS: No significant between-group difference was observed in age (p?=?.975), body mass index (p?=?.778), GnRHa administration (p?=?.059), intraoperative vasopressin dose (p?=?.364), intraoperative blood loss (73.8?±?64.1 vs. 59.3?±?54.0 mL, respectively; p?=?.199), myoma mass (212.6?±?133.3 vs. 208.3?±?198.4 g, respectively; p?=?.134), ?Hb (p?=?.517), or postoperative hospital stay (p?=?.314). Operation time (mean?±?SD) was significantly shorter for group V (71.2?±?22.9 minutes; range, 28.0-110.0 minutes; p?

SUBMITTER: Aoki Y 

PROVIDER: S-EPMC4217315 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature