The Use of Barbed Suture for Vaginal Cuff Closure in Total Laparoscopic Hysterectomy
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Other documents of the author: Herraiz Roda, José Luis; Llueca, Antoni; Calpe Gómez, Enrique; Piquer Simó, Dolors
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Title
The Use of Barbed Suture for Vaginal Cuff Closure in Total Laparoscopic HysterectomyDate
2015-12Publisher
MedCraveBibliographic citation
Herraiz RJL, Llueca AJA, Maazouzi Y, Piquer SD, Piquer SD, Calpe GE (2015) The Use of Barbed Suture for Vaginal Cuff Closure in Total Laparoscopic Hysterectomy. Obstet Gynecol Int J 3(4): 00088Type
info:eu-repo/semantics/bookPublisher version
http://medcraveonline.com/OGIJ/OGIJ-03-00088.phpVersion
info:eu-repo/semantics/publishedVersionAbstract
Objective: The aim of this work is to evaluate the safety and efficacy of the barbed unidirectional suture in a total laparoscopic hysterectomy.
Materials and Methods: A retrospective and descriptive study was ... [+]
Objective: The aim of this work is to evaluate the safety and efficacy of the barbed unidirectional suture in a total laparoscopic hysterectomy.
Materials and Methods: A retrospective and descriptive study was conducted, which included all of the patients that have undergone laparoscopic hysterectomy and closure of the vaginal cuff, using barbed sutures (V-loc™90 Device, CovidienTM), during the period between May 2011 and December 2014. We have analyzed the general characteristics, indications, history of previous surgery and the presence of fever or surgical re-intervention due to pelvic abscesses. The appearance of a vaginal cuff hematoma, active bleeding and vaginal cuff dehiscence were also taken into account.
Results: A hundred and twenty-one laparoscopic hysterectomies with vaginal cuff closure, using barbed sutures, were performed. There was a report of one case of bladder lesion and another case of ureter lesion. Of all patients, four (3.3%) of them presented fever while one (0.8%) presented paralytic ileus. Three (2.4%) patients suffered active vaginal bleeding, and one presented a partial dehiscence of the vaginal cuff. And finally, two (1.6%) cases of vaginal cuff hematomas were observed and in one (0.8%) of the cases, a pelvic abscess was detected.
Conclusion: The use of a unidirectional barbed suture is a safe technique for vaginal cuff closure in laparoscopic total hysterectomies. [-]
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Obstet Gynecol Int J 2015, 3(4): 00088Rights
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