Accepted Manuscript Barbed suture versus traditional suture in single-port total laparoscopic hysterectomy Taejong Song, M.D. San-Hui Lee, M.D

PII:

S1553-4650(14)00207-6

DOI:

10.1016/j.jmig.2014.03.012

Reference:

JMIG 2278

To appear in:

The Journal of Minimally Invasive Gynecology

Received Date: 26 December 2013 Revised Date:

4 March 2014

Accepted Date: 13 March 2014

Please cite this article as: Song T, Lee SH, Barbed suture versus traditional suture in single-port total laparoscopic hysterectomy, The Journal of Minimally Invasive Gynecology (2014), doi: 10.1016/ j.jmig.2014.03.012. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Barbed suture versus traditional suture in single-port total

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laparoscopic hysterectomy

3 Taejong Song, M.D., San-Hui Lee, M.D.

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Department of Obstetrics & Gynecology, CHA Gangnam Medical Center, CHA University,

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Seoul, Korea

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Department of Obstetrics & Gynecology, National Health Insurance Service Ilsan Hospital,

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Goyang, Korea

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*Corresponding author: San-Hui Lee, MD

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Department of Obstetrics and Gynecology, National Health Insurance Service Ilsan

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Hospital, 1232 Baekseok 1-dong, Ilsandong-gu, Goyang 410-719, Republic of Korea

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Tel: +82-31-900-0218; Fax: +82-31-900-0138; E-mail: [email protected]

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Conflict of interest: We have no conflicts of interest to declare.

Short version of title: Barbed suture in single-port TLH

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Précis: On the basis of our data, use of barbed suture in single-port TLH aided

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surgeons by reducing operative time, suturing time, and surgical difficulty.

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ACCEPTED MANUSCRIPT ABSTRACT

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Study Objective: The aim of this study was to compare surgical outcomes between

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barbed suture and traditional suture used in repair of the vaginal vault during single-

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port total laparoscopic hysterectomy (TLH).

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Design: Case-control study (Canadian Task Force Classification II-2).

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Setting: Two institutions.

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Patients: One hundred and two patients with benign uterine disease.

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Interventions: Single-port TLH with barbed suture (n=43) or traditional suture

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(n=59).

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Measurements and Main Results: Patient characteristics (age, body mass index,

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demographic data), procedures performed, uterine weight, and uterine pathologies

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were similar between the two study groups. There were also no differences in

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operative complications, conversion to other surgical approaches, operative blood

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loss, postoperative pain, and duration of hospital stay between the two groups. Use of

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barbed suture significantly reduced the amount of time required for vaginal cuff

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suturing (11.4 versus 22.5 min; P0.999 Nulliparous 4 (6.8%) 3 (7.0%) Parous 55 (93.2%) 40 (93.0%) Menopause 4 (6.8%) 6 (12.2%) 0.507 History of abdominal surgery 19 (32.2%) 12 (27.9%) 0.670 History of vaginal delivery 41 (69.5%) 31 (72.1%) 0.776 Preoperative hemoglobin (mg/dL) 11.6 ± 1.9 11.9 ± 1.6 0.380 Uterine weight (g) 341 ± 195 299 ± 188 0.269 Primary pathology 0.758 Leiomyoma and/or adenomyosis 55 (93.2%) 39 (88.6%) Endometrial pathology 2 (3.4%) 2 (4.5%) Preinvasive cervical neoplasia 2 (3.4%) 3 (6.8%) Surgical procedure 0.661 TLH alone 43 (72.9%) 29 (67.4%) 16 (27.1%) 14 (32.6%) TLH with adnexal surgery a Adhesiolysis 19 (32.2%) 13 (30.2%) 0.832 Data are expressed as the mean ± standard deviation or frequency (proportion), as appropriate. BMI, body mass index; TLH, total laparoscopic hysterectomy. a Adnexal surgery includes ovarian cystectomy, salpingo-oophorectomy, and salpingectomy.

ACCEPTED MANUSCRIPT Table 2 Surgical results. Traditional suture (n=59)

Barbed suture (n=43)

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Operative time (min) Total operative time 105.2 ± 31.4 92.0 ± 33.5 0.002 Vaginal cuff suturing time 22.5 ± 3.8 11.4 ± 4.2 0.999 Postoperative pain score (VAS) at 12-hour after surgery 3.19 ± 0.71 3.12 ± 0.82 0.845 at 24-hour after surgery 2.62 ± 0.92 2.61 ± 0.88 0.782 at 48-hour after surgery 2.02 ± 0.89 2.13 ± 0.61 0.353 Length of hospital stay (days) 3 (2-5) 3 (2-4) 0.827 Data are expressed as the mean ± standard deviation, median (range) or frequency (proportion), as appropriate. TLH, total laparoscopic hysterectomy; LAVH, laparoscopically assisted vaginal hysterectomy; VAS, visual analog scale.

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http://www.AAGL.org/jmig-21-4-JMIG-D-13-00696

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http://www.AAGL.org/jmig-21-4-JMIG-D-13-00696

Barbed suture vs traditional suture in single-port total laparoscopic hysterectomy.

To compare surgical outcomes between barbed suture and traditional suture used in repair of the vaginal vault during single-port total laparoscopic hy...
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