TY - JOUR
T1 - Barbed Versus Standard Suture
T2 - A Randomized Trial for Laparoscopic Vaginal Cuff Closure
AU - Einarsson, Jon I.
AU - Cohen, Sarah L.
AU - Gobern, Joseph M.
AU - Sandberg, Evelien M.
AU - Hill-Lydecker, Catherine I.
AU - Wang, Karen
AU - Brown, Douglas N.
N1 - Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2013/7
Y1 - 2013/7
N2 - Study Objective: To compare closure times, cuff healing, and postoperative dyspareunia between barbed and traditional sutures during laparoscopic total hysterectomy. Design: A randomized clinical trial (Canadian Task Force classification I). Setting: A university hospital. Patients: Sixty-three women undergoing total laparoscopic hysterectomy. Interventions: Total laparoscopic hysterectomy was performed using standard techniques. The vaginal cuff closure method was randomized to barbed suture (Quill; Angiotech Pharmaceuticals, Inc., Vancouver, Canada) or standard suture (Vicryl; Ethicon Inc., Somerville, NJ). The time required for cuff closure was documented. Patients were examined postoperatively to assess cuff healing, and a standardized sexual function questionnaire was administered preoperatively and at 3 months postoperatively. Measurements and Main Results: The mean vaginal cuff closure time was 10.4 minutes versus 9.6 minutes in the barbed versus standard suture group (p = .51). Cuff healing appeared similar between the 2 groups. Rates of dyspareunia, partner dyspareunia, and sexual function were similar in both groups at 3 months postoperatively. Vaginal cuff closure times were significantly faster among attendings compared with residents/fellows (7.1 vs 12.8 minutes, respectively; p < .0001). The study was designed to have a statistical power of 80% to detect a difference of 5 minutes in cuff closure time between the 2 groups (α level of 0.05). Conclusion: Laparoscopic vaginal cuff closure times are similar when using barbed sutures and braided sutures.
AB - Study Objective: To compare closure times, cuff healing, and postoperative dyspareunia between barbed and traditional sutures during laparoscopic total hysterectomy. Design: A randomized clinical trial (Canadian Task Force classification I). Setting: A university hospital. Patients: Sixty-three women undergoing total laparoscopic hysterectomy. Interventions: Total laparoscopic hysterectomy was performed using standard techniques. The vaginal cuff closure method was randomized to barbed suture (Quill; Angiotech Pharmaceuticals, Inc., Vancouver, Canada) or standard suture (Vicryl; Ethicon Inc., Somerville, NJ). The time required for cuff closure was documented. Patients were examined postoperatively to assess cuff healing, and a standardized sexual function questionnaire was administered preoperatively and at 3 months postoperatively. Measurements and Main Results: The mean vaginal cuff closure time was 10.4 minutes versus 9.6 minutes in the barbed versus standard suture group (p = .51). Cuff healing appeared similar between the 2 groups. Rates of dyspareunia, partner dyspareunia, and sexual function were similar in both groups at 3 months postoperatively. Vaginal cuff closure times were significantly faster among attendings compared with residents/fellows (7.1 vs 12.8 minutes, respectively; p < .0001). The study was designed to have a statistical power of 80% to detect a difference of 5 minutes in cuff closure time between the 2 groups (α level of 0.05). Conclusion: Laparoscopic vaginal cuff closure times are similar when using barbed sutures and braided sutures.
KW - Barbed suture
KW - Laparoscopy
KW - Total hysterectomy
KW - Vaginal cuff
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U2 - 10.1016/j.jmig.2013.02.015
DO - 10.1016/j.jmig.2013.02.015
M3 - Article
C2 - 23680517
AN - SCOPUS:84880645607
VL - 20
SP - 492
EP - 498
JO - Journal of the American Association of Gynecologic Laparoscopists
JF - Journal of the American Association of Gynecologic Laparoscopists
SN - 1553-4650
IS - 4
ER -