Comparison of different suture techniques for laparoscopic vaginal cuff closure
Details
Publication Year 2024-02-28,Volume 14,Issue #1,Page 4860
Journal Title
Scientific Reports
Publication Type
Research article
Abstract
Laparoscopic hysterectomy is a commonly performed procedure. However, one high-risk complication is vaginal cuff dehiscence. Currently, there is no standardization regarding thread material or suturing technique for vaginal cuff closure. Therefore, this study aimed to compare extracorporeal and intracorporeal suturing techniques for vaginal cuff closure using a pelvic trainer model. Eighteen experts in laparoscopic surgery performed vaginal cuff closures with interrupted sutures using intracorporeal knotting, extracorporeal knotting and continuous, unidirectional barbed sutures. While using an artificial tissue suturing pad in a pelvic trainer, experts performed vaginal cuff closure using each technique according to block randomization. Task completion time, tension resistance, and the number of errors were recorded. After completing the exercises, participants answered a questionnaire concerning the suturing techniques and their performance. Experts completed suturing more quickly (p < 0.001, p < 0.001, respectively) and with improved tension resistance (p < 0.001, p < 0.001) when using barbed suturing compared to intracorporeal and extracorporeal knotting. Furthermore, the intracorporeal knotting technique was performed faster (p = 0.04) and achieved greater tension resistance (p = 0.023) compared to extracorporeal knotting. The number of laparoscopic surgeries performed per year was positively correlated with vaginal cuff closure duration (p = 0.007). Barbed suturing was a time-saving technique with improved tension resistance for vaginal cuff closure.
Publisher
Springer Nature
Keywords
Female; Humans; Hysterectomy/methods; *Laparoscopy/methods; Suture Techniques; Sutures; Treatment Outcome; *Vagina/surgery; Barbed suture; Education; Extracorporeal and intracorporeal knots; Laparoscopy; Suturing techniques; Vaginal cuff closure
Department(s)
Surgical Oncology
Open Access at Publisher's Site
https://doi.org/10.1038/s41598-024-55586-5
Terms of Use/Rights Notice
Refer to copyright notice on published article.


Creation Date: 2024-04-02 04:05:56
Last Modified: 2024-04-02 04:14:45

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