Barbed Sutures in Laparoscopic Myomectomy—Realistic Expectations: A Critical Review
Shyjus Puliyathinkal
Citation Information :
Puliyathinkal S. Barbed Sutures in Laparoscopic Myomectomy—Realistic Expectations: A Critical Review. World J Lap Surg 2013; 6 (3):167-169.
We analyzed 9 published articles to critically look at the effectiveness of self-retaining barbed suture in laparoscopic myomectomy. A literature research was performed using internet.
Discussion
Barbed suture seems to be a reasonably good option for intracorporeal suturing in laparoscopic myomectomy. The time required for intracorporeal suturing was significantly less with barbed suturing (11.5 min/9.9 min/126s) when compared to the conventional suturing (17.4 min/15.8 min/272.6s). The total operative time required with barbed sutures (118 min/51 min) was found to be significantly reduced in comparison with conventional sutures (162 min/ 58 min). The intraoperative blood loss was found to be significantly reduced in 2 of the 3 studies with the use of barbed sutures. Fall in hemoglobin and duration of hospital stay also seems to be reduced with the self-retaining sutures.
Conclusion
The self-retaining barbed suture seems to be an effective option for intracorporeal suturing in laparoscopic myomectomy with numerous benefits.
How to cite this article
Puliyathinkal S. Barbed Sutures in Laparoscopic Myomectomy—Realistic Expectations: A Critical Review. World J Lap Surg 2013;6(3):167-169.
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