New suturing technique for robotic-assisted vaginal cuff closure during single-site hysterectomy

被引:2
作者
Shin S.-J. [1 ]
Chung H. [1 ]
Kwon S.-H. [1 ]
Cha S.-D. [1 ]
Cho C.-H. [1 ]
机构
[1] Department of Obstetrics and Gynecology, School of Medicine, Keimyung University, 56 Dalseong-Ro, Jung-Ku, Daegu
关键词
Hysterectomy; Robot assisted; Single site; Suture; Vaginal cuff;
D O I
10.1007/s11701-016-0629-1
中图分类号
学科分类号
摘要
To describe a simple and efficient technique for suturing the vaginal cuff in robotic-assisted single-site hysterectomy using barbed suture and a straight needle. Consecutive patients undergoing robotic-assisted single-site hysterectomy from February 2014 to August 2015 at Dong San Hospital, Keimyung University were included. Surgeons used two barbed sutures in a running fashion to close the vaginal cuff. A barbed suture was exclusively used with a straightened needle in upward direction from posterior vaginal cuff to anterior vaginal cuff which played a pivotal role for closure. A total of 100 patients underwent robotic-assisted single-site hysterectomy. The total operation time was 132.5 min and vaginal cuff closure time was 12.0 min. There were no postoperative complications; vaginal cuff dehiscence, vaginal cuff infection, and vaginal bleeding that require surgical intervention or admission. The use of barbed suture with straightened needle to close the vaginal cuff in robotic-assisted single-site hysterectomy is easy to perform and demonstrates safety and efficacy. This technique offers secure, fast, and effective incision closure. © 2016, Springer-Verlag London.
引用
收藏
页码:139 / 143
页数:4
相关论文
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