Abstract
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.
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This research was supported by the Bisa Research Grant of Keimyung University in 2011.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Informed consent was obtained from all individual participants included in the study.
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Authors SJ. Shin, H. Chung, SH. Kwon, SD. Cha, J. Cho and CH. Cho declare that they have no conflict of interests.
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So-Jin Shin and Hyewon Chung authors have contributed equally.
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Shin, SJ., Chung, H., Kwon, SH. et al. New suturing technique for robotic-assisted vaginal cuff closure during single-site hysterectomy. J Robotic Surg 11, 139–143 (2017). https://doi.org/10.1007/s11701-016-0629-1
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DOI: https://doi.org/10.1007/s11701-016-0629-1