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Indian Journal of Obstetrics and Gynecology Research


Bi-directional barbed suture in laparoscopic myomectomy: a clinical study


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Author Details: Nagendra Prasad N, Sarojamma C, Nagarathanamma R, Savitha C

Volume : 3

Issue : 3

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 220

Article End Page : 224


Abstract

Objective: To evaluate efficacy and ease of use, of bidirectional barbed suture in laparoscopic myomectomy.
Methods: One hundred and twelve cases of laparoscopic myomectomy were performed by a single surgeon over five years period. Most of the cases were for management of infertility. A bidirectional barbed suture was used for myoma bed closure.  Assessment was made about the ease of use of barbed suture, time taken to suture hysterotomy wound and intra operative blood loss. 
Results: The operator found huge difference in the ease of use of bidirectional barbed suture in the closure of hysterotomy incision compared to intermittent suturing with intra corporal knotting, using conventional suture. Operative time as well as intra operative blood loss decreased with the use of barbed suture. 
Conclusion: Bidirectional barbed suture is a safe and effective material to close the myomectomy incision. It greatly reduces the difficulty in endosuturing and hence allows more people to practice laparoscopic myomectomy. It also reduces the time required for endosuturing.

Keywords:
Barbed suture, Laparoscopy, Myomectomy, Quill, Infertility