Use of knotless barbed threads during laparoscopic myomectomy
- Authors: Gavrilov M.V.1
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Affiliations:
- Tula State University, Ministry of Education and Science of Russia
- Issue: No 3 (2015)
- Pages: 73-78
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/247408
- ID: 247408
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Abstract
Objective. To estimate the benefits of a knotless barbed suture material used during laparoscopic myomectomy. Subjects and methods. The results of laparoscopic myomectomy were analyzed in 183 patients who were divided into 2 groups according to used suture material: 1) 81 patients in whom a polyglactide-based suture material was used to close myometrial defect after enucleation of myomatous nodes; 2) 102 patients in whom knotless barbed threads to do this. For comparative analysis of the findings, hemoglobin and red blood cell counts were measured and the time of myometrial defect suturing and the volume of intraoperative blood loss were estimated in terms of the used suture material. Results. The use of a barbed thread to place a combined (glover’s and blanket) stitch reduces the time taken to suture the myometrium and, by doing so, decreases intraoperative blood loss. In Group 2, the time requiring for myometrial defect suturing after enucleation of myomatous nodes was less than in Group 1. At the same time there was a statistically significant difference in the reduction of hemoglobin and red blood cell counts in the patients of Groups 1 and 2. Conclusion. The application of a knotless barbed suture material makes it possible to decrease the time of laparoscopic uterine defect suturing after myomectomy and to considerably reduce the volume of blood loss.
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About the authors
Mikhail Vladimirovich Gavrilov
Tula State University, Ministry of Education and Science of Russia
Email: drgavrilov@yandex.ru
doctor of gynecological department of the Central Clinical Hospital of Civil Aviation.
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