Experience with a V-Loc 180 retaining self-locking suture during laparoscopic myomectomy


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Abstract

Objective. To evaluate the efficiency of using a V-Loc 180self-locking thread to close the bed of myomatous nodes. Subjects and methods. There were two groups of patients with subserous, interstitial-subserous, and submucous-interstitial uterine myoma: a study group (n = 24) and a control group (n = 25). The number of nodes varied from one to nine in the study group. The minimum and maximum sizes of myomatous nodes were 1 and 15 cm. In the comparison group, the number of nodes varied from 1 to 4, their size was 1.0 to 21.0 cm. All patients underwent myomectomy. The data were statistically processed with Microsoft Office Excel 2013 and Statistica 7.0. Results. During surgical treatment as laparoscopic myomectomy without opening the uterine cavity, the average operative blood loss and the average duration of the surgery in the study group (suturing the myomatous node bed with a V-Loc thread) were 20 and 9.7% lower, respectively. When combined operations were performed without opening the uterine cavity in this group, these were 14.5% and 40% higher, respectively. Conclusion. The application of the V-Loc 180 thread reduces the duration of surgery and the volume of blood loss, greatly facilitates surgical techniques during surgical treatment as laparoscopic myomectomy, and increases the above indicators when performing the combined operations.

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About the authors

Vladimir Dmitrievich Chuprynin

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: v_chuprynin@oparina4.ru
PhD, Head of the Department of General Surgery

Elena Grigorevna Khilkevich

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University

Email: e_khilkevich@oparina4.ru
leading researcher of General Surgery; professor of Department of Obstetrics, Gynecology, Perinatology and Reproductive

Olga Igorevna Yazykova

Moscow State University of Medicine and Dentistry

Email: olushka-92@mail.ru
Undergraduate of the medical faculty

Varvara V. Usacheva

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Department of Surgery

Mikhail Viktorovich Melnikov

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: m_melnikov@oparina4.ru
Candidate of Medical Sciences, Senior Researcher, Department of Surgery

Aleksandr Viktorovich Veredchenko

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: a_veredchenko@oparina4.ru
candidate of medical sciences, doctor surgeon of General Surgery

Polina N. Burykina

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: p_burykina@oparina4.ru
doctor, obstetrician-gynecologist at the surgical department

Vyacheslav Vladimorovich Chursin

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: v_chursen@oparina4.ru
doctor surgeon of General Surgery

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