Comparison of robotic assisted laparoscopic myomectomy with barbed sutures and traditional laparoscopic myomectomy with barbed sutures
Journal
Taiwanese Journal of Obstetrics and Gynecology
Journal Volume
57
Journal Issue
5
Pages
709-712
Date Issued
2018
Author(s)
Abstract
Objective: To elucidate whether robotic assisted laparoscopic myomectomy (RALM) with barbed sutures is superior to traditional laparoscopic myomectomy (TLM) with barbed sutures. Material and methods: Medical records of all women with symptomatic uterine myomas who underwent RALM with barbed sutures or TLM with barbed sutures were reviewed. The patients were allocated into the two groups based on their financial considerations. Results: Between July 2012 and March 2016, 78 patients underwent TLM (n = 52) or RALM (n = 26). Younger age, low parity, larger diameter of myoma and weight of removed myoma, and low incidence of prior histories of cesarean section were found in the RALM group, compared with TLM. An increase of surgical time (coefficient = 51.9 min, P < 0.001), length of hospital stay (coefficient = 0.47 days, P = 0.04) and duration of abdominal drain placement (coefficient = 0.53 days, P = 0.04) were found in the RALM group, compared with TLM. Nonetheless, there was no statistical difference in postoperative day 1 abdominal drainage between the RALM and TLM groups (median 95 mL vs. 110 mL, P = 0.21). Conclusion: Despite longer surgical time of RALM, RALM with barbed sutures did not show a significant decrease in postoperative abdominal drainage, compared with TLM with barbed sutures; and this hints that the use of barbed suture in TLM might diminish the superiority of RALM about the decrease of postoperative blood loss. Thus, TLM with barbed sutures remains a good alternative for laparoscopic myomectomy in the era of robot. ? 2018
Subjects
Blood loss; Laparoscopy; Operative time; Postoperative hemorrhage; Uterine myomectomy
Other Subjects
abdominal drainage; adult; Article; bladder perforation; cesarean section; comparative study; female; hospitalization; human; hysterectomy; laparoscopic surgery; major clinical study; myomectomy; oncological parameters; operation duration; parity; peroperative complication; postoperative hemorrhage; postoperative period; robot assisted surgery; uterus myoma; laparoscopy; leiomyoma; length of stay; middle aged; myomectomy; operative blood loss; procedures; retrospective study; robotic surgical procedure; suture; uterus cancer; Adult; Blood Loss, Surgical; Cesarean Section; Female; Humans; Hysterectomy; Laparoscopy; Leiomyoma; Length of Stay; Middle Aged; Operative Time; Retrospective Studies; Robotic Surgical Procedures; Sutures; Uterine Myomectomy; Uterine Neoplasms
Publisher
Elsevier Ltd
Type
journal article