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New suturing technique for robotic-assisted vaginal cuff closure during single-site hysterectomy

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Author(s)
So-Jin ShinSoon-Do ChaChi-Heum ChoHyewon ChungSang-Hoon Kwon
Publication Year
2017
Keyword
Robot assistedSingle siteHysterectomyVaginal cuffSuture
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.
Department
Dept. of Obstetrics & Gynecology (산부인과학)
Publisher
School of Medicine
Citation
Journal of Robotic Surgery, Vol.11(2) : 139-143, 2017
Type
Article
ISSN
1863-2483
DOI
10.1007/s11701-016-0629-1
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/32807
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