J Menopausal Med.  2015 Apr;21(1):47-55. 10.6118/jmm.2015.21.1.47.

Comparison of Surgical Outcomes according to Suturing Methods in Single Port Access Laparoscopic Myomectomy

• Jeong JH
• Kim YR
• Kim EJ
• Moon SH
• Park MH
• Kim JT
• Kim JH
• Lee KS

• KMID: 2201022
• DOI: http://doi.org/10.6118/jmm.2015.21.1.47

Abstract

OBJECTIVES
This study was performed to consider the clinical experience of surgical outcome of single port access (SPA) laparoscopic myomectomy according to suturing methods.
METHODS
The authors operated with 2 suturing method in SPA laparoscopic myomectomy for 246 patients and compared the surgical outcomes.
RESULTS
The some significant difference of surgical outcome according to two suturing methods was demonstrated. Operating time was 100.50 minutes (+/- 42.09 minutes) in interrupted suture method group than 121.04 minutes (+/- 61.56 minutes) in continuous interlocking suture method group (P = 0.021). Estimated blood loss was less 222.59 mL (+/- 144.94 mL) in interrupted suture group than 340.11 mL (+/- 380.62 mL) in continuous interlocking suture method group (P = 0.042).
CONCLUSION
This experience suggests that interrupted suture method was effective for operating time and estimated blood loss than continuous interlocking method in SPA laparoscopic myomectomy.

Keyword

Laparoscopy; Leiomyoma; Single port; Suture techniques; Treatment outcome

MeSH Terms

Humans
Laparoscopy
Leiomyoma
Suture Techniques
Sutures
Treatment Outcome

Figure

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  Fig. 1 (A) and (B) Interrupted suture technique with figure of 8 in single port laparoscopic myomectomy.

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  Fig. 2 (A) and (B) Continuous locking suture technique in single port laparoscopic myomectomy.

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  Fig. 3 Comparison with interrupted suture method vs. continuous locking suture method in operation time and estimated blood loss (EBL).

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