A prospective comparison of vaginal stump suturing techniques during total laparoscopic hysterectomy

Jeung, In Cheul; Baek, Jong Min; Park, Eun Kyung; Lee, Hae Nam; Kim, Chan Joo; Park, Tae Chul; Lee, Yong Seok

doi:10.1007/s00404-009-1300-0

Cited by 56 publications

(37 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Uccella et al reported a threefold increased incidence of VCD associated with laparoscopic single-layer interrupted sutures [24]. However, Jeung et al reported no differences between laparoscopically interrupted and running sutures in their prospective study involving benign gynecologic patients who were treated with a hysterectomy [25]. Regrettably, in the present study, we did not compare the efficacy of running and interrupted sutures.…”

Section: Discussioncontrasting

confidence: 46%

Dramatically reduced incidence of vaginal cuff dehiscence in gynecologic patients undergoing endoscopic closure with barbed sutures: A retrospective cohort study

Rettenmaier

Abaid

Brown

et al. 2015

International Journal of Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussioncontrasting

confidence: 46%

Dramatically reduced incidence of vaginal cuff dehiscence in gynecologic patients undergoing endoscopic closure with barbed sutures: A retrospective cohort study

Rettenmaier

Abaid

Brown

et al. 2015

International Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…This is attributed to the high frequency surgical detachment of the uterus from the vagina, whereby the endoscopic suturing technique is also discussed. A randomized study of vaginal stump suturing techniques comparing vaginal and laparoscopic approaches by an experienced surgeon did not yield any differences [37].…”

Section: Total Laparoscopic Hysterectomy (Tlh)mentioning

confidence: 89%

Indications and Route of Hysterectomy for Benign Diseases. Guideline of the DGGG, OEGGG and SGGG (S3 Level, AWMF Registry No. 015/070, April 2015)

Neis

Zubke

Römer

et al. 2016

Geburtshilfe Frauenheilkd

View full text Add to dashboard Cite

Hintergrund: Offizielle Leitlinie, publiziert und koordiniert von der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe (DGGG), der Österreichischen Gesellschaft für Gynäkologie und Geburtshilfe (OEGGG) und der Schweizerischen Gesellschaft für Gynäkologie und Geburtshilfe (SGGG). Durch die Einführung laparoskopischer Operationen wurde die vaginale und abdominale Hysterektomie um 3 weitere Techniken ergänzt. Um die Indikationsfelder abzugrenzen, wurde die Leitlinie "Indikation und Methodik der Hysterektomie bei benignen Erkrankungen" initiiert. Organerhaltende Therapiealternativen wurden ebenfalls integriert. Methode: Die Leitlinie wurde durch ein repräsentatives Gremium von 26 Experten aus Deutschland, Österreich und der Schweiz unter strukturierter unabhängiger Moderation im Konsens erstellt. Die systematische Literatursuche und-bewertung zu Nutzen und Schaden der Therapiealternativen bei symptomatischem Uterus myomatosus, funktionellen Blutungsstörungen und Adenomyosis sowie ein Vergleich der Hysterektomieverfahren erfolgte bis 06/2014 in der Datenbank MEDLINE mit Fokus auf aggregierter Evidenz. Ergebnisse: Alle Formen der Hysterektomie sind in Studien mit einer hohen Zufriedenheit der Patientinnen verbunden. Der vaginalen Hysterektomie soll gegenüber der abdominellen, wenn möglich, der Vorzug gegeben werden. Ist die vaginale Hysterektomie nicht möglich, sollte die Möglichkeit einer laparoskopischen Hysterektomie geprüft werden. Die abdominale Hysterektomie sollte nur bei gesonderter Indikation durchgeführt werden. Für die organerhaltenden Alternativen wurde ebenfalls ein hoher Zufriedenheitsgrad festgestellt, allerdings können bei Belassen des Uterus Rezidive auftreten.

show abstract

“…[33] Moreover, previous studies have demonstrated that 2-layer suture was associated with low incidence of vaginal cuff dehiscence. [3435] In our cohort, vaginal cuff closure was performed using the 2-layer suture method. It may be one of the reasons why the incidence of vaginal cuff dehiscence in our report was low.…”

Section: Discussionmentioning

confidence: 99%

Complication reports for robotic surgery using three arms by a single surgeon at a single institution

Chen

Liu

2017

J Min Access Surg

View full text Add to dashboard Cite

BACKGROUND:The aim of this study is to evaluate perioperative complications related to robotic-assisted laparoscopic surgery for management of gynaecologic disorders.MATERIALS AND METHODS:Eight hundred and fifty-one women who underwent robotic procedures between December 2011 and April 2015 were retrospectively included for analysis. Patient demographics, surgical outcomes and complications were evaluated.RESULTS:The overall complication rate was 5.5%, whereas the rate of complications for oncologic cases was 8.4%. Intra-operative complications (n = 7, 0.8%) consisted of five cases of bowel lacerations, one case of ureter laceration and one case of bladder injury. Early and late post-operative complications were 4.0% (n = 34) and 0.8% (n = 6), respectively. Six patients (0.7%) experienced Grade III complications based on the Clavien-Dindo classification and required further surgical intervention.CONCLUSION:Robotic-assisted laparoscopic surgery is a feasible approach for management of gynaecologic disorders; the complication rates for this type of procedure are acceptable.

show abstract

A prospective comparison of vaginal stump suturing techniques during total laparoscopic hysterectomy

Cited by 56 publications

References 20 publications

Dramatically reduced incidence of vaginal cuff dehiscence in gynecologic patients undergoing endoscopic closure with barbed sutures: A retrospective cohort study

Dramatically reduced incidence of vaginal cuff dehiscence in gynecologic patients undergoing endoscopic closure with barbed sutures: A retrospective cohort study

Indications and Route of Hysterectomy for Benign Diseases. Guideline of the DGGG, OEGGG and SGGG (S3 Level, AWMF Registry No. 015/070, April 2015)

Complication reports for robotic surgery using three arms by a single surgeon at a single institution

Contact Info

Product

Resources

About