Comparative Study Between Polydioxanone Unidirectional Barbed Suture and Absorbable Polyglactin Running Suture in Partial Nephrectomy

Pirvut, Mircea Valentin; Grigore, Nicolae; Mihai, Ionela; Priporeanu, Alexandru Tiberiu; Racheriu, Mihaela; CRETU, D.; Teodoru, Adrian; Sabău, D; Mitariu, Loredana; Ranga, Remus; Manea, Mirela; Haşegan, Adrian

doi:10.37358/mp.18.1.4968

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…Consequently, surgeons have the option to consider various approaches, including lateral, posterior and anterior approaches, when conducting laparoscopic suprarenal gland removal [50,51]. The surgeon's expertise and the choice of materials can exert a substantial impact on the case's progression, leading to a significant reduction in interventional risks [52,53]. Professionals must continuously stay abreast of the latest findings in their field of expertise based on the specialized literature.…”

Section: Transperitoneal Vs Retroperitoneal Approachmentioning

confidence: 99%

Laparoscopic Adrenalectomy: Tailoring Approaches for the Optimal Resection of Adrenal Tumors

Mihai,

Boicean,

Teodoru

et al. 2023

Diagnostics

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In this study, we investigated the outcomes of laparoscopic approaches for adrenal tumor resection in 67 patients from a single center with a median age of 51 (range 40–79). Predominantly comprising women, the majority of patients were overweight or obese. Adrenal tumors larger than 6 cm were mostly treated using the laparoscopic transperitoneal method (p < 0.001). Our results revealed that patients subjected to the retroperitoneal approach exhibited quicker recovery, as evidenced by faster resumption of oral intake and ambulation, along with reduced intraoperative blood loss and shorter hospitalization (p-value < 0.05). In contrast, patients subjected to the transperitoneal approach experienced minimal complications, though not statistically significant, despite the technique’s intricacy and slower recovery. These findings emphasize the significance of tailoring the surgical approach to individual patient characteristics, with particular emphasis on the tumor size. The choice between the retroperitoneal and transperitoneal methods should be informed by patient-specific attributes to optimize surgical outcomes. This study underscores the need for a comprehensive evaluation of factors such as tumor characteristics and postoperative recovery when determining the most suitable laparoscopic approach for adrenal tumor resection. Ultimately, the pursuit of individualized treatment strategies will contribute to improved patient outcomes in adrenal tumor surgery.

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