The Smead-Jones Suture is Useful for the Restoration of Uterine Myometrium under Laparoscopic Surgery

Abstract

Because of later marriage and postponement of childbearing, the number of fibroid cases being treated via uterine preservation procedures is increasing. Although the available choices for uterine preservation are increasing (i.e., gonadotropin releasing hormone analogs, uterine artery embolization, and focused ultrasound ablation), a myomectomy is the only well-established procedure for preservation of fertility. In order to decrease blood loss and ensure safety during a myomectomy, the most important element is prompt suturing of the myometrium. However, when we perform a laparoscopic myomectomy, several restrictions make suturing difficult (i.e., needle direction, suturing speed, and visibility