Comparison of barbed suture and conventional suture in laparoendoscopic single-site myomectomy
ObjectiveTo compare surgical outcomes of laparoendoscopic single-site myomectomy (LESS-M) for uterine myomas using barbed suture versus conventional suture.MethodsData were collected from all women with uterine myomas who underwent LESS-M at three institutions. Patients were managed by LESS-M with e...
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Frontiers Media S.A.
2025-05-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2025.1541002/full |
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| author | Weimin Xie Shuiping Tang Zhangyi Wang Xiaohang Liu Li Wang Rong Tang Chaoqun Tang Chunyan Xie |
| author_facet | Weimin Xie Shuiping Tang Zhangyi Wang Xiaohang Liu Li Wang Rong Tang Chaoqun Tang Chunyan Xie |
| author_sort | Weimin Xie |
| collection | DOAJ |
| description | ObjectiveTo compare surgical outcomes of laparoendoscopic single-site myomectomy (LESS-M) for uterine myomas using barbed suture versus conventional suture.MethodsData were collected from all women with uterine myomas who underwent LESS-M at three institutions. Patients were managed by LESS-M with either barbed suture or conventional suture.ResultsOperative time was significantly lower in the barbed suture group in comparison with the conventional suture group (65.4 ± 10.7 min vs. 78.02 ± 14.2 min, P = 0.000). Similarly, the amount of blood loss was lower in the barbed suture group than in the conventional suture group (158.1 ± 85.2 mL versus 209.6 ± 85.9, P = 0.000). Accordingly, the change in hemoglobin levels in the barbed suture group was lower than in the conventional suture group (16.6 ± 5.9 g/L versus 21.0 ± 4.8, P = 0.000). Conversely, there were no statistically significant differences for blood transfusion, the postoperative pain VAS score assessed at 24 hours, length of hospital stay, conversion, and perioperative complication rates between the two groups (P > 0.05 for all).ConclusionThe use of barbed suture may reduce operative time, blood loss, and hemoglobin change during LESS-M, which may be an optimal and efficient alternative to conventional suture. |
| format | Article |
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| institution | OA Journals |
| issn | 2234-943X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Oncology |
| spelling | doaj-art-2fd7dd3a01fb4edb8ca8d5856b34d9ef2025-08-20T02:19:47ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-05-011510.3389/fonc.2025.15410021541002Comparison of barbed suture and conventional suture in laparoendoscopic single-site myomectomyWeimin Xie0Shuiping Tang1Zhangyi Wang2Xiaohang Liu3Li Wang4Rong Tang5Chaoqun Tang6Chunyan Xie7Department of Gynecology, Affiliated Hengyang Hospital of Hunan Normal University and Hengyang Central Hospital, Hengyang, Hunan, ChinaDepartment of General Surgery, Affiliated Hengyang Hospital of Hunan Normal University and Hengyang Central Hospital, Hengyang, Hunan, ChinaNursing Department, Affiliated Hengyang Hospital of Hunan Normal University and Hengyang Central Hospital, Hengyang, Hunan, ChinaDepartment of Gynecology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou, Hainan, ChinaDepartment of Gynecology, Tongren People’s Hospital, Tongren, Guizhou, ChinaDepartment of Gynecology, Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, ChinaDepartment of Gynecology, Affiliated Hengyang Hospital of Hunan Normal University and Hengyang Central Hospital, Hengyang, Hunan, ChinaDepartment of Gynecology, Affiliated Hengyang Hospital of Hunan Normal University and Hengyang Central Hospital, Hengyang, Hunan, ChinaObjectiveTo compare surgical outcomes of laparoendoscopic single-site myomectomy (LESS-M) for uterine myomas using barbed suture versus conventional suture.MethodsData were collected from all women with uterine myomas who underwent LESS-M at three institutions. Patients were managed by LESS-M with either barbed suture or conventional suture.ResultsOperative time was significantly lower in the barbed suture group in comparison with the conventional suture group (65.4 ± 10.7 min vs. 78.02 ± 14.2 min, P = 0.000). Similarly, the amount of blood loss was lower in the barbed suture group than in the conventional suture group (158.1 ± 85.2 mL versus 209.6 ± 85.9, P = 0.000). Accordingly, the change in hemoglobin levels in the barbed suture group was lower than in the conventional suture group (16.6 ± 5.9 g/L versus 21.0 ± 4.8, P = 0.000). Conversely, there were no statistically significant differences for blood transfusion, the postoperative pain VAS score assessed at 24 hours, length of hospital stay, conversion, and perioperative complication rates between the two groups (P > 0.05 for all).ConclusionThe use of barbed suture may reduce operative time, blood loss, and hemoglobin change during LESS-M, which may be an optimal and efficient alternative to conventional suture.https://www.frontiersin.org/articles/10.3389/fonc.2025.1541002/fulllaparoendoscopic single-site myomectomybarbed sutureconventional sutureuterine myomasfeasibility |
| spellingShingle | Weimin Xie Shuiping Tang Zhangyi Wang Xiaohang Liu Li Wang Rong Tang Chaoqun Tang Chunyan Xie Comparison of barbed suture and conventional suture in laparoendoscopic single-site myomectomy Frontiers in Oncology laparoendoscopic single-site myomectomy barbed suture conventional suture uterine myomas feasibility |
| title | Comparison of barbed suture and conventional suture in laparoendoscopic single-site myomectomy |
| title_full | Comparison of barbed suture and conventional suture in laparoendoscopic single-site myomectomy |
| title_fullStr | Comparison of barbed suture and conventional suture in laparoendoscopic single-site myomectomy |
| title_full_unstemmed | Comparison of barbed suture and conventional suture in laparoendoscopic single-site myomectomy |
| title_short | Comparison of barbed suture and conventional suture in laparoendoscopic single-site myomectomy |
| title_sort | comparison of barbed suture and conventional suture in laparoendoscopic single site myomectomy |
| topic | laparoendoscopic single-site myomectomy barbed suture conventional suture uterine myomas feasibility |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2025.1541002/full |
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