title: Use of bidirectional barbed suture in laparoscopic myomectomy: evaluation of perioperative outcomes, safety, and efficacy.
abstract: OBJECTIVE
  To compare perioperative outcomes during laparoscopic myomectomy using a bidirectional barbed suture vs conventional smooth suture.
  
  
  METHODS
  Retrospective analysis of 138 consecutive laparoscopic myomectomies performed by a single surgeon over 3 years (Canadian Task Force classification II-2).
  
  
  METHODS
  Major university teaching hospital.
  
  
  METHODS
  One hundred thirty-eight women with symptomatic uterine myomas.
  
  
  METHODS
  In women undergoing laparoscopic myomectomy from February 2007 through April 2010, conventional smooth sutures were used in 31 patients, and bidirectional barbed suture in 107 patients.
  
  
  RESULTS
  The primary indications for laparoscopic myomectomy in either group were pelvic pain or pressure and abnormal uterine bleeding. Use of bidirectional barbed suture was found to significantly shorten the mean (SD) duration of surgery (118 [53] minutes vs 162 [69] minutes; p <.05) and reduce the duration of hospital stay (0.58 [0.46] days vs 0.97 [0.45] days; p <.05). No significant differences were observed between the 2 groups insofar as incidence of perioperative complications, estimated blood loss, and number or weight of myomas removed during surgery.
  
  
  CONCLUSIONS
  Use of bidirectional barbed suture seems to facilitate closure of the hysterotomy site in laparoscopic myomectomy.
authors.affiliation: Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA. jeinarsson@partners.org
authors.forename: J I
authors.initials: JI
authors.lastname: Einarsson
authors.forename: N R
authors.initials: NR
authors.lastname: Chavan
authors.forename: Y
authors.initials: Y
authors.lastname: Suzuki
authors.forename: G
authors.initials: G
authors.lastname: Jonsdottir
authors.forename: T T
authors.initials: TT
authors.lastname: Vellinga
authors.forename: J A
authors.initials: JA
authors.lastname: Greenberg
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy; D007889:Leiomyoma / Q000601:surgery*; D059035:Perioperative Period; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000601:surgery*