title: Bidirectional barbed suture in laparoscopic myomectomy: clinical features.
abstract: OBJECTIVE
  To compare bidirectional knotless barbed suture versus standard sutures, with either extracorporeal or intracorporeal knots, and to assess the feasibility, safety, and rapidity in repairing a uterine wall defect after laparoscopic myomectomy.
  
  
  METHODS
  This was a randomized clinical study having a Canadian Task Force Classification of I. In tertiary-care university-based teaching hospitals, 117 women who underwent laparoscopic myomectomy were enrolled. In accord with randomization, uterine wall defects were closed with either extracorporeal (poliglecaprone 25; Monocryl™-1; Ethicon Inc., Somerville, NJ) or intracorporeal (polyglactin 910; Vicryl™-1; Ethicon Inc.) knots or a bidirectional knotless barbed suture (Quill™-0; Angiotech Pharmaceuticals, Inc., Vancouver, BC, Canada).
  
  
  RESULTS
  Time required to suture was significantly lower in the group operated on with a bidirectional suture than in groups with traditional sutures (P<.001). No significant difference was observed in operative time among the study groups. The degree of surgical difficulty was significantly lower in the Quill group than in the other groups.
  
  
  CONCLUSIONS
  Use of barbed sutures reduces the time required to repair a uterine wall defect during laparoscopic myomectomy. In a follow-up of patients carried out at 3 months, 6 months, and 1 year after the surgery, there were no wound dehiscence, no bleeding, and no other potential major complications.
authors: 1 Department of the Woman, the Child and General and Specialized Surgery, Second University of Naples , Naples, Italy .
authors: Mario
authors: M
authors: Ardovino
authors: Maria Antonietta
authors: MA
authors: Castaldi
authors: Fernando
authors: F
authors: Fraternali
authors: Italo
authors: I
authors: Ardovino
authors: Nicola
authors: N
authors: Colacurci
authors: Giuseppe
authors: G
authors: Signoriello
authors: Luigi
authors: L
authors: Cobellis
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007558:Italy; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D061646:Operative Time; D011446:Prospective Studies; D013536:Suture Techniques; D013537:Sutures; D063186:Uterine Myomectomy / Q000009:adverse effects / Q000379:methods*; D014599:Uterus / Q000601:surgery*; D014945:Wound Healing