title: Barbed suture vs traditional suture in single-port total laparoscopic hysterectomy.
abstract: OBJECTIVE
  To compare surgical outcomes between barbed suture and traditional suture used in repair of the vaginal vault during single-port total laparoscopic hysterectomy (TLH).
  
  
  METHODS
  Case-control study (Canadian Task Force classification II-2).
  
  
  METHODS
  Two institutions.
  
  
  METHODS
  One hundred two patients with benign uterine disease.
  
  
  METHODS
  Single-port TLH using barbed suture (n = 43) or traditional suture (n = 59).
  
  
  RESULTS
  Patient characteristics (age, body mass index, demographic data), procedures performed, uterine weight, and uterine disease were similar between the 2 study groups. There were also no differences in operative complications, conversion to other surgical approaches, operative blood loss, postoperative pain, and duration of hospital stay between the 2 groups. Use of barbed suture significantly reduced the time required for vaginal cuff suturing (11.4 vs 22.5 minutes; p < .001), as well as total operative time (92.0 vs 105.2 minutes; p = .002). Use of barbed suture is less technically demanding than traditional suture (p < .001).
  
  
  CONCLUSIONS
  Use of barbed suture in single-port TLH may aid surgeons by reducing operative time, suturing time, and surgical difficulty.
authors.affiliation: Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.
authors.forename: Taejong
authors.initials: T
authors.lastname: Song
authors.affiliation: Department of Obstetrics and Gynecology, National Health Insurance Service Ilsan Hospital, Goyang, Korea. Electronic address: sanaram@naver.com.
authors.forename: San-Hui
authors.initials: SH
authors.lastname: Lee
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical / Q000517:prevention & control; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D010535:Laparoscopy / Q000379:methods; D008875:Middle Aged; D061646:Operative Time; D010149:Postoperative Pain / Q000601:surgery; D013536:Suture Techniques; D013537:Sutures; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000601:surgery*; D014621:Vagina / Q000601:surgery*
keywords: Barbed suture; Hysterectomy; Single-port; V-Loc