title: A comparison of continuous and interrupted suturing in laparoscopic pyeloplasty.
abstract: BACKGROUND
  Laparoscopic pyeloplasty is one of the most common reconstructive procedures performed by urologists. Both continuous and interrupted sutures are being practiced for ureteropelvic anastomosis. The success rate and the complications associated with the suturing technique needs evaluation. We analyzed the results from of our patients who underwent laparoscopic pyeloplasty using both techniques.
  
  
  OBJECTIVE
  To review the outcome differences among patients undergoing laparoscopic pyeloplasty regarding suturing technique.
  
  
  METHODS
  All patients who underwent laparoscopic, transperitoneal dismembered pyeloplasty of the primary pelviureteric obstruction were analyzed. The primary outcome was successful pyeloplasty, as assessed by the resolution of symptoms and T½<10 minutes. The secondary outcomes were the complication rate and the operative parameters. The difference in the parameters was assessed by Student t test analysis.
  
  
  RESULTS
  Of the 107 patients we studied, 65 had interrupted suturing and 42 had continuous suturing. The success rate was not significantly different among the 2 groups. The mean suturing time, postoperative drainage volume, postoperative hospital stay, and total cost of the procedure were significantly less in the continuous suturing group.
  
  
  CONCLUSIONS
  The continuous suturing technique is preferred over the interrupted suturing technique for laparoscopic pyeloplasty because the success rates are equal and the postoperative stay, suturing time, drain output, and cost of the procedure are better.
authors: Department of Urology, PSG Institute of Medical Sciences and Research, PSG Hospitals, Peelamedu, Coimbatore 641004, India. uroram@yahoo.com.
authors: Manickam
authors: M
authors: Ramalingam
authors: Department of Urology, PSG Institute of Medical Sciences and Research, PSG Hospitals, Peelamedu, Coimbatore, India.
authors: Anandan
authors: A
authors: Murugesan
authors: Urology Clinic, Gowtham Annexe, Coimbatore, India.
authors: Kallappan
authors: K
authors: Senthil
authors: Urology Clinic, Gowtham Annexe, Coimbatore, India.
authors: Mizar Ganapathy
authors: MG
authors: Pai
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007668:Kidney / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D019651:Plastic Surgery Procedures / Q000379:methods*; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures; D016896:Treatment Outcome; D014517:Ureteral Obstruction / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*; D055815:Young Adult