title: Comparison of bidirectional barbed suture Stratafix and conventional suture with intracorporeal knots in laparoscopic myomectomy by office transvaginal hydrolaparoscopic follow-up: a preliminary report.
abstract: OBJECTIVE
  To compare surgical outcomes of different types of intracorporeal sutures for laparoscopic posterior myomectomy, by a prospective randomized study.
  
  
  METHODS
  Prospective randomized study on 47 patients with single posterior intramural myoma (4-7cm in diameter) undergoing laparoscopic myomectomy. The patients enrolled were divided into two groups, one operated using conventional suture in double strand, and the other with bidirectional barbed suture Stratafix. The main outcome measures were suturing time, peri-operative variables, and post-operative adhesions in both groups.
  
  
  RESULTS
  The mean operative time was shorter with the Stratafix™ than with the conventional suture (66.3±8.2 vs. 73±8min; p=0.005). Suturing time was significantly shorter in the Stratafix™ than in the control group (8.8±2.4 vs. 15.5±2.8min; p=0.001). Intraoperative bleeding was significantly less in the Stratafix group (p=0.0012). Conversely, there was no statistically significant difference for postoperative adhesions between the two groups (26.7% vs. 21.4% p=0.5).
  
  
  CONCLUSIONS
  The use of barbed suture may reduce operative time, suturing time, and blood loss. No difference in post operative adhesions was found.
authors.affiliation: Department of Obstetrics and Gynaecology, "Federico II" University, Naples, Italy. Electronic address: pgiampaolino@gmail.com.
authors.forename: Pierluigi
authors.initials: P
authors.lastname: Giampaolino
authors.affiliation: Department of Obstetrics and Gynaecology, "Federico II" University, Naples, Italy.
authors.forename: Nicoletta
authors.initials: N
authors.lastname: De Rosa
authors.affiliation: Department of Obstetrics and Gynaecology, "Federico II" University, Naples, Italy.
authors.forename: Giovanni Antonio
authors.initials: GA
authors.lastname: Tommaselli
authors.affiliation: Department of Obstetrics and Gynaecology, "Federico II" University, Naples, Italy.
authors.forename: Fabrizia
authors.initials: F
authors.lastname: Santangelo
authors.affiliation: Department of Obstetrics and Gynaecology, "Federico II" University, Naples, Italy.
authors.forename: Carmine
authors.initials: C
authors.lastname: Nappi
authors.affiliation: Department of Obstetrics and Gynaecology, "Federico II" University, Naples, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Sansone
authors.affiliation: Department of Obstetrics and Gynaecology, "Federico II" University, Naples, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Bifulco
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D007889:Leiomyoma / Q000601:surgery*; D061646:Operative Time; D011183:Postoperative Complications / Q000453:epidemiology; D016037:Single-Blind Method; D013536:Suture Techniques; D013537:Sutures; D000267:Tissue Adhesions / Q000453:epidemiology; D063186:Uterine Myomectomy / Q000295:instrumentation / Q000379:methods*; D014594:Uterine Neoplasms / Q000601:surgery*; D055815:Young Adult
keywords: Bidirectional barbed suture; Laparoscopic myomectomy; Office transvaginal hydrolaparoscopic follow-up; Operative time; Post operative adhesions