title: A multicenter study comparing surgical outcomes and ultrasonographic evaluation of scarring after laparoscopic myomectomy with conventional versus barbed sutures.
abstract: OBJECTIVE
  To compare clinical outcomes after laparoscopic myomectomy using traditional interrupted sutures (TIS) versus continuous barbed suture (CBS) for treatment of symptomatic uterine myomas.
  
  
  METHODS
  In a multicenter retrospective study, data were obtained for women with uterine myomas who underwent laparoscopic myomectomy at three centers between January 1, 2009 and January 31, 2015. Suturing of the uterine wall had been performed initially using TIS; CBS were used from January 31, 2012.
  
  
  RESULTS
  Overall, laparoscopic myomectomy was performed using CBS for 360 women and using TIS for another 360. The mean operative time was 52±19min using CBS and 67±21min using TIS groups (P=0.001). The mean blood loss was 135±35mL in the CBS group and 215±55mL in the TIS group (P=0.006). The mean decrease in hemoglobin was 1.2±0.2g/L in the CBS group and 1.2±0.2g/L in the TIS group (P=0.072).
  
  
  CONCLUSIONS
  Laparoscopic myomectomy using CBS is a suitable alternative to TIS in the treatment of uterine myomas for women with up to three tumors.
authors.affiliation: Department of Obstetrics and Gynecology, Perrino Hospital, Brindisi, Italy. Electronic address: raffaeletinelli@gmail.com.
authors.forename: Raffaele
authors.initials: R
authors.lastname: Tinelli
authors.affiliation: Department of Obstetrics and Gynecology, University Medical School of Padova, Padua, Italy.
authors.forename: Pietro
authors.initials: P
authors.lastname: Litta
authors.affiliation: Department of Obstetrics and Gynecology, University Medical School of Cagliari, Cagliari, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Angioni
authors.affiliation: Department of Obstetrics and Gynecology, University Medical School of Bari, Bari, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Bettocchi
authors.affiliation: Department of Obstetrics and Gynecology, University Medical School of Bari, Bari, Italy.
authors.forename: Annarita
authors.initials: A
authors.lastname: Fusco
authors.affiliation: Department of Obstetrics and Gynecology, Vallée d' Aoste Hospital, Aosta, Italy.
authors.forename: Livio
authors.initials: L
authors.lastname: Leo
authors.affiliation: Department of Obstetrics and Gynecology, Vallée d' Aoste Hospital, Aosta, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Landi
authors.affiliation: Department of Obstetrics and Gynecology, University Medical School of Bari, Bari, Italy.
authors.forename: Ettore
authors.initials: E
authors.lastname: Cicinelli
mesh_terms: D000293:Adolescent; D000328:Adult; D016063:Blood Loss, Surgical; D002921:Cicatrix / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007558:Italy; D010535:Laparoscopy; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D061646:Operative Time; D012189:Retrospective Studies; D013536:Suture Techniques / Q000145:classification*; D014463:Ultrasonography; D063186:Uterine Myomectomy; D014594:Uterine Neoplasms / Q000601:surgery*; D014599:Uterus / Q000601:surgery; D055815:Young Adult
chemical_list: D006454:Hemoglobins
keywords: Barbed suture; Laparoscopy; Myomectomy; Ultrasonography; Uterine scar