title: New suturing technique for robotic-assisted vaginal cuff closure during single-site hysterectomy.
abstract: To describe a simple and efficient technique for suturing the vaginal cuff in robotic-assisted single-site hysterectomy using barbed suture and a straight needle. Consecutive patients undergoing robotic-assisted single-site hysterectomy from February 2014 to August 2015 at Dong San Hospital, Keimyung University were included. Surgeons used two barbed sutures in a running fashion to close the vaginal cuff. A barbed suture was exclusively used with a straightened needle in upward direction from posterior vaginal cuff to anterior vaginal cuff which played a pivotal role for closure. A total of 100 patients underwent robotic-assisted single-site hysterectomy. The total operation time was 132.5 min and vaginal cuff closure time was 12.0 min. There were no postoperative complications; vaginal cuff dehiscence, vaginal cuff infection, and vaginal bleeding that require surgical intervention or admission. The use of barbed suture with straightened needle to close the vaginal cuff in robotic-assisted single-site hysterectomy is easy to perform and demonstrates safety and efficacy. This technique offers secure, fast, and effective incision closure.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Keimyung University, 56 Dalseong-Ro, Jung-Ku, Daegu, 41931, Republic of Korea.
authors.forename: So-Jin
authors.initials: SJ
authors.lastname: Shin
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Keimyung University, 56 Dalseong-Ro, Jung-Ku, Daegu, 41931, Republic of Korea.
authors.forename: Hyewon
authors.initials: H
authors.lastname: Chung
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Keimyung University, 56 Dalseong-Ro, Jung-Ku, Daegu, 41931, Republic of Korea.
authors.forename: Sang-Hoon
authors.initials: SH
authors.lastname: Kwon
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Keimyung University, 56 Dalseong-Ro, Jung-Ku, Daegu, 41931, Republic of Korea.
authors.forename: Soon-Do
authors.initials: SD
authors.lastname: Cha
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Keimyung University, 56 Dalseong-Ro, Jung-Ku, Daegu, 41931, Republic of Korea. chcho@kmu.ac.kr.
authors.forename: Chi-Heum
authors.initials: CH
authors.lastname: Cho
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods*; D008875:Middle Aged; D061646:Operative Time; D065287:Robotic Surgical Procedures / Q000379:methods*; D013536:Suture Techniques; D014621:Vagina / Q000601:surgery*
keywords: Hysterectomy; Robot assisted; Single site; Suture; Vaginal cuff