Comparison Between Barbed Suture and Polyglactin 910 Suture in Vaginal Cuff Closure in Total Laparoscopic Hysterectomy A randomized Controlled Study | ||
| Minia Journal of Medical Research | ||
| Articles in Press, Accepted Manuscript, Available Online from 27 July 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2025.399841.2011 | ||
| Authors | ||
| Ahmed Rabie Abdelrahiem1; Ayman Moheb Youssef2; Hany Gaber Eissawy3; Abdelrhman Emad Mousa* 4 | ||
| 1Obstetrics & Gynecology Department, Faculty of Medicine, Minia University, Minia, Egypt | ||
| 2Obstetrics & Gynecology department , Faculty of Medicine , Minia university | ||
| 3Obstetric and gynaecology, faculty of medicine, minia university | ||
| 4Obstetrics and Gynecology Department, Faculty of Medicine, Minia University, Minia, Egypt | ||
| Abstract | ||
| Background:gynecological problems, the less invasive and faster-recovering total laparoscopic hysterectomy (TLH) is the procedure of choice. The choice of suture material can impact the success of vaginal cuff closure (VCC), an essential step in transvaginal hemorrhage (TLH). In VCC after TLH, this research contrasts barbed sutures with polyglactin 910 sutures. Participants and Procedures: Over the course of nine months, researchers from Minia Maternity University Hospital ran this randomised controlled experiment. Two equal groups were randomly assigned to sixty patients receiving TLH: Group A (polyglactin 910) and Group A (barbed suture). Suturing time, difficulty (as assessed by a visual analog scale), and intraoperative blood loss were the main outcomes. Vaginal cuff dehiscence (VCD) symptoms including discomfort, bleeding, and discharge were evaluated as secondary outcomes. Results: Groups did not differ significantly with respect to age, body mass index (BMI), parity, comorbidities, hemoglobin levels, duration of hospital stay, or intraoperative complications. Nevertheless, Group A had much less suturing time and difficulty than Group B (p < 0.001). Although both groups experienced similar bleeding and discharge related to VCDs, the barbed suture group had significantly less pain associated with VCDs (p < 0.001). Conclusion: barber sutures greatly simplify and shorten the suturing process, lessen the severity of postoperative VCD pain, and prevent complications. They offer a secure and efficient substitute for TLH vaginal cuff closure. | ||
| Keywords | ||
| Laparoscopic hysterectomy; vaginal cuff closure; barbed suture; polyglactin 910 | ||
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