Vaginal Cuff Closure in Robotic Hysterectomy

A Randomized Controlled Trial Comparing Barbed Versus Standard Suture

Todd Tillmanns, Adam Mabe, Michael A. Ulm, Daniel Lee, Patrick Lowe, Saurabh Kumar

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: The aim of this research was to determine if there is a measurable time and/or cost savings with use of the V-Loc (Medtronic, Minneapolis, MN) barbed suture, compared to the VICRYL® (Ethicon, Somerville, NJ) suture for vaginal cuff closure. Design: This was a randomized controlled trial. Materials and Methods: Women undergoing robotic hysterectomy were randomized into 2 groups: 1 group received VICRYL suture closure of the vaginal cuff (n = 34) and the other group received V-Loc (n = 33) closure. Patients were blinded to their closure types. The primary outcome was vaginal cuff closure time. Secondary outcomes were operative costs, granulation tissue formation, vaginal cuff dehiscence, and dyspareunia for either partner postoperatively. Operative costs were analyzed at $22/minute, $62/minute, and $133/minute, including anesthesia, staff, operating room (OR), and equipment costs. Results: Vaginal cuff closure time was significantly less with the V-Loc suture (3.2 ± 1.1 minutes), compared to the VICRYL suture (7.6 + 2.7 minutes), p < 0.001. There were no differences in postoperative dyspareunia, vaginal cuff dehiscence, and granulation tissue formation at 3 months postoperatively. OR cost was significantly less at all cost intervals (p < 0.001). Conclusions: Using the V-Loc suture significantly reduced both time and operative costs associated with vaginal cuff closure, compared to the VICRYL suture. Larger studies are necessary to determine if postoperative complications of vaginal cuff closure are more frequent using the V-Loc suture, compared to the VICRYL suture.

Original languageEnglish (US)
Pages (from-to)215-219
Number of pages5
JournalJournal of Gynecologic Surgery
Volume32
Issue number4
DOIs
StatePublished - Aug 1 2016
Externally publishedYes

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Robotics
Hysterectomy
Sutures
Randomized Controlled Trials
Costs and Cost Analysis
Dyspareunia
Granulation Tissue
Operating Rooms
Cost Savings
Operative Time
Anesthesia
Equipment and Supplies
Research

All Science Journal Classification (ASJC) codes

  • Surgery
  • Obstetrics and Gynecology

Cite this

Vaginal Cuff Closure in Robotic Hysterectomy : A Randomized Controlled Trial Comparing Barbed Versus Standard Suture. / Tillmanns, Todd; Mabe, Adam; Ulm, Michael A.; Lee, Daniel; Lowe, Patrick; Kumar, Saurabh.

In: Journal of Gynecologic Surgery, Vol. 32, No. 4, 01.08.2016, p. 215-219.

Research output: Contribution to journalArticle

Tillmanns, Todd ; Mabe, Adam ; Ulm, Michael A. ; Lee, Daniel ; Lowe, Patrick ; Kumar, Saurabh. / Vaginal Cuff Closure in Robotic Hysterectomy : A Randomized Controlled Trial Comparing Barbed Versus Standard Suture. In: Journal of Gynecologic Surgery. 2016 ; Vol. 32, No. 4. pp. 215-219.
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