Experience with a V-Loc 180 retaining self-locking suture during laparoscopic myomectomy
Objective. To evaluate the efficiency of using a V-Loc 180 self-locking thread to close the bed of myomatous nodes.Chuprynin V.D., Khilkevich E.G., Yazykova O.I., Usacheva V.V., Melnikov M.V., Veredchenko A.V., Burykina P.N., Chursin V.V.
Subjects and methods. There were two groups of patients with subserous, interstitial-subserous, and submucous-interstitial uterine myoma: a study group (n = 24) and a control group (n = 25).
The number of nodes varied from one to nine in the study group. The minimum and maximum sizes of myomatous nodes were 1 and 15 cm. In the comparison group, the number of nodes varied from 1 to 4, their size was 1.0 to 21.0 cm. All patients underwent myomectomy. The data were statistically processed with Microsoft Office Excel 2013 and Statistica 7.0.
Results. During surgical treatment as laparoscopic myomectomy without opening the uterine cavity, the average operative blood loss and the average duration of the surgery in the study group (suturing the myomatous node bed with a V-Loc thread) were 20 and 9.7% lower, respectively. When combined operations were performed without opening the uterine cavity in this group, these were 14.5% and 40% higher, respectively.
Conclusion. The application of the V-Loc 180 thread reduces the duration of surgery and the volume of blood loss, greatly facilitates surgical techniques during surgical treatment as laparoscopic myomectomy, and increases the above indicators when performing the combined operations.
Keywords
uterine myoma
myomectomy
self-blocking suture
Supplementary Materials
- Table 1. Gynecological diseases in the study group
- Table 2. Postponed gynecological operations in the study group
- Fig. 1. Suturing a V-Loc thread
- Fig. 2. Suturing a Vicril thread
References
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Received 16.12.2016
Accepted 23.12.2016
About the Authors
Chuprynin Vladimir Dmitrievich, PhD, Head of the Department of General Surgery, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954387833. E-mail: v_chuprynin@oparina4.ruKhilkevich Elena Grigorevna, leading researcher of General Surgery, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia,
professor of Department of Obstetrics, Gynecology, Perinatology and Reproductive of I.M. Sechenov First Moscow State Medical University.
117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954387833. E-mail: e_khilkevich@oparina4.ru
Yazykova Olga Igorevna, Undergraduate of the medical faculty of Moscow State University of Medicine and Dentistry.
127473, Russia, Moscow, Delegatskaya str. 20/1. Tel.: +79167195406. E-mail: olushka-92@mail.ru
Usacheva Varvara V., Department of Surgery, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954387833
Melnikov Mikhail Viktorovich, Candidate of Medical Sciences, Senior Researcher, Department of Surgery, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954387833
Chursin Vyacheslav Vladimorovich, doctor surgeon of General Surgery, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954387833. E-mail: v_chursen@oparina4.ru
Veredchenko Aleksandr Viktorovich, candidate of medical sciences, doctor surgeon of General Surgery, Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954387833. E-mail: a_veredchenko@oparina4.ru
Burykina Polina N., doctor, obstetrician-gynecologist at the surgical department, Research Center of Obstetrics, Gynecology, and Perinatology,
Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. E-mail: p_burykina@oparina4.ru
For citations: Chuprynin V.D., Khilkevich E.G., Yazykova O.I., Usacheva V.V., Melnikov M.V.,
Veredchenko A.V., Burykina P.N., Chursin V.V. Experience with a V-Loc 180 retaining self-locking suture during laparoscopic myomectomy.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (3): 90-4. (in Russian)
http://dx.doi.org/10.18565/aig.2017.3.90-4
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