Comparison of Surgical Outcomes according to Suturing Methods in Single Port Access Laparoscopic Myomectomy

J Menopausal Med. 2015 Apr;21(1):47-55. doi: 10.6118/jmm.2015.21.1.47. Epub 2015 Apr 27.

Abstract

Objectives: This study was performed to consider the clinical experience of surgical outcome of single port access (SPA) laparoscopic myomectomy according to suturing methods.

Methods: The authors operated with 2 suturing method in SPA laparoscopic myomectomy for 246 patients and compared the surgical outcomes.

Results: The some significant difference of surgical outcome according to two suturing methods was demonstrated. Operating time was 100.50 minutes (± 42.09 minutes) in interrupted suture method group than 121.04 minutes (± 61.56 minutes) in continuous interlocking suture method group (P = 0.021). Estimated blood loss was less 222.59 mL (± 144.94 mL) in interrupted suture group than 340.11 mL (± 380.62 mL) in continuous interlocking suture method group (P = 0.042).

Conclusion: This experience suggests that interrupted suture method was effective for operating time and estimated blood loss than continuous interlocking method in SPA laparoscopic myomectomy.

Keywords: Laparoscopy; Leiomyoma; Single port; Suture techniques; Treatment outcome.