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Influence Of Barbed Suture In Laparoscopic Radical Prostatectomy.
Autor: M. Cepeda, B. De La Cruz, J. H. Amón, C. Conde, M. Ruiz Y J. M. Martínez-sagarra.
Editorial: Archivos Españoles de Urología
6 páginas
Pago único: €14.88
Requiere suscripción: Académico
Tipo de publicación: Articulo
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Descripción:

OBJECTIVES: To determine the influence

of barbed suture in laparoscopic radical prostatectomy.

METHODS: A retrospective study of 150 patients

who underwent laparoscopic radical prostatectomy

was carried out by our department. The patients were

divided in two groups according to the kind of suture

used during the vesicourethral anastomosis: conventional

3-0 absorbable multifilament running suture (Group 1)

and bidirectional barbed suture (Quill®) (Group 2).

Operating time, postoperative urinary fistula, hospital

stay and urinary catheter duration were analysed in both

groups.

RESULTS: After the analysis of all the preoperative

variables, such as age, PSA, prostate volume, Gleason

and stage on biopsy, no statistically significant

differences were found in both groups. Operating

time was significantly shorter in Group 2 (169±43

min vs 215±45 min, p=0.00). Statistically significant

differences were found regarding postoperative urinary

fistula rate, hospital stay and urethral catheterization

duration, favourable to Group 2.

CONCLUSIONS: The use of bidirectional barbed suture

(Quill®) for vesicourethral anastomosis in laparoscopic

radical prostatectomy, when compared with the

conventional suture, shortens surgical time, reduces

urinary fistula rate, catheter duration and hospital stay,

as the anastomosis is easily performed and prevents

leakage.

Sobre el editor:

Revista Internacional de Urología indexada y peer-reviewed, fundada en 1944, dirigida a toda la comunidad científica. Aquí encontrarás las últimas novedades y hallazgos urológicos. Publicamos 10 números anuales.