Minimally invasive myomectomy using unidirectional knotless barbed suture.

STUDY OBJECTIVE

To demonstrate the technique for closure of the uterine wall defect during minimally invasive myomectomy using unidirectional knotless barbed suture.

DESIGN

Step-by-step explanation of the technique using videos and pictures (educational video).

SETTING

Women have a 70% to 80% lifetime risk of developing uterine leiomyomas. Myomectomy is a common procedure performed for conservative treatment of leiomyomas that is frequently performed using a minimally invasive technique. Knotless barbed sutures have recently been used successfully in minimally invasive myomectom procedures. Advantages of using barbed sutures in this setting include the ability to perform knotless suturing and rapid suture deployment, which may result in decreased operative time and blood loss. In addition, the tensile strength of the suture is maintained by the barbs, which facilitates the operative procedure and may potentially lead to a more even distribution of tension along the closure.

INTERVENTIONS

Closure of the uterine wall defect using unidirectional knotless barbed suture during minimally invasive myomectomy.

CONCLUSION

The use of unidirectional knotless barbed suture substantially facilitates closure of uterine defects during minimally invasive myomectomy and may offer additional advantages such as minimizing operative time.