Bidirectional Barbed Suture in Laparoscopic Myomectomy: Clinical Features

Objective: To compare bidirectional knotless barbed suture versus standard sutures, with either extracorporeal or intracorporeal knots, and to assess the feasibility, safety, and rapidity in repairing a uterine wall defect after laparoscopic myomectomy. Subjects and Methods: This was a randomized clinical study having a Canadian Task Force Classification of I. In tertiary-care university-based teaching hospitals, 117 women who underwent laparoscopic myomectomy were enrolled. In accord with randomization, uterine wall defects were closed with either extracorporeal (poliglecaprone 25; Monocryl (TM)-1; Ethicon Inc., Somerville, NJ) or intracorporeal (polyglactin 910; Vicryl (TM)-1; Ethicon Inc.) knots or a bidirectional knotless barbed suture (Quill (TM)-0; Angiotech Pharmaceuticals, Inc., Vancouver, BC, Canada). Results: Time required to suture was significantly lower in the group operated on with a bidirectional suture than in groups with traditional sutures (P