Effect of barbed suture versus conventional suture in laparo‐endoscopic single‐site cystectomy for ovarian mature cystic teratoma: An ambispective cohort study. Issue 1 (13th October 2022)

• Record Type: Journal Article
• Authors: Liang, Yan; Liu, Jinglan; Yu, Yingying; Sun, Junyan; Yang, Siqin; Zhang, Jian
• Is Part Of: International journal of gynaecology and obstetrics. Volume 161:Issue 1(2023)
• Page Start: 93
• Page End: 99
• Publication Date: 2022-10-13
• Subjects: barbed suture -- conventional suture -- cystectomy -- laparo‐endoscopic single‐site surgery -- mature cystic teratoma -- ovarian reserve; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1002/ijgo.14492
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: Objective: To compare the effects of barbed suture (BS) and conventional suture (CS) on perioperative conditions and ovarian function in the excision of ovarian mature cystic teratoma (MCT) by laparo‐endoscopic single‐site surgery (LESS). Methods: The present study is an ambispective cohort study conducted in an affiliated tertiary hospital between May 2019 and October 2020. Women treated by LESS cystectomy for unilateral ovarian MCT were included. BS or CS were applied in the surgery. Results: BS and CS groups were matched 1:1 for age, body mass index and ovarian cyst volume (40 women per group). There were no significant differences in baseline characteristics. Mean operating time (53.89 ± 14.80 versuss 67.93 ± 19.23 min, P = 0.004) and suturing time (11.85 ± 6.68 versus 19.76 ± 12.75 min, P = 0.006) were significantly shorter in the BS group than the CS group. No significant differences were found in serum anti‐Müllerian hormone (AMH) levels between groups at baseline, postoperative day 1, 3 months, and 12 months. However, serum AMH was significantly lower than baseline at postoperative day 1, 3 months, and 12 months in both groups. Conclusion: BS provides shorter operating and suturing time than CS, without increasing damage to ovarian function in LESS cystectomy for ovarian MCT. Synopsis: Barbed suture is recommended to close the ovarian cortex in cystectomy for ovarian mature cystic teratoma by laparo‐endoscopic single‐site surgery.