Details

Autor(en) / Beteiligte

• Massoud, Walid
• Thanigasalam, Ruban
• El Hajj, Albert
• Girard, Frederic
• Théveniaud, Pierre Etienne
• Chatellier, Gilles
• Baumert, Hervé

Titel

Does the Use of a Barbed Polyglyconate Absorbable Suture Have an Impact on Urethral Anastomosis Time, Urethral Stenosis Rates, and Cost Effectiveness During Robot-assisted Radical Prostatectomy?

Ist Teil von

• Urology (Ridgewood, N.J.), 2013-07, Vol.82 (1), p.90-94

Ort / Verlag

New York, NY: Elsevier Inc

Erscheinungsjahr

2013

Quelle

MEDLINE

Beschreibungen/Notizen

• Objective To evaluate the use of a single needle driver with the V-Loc (Covidien, Dublin, Ireland) running suture and compare this with the use of 2 needle drivers with polyglactin interrupted sutures (IS) in dividing the dorsal venous complex (DVC) and forming the urethrovesical anastomosis (UVA) during robot-assisted radical prostatectomy (RARP). Materials and Methods A prospective cohort study was performed to compare V-Loc (n = 40) with polyglactin (n = 40) sutures. Division of the dorsal venous complex and formation of the UVA during robot-assisted radical prostatectomy using V-Loc or polyglactin sutures were studied. Preoperative, intraoperative, and postoperative parameters were measured. Results V-Loc sutures were associated with a statistically significant reduction in mean dorsal vein suture time (3.15 minutes V-Loc vs 3.75 minutes IS, P  = .02) and UVA anastomosis time (8.5 minutes V-Loc vs 11.5 minutes IS, P  = .001). No significant difference was noted between operative time (121 minutes V-Loc vs 130 minutes IS, P  = .199), delayed healing rates (5% V-Loc vs 7.5% IS, P  = .238), continence rate at 12 months (97.5% V-Loc vs 95% IS, P  = .368), and urethral stenosis rates (2.5% V-Loc vs 2.5% IS, P  = .347) in both groups. Conclusion The use of a V-Loc running suture with a single needle driver is a feasible, reproducible, and economic technique with no significant difference in continence rates and urethral stenosis rates, compared with the use of a traditional interrupted suture.