The use of bidirectional barbed suture during robotic assisted radical prostatectomy : impact on the perioperative and functional outcomes
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Data di Pubblicazione:
2014
Citazione:
The use of bidirectional barbed suture during robotic assisted radical prostatectomy : impact on the perioperative and functional outcomes / B. Rocco, E. De Lorenzis, K. Palmer, S. Pigilam, S. Samavedi, H..A. Mushin, V. Patel. ((Intervento presentato al 87. convegno Congresso Nazionale Società Italiana Urologia (SIU) tenutosi a Firenze nel 2014.
Abstract:
Bidirectional barbed self-retaining sutures represent a new advancement in the application of suture
materials used in reconstructive urology. This analysis represents our preliminary effort to examine the
intraoperative, postoperative and intermediate functional outcome of bidirectional sutures during robot
assisted radical prostatectomy (RARP).
Materiali e metodi
Between January 2008 and December 2010, 2168 RARP procedures were performed at our institution by a
single surgeon (VP). In this cohort there were 97 patients in whom a bidirectional-barbed suture (AngiotechQuill™) was used for bladder neck reconstruction, posterior reconstruction and urethrovesical anastomosis
(Group 1). These 97 patients were then computer-matched using multivariable analysis to those who did
not undergo bidirectional-barbed suture during the procedure (Group 2). Retrospective analysis of the
perioperative and functional outcomes was conducted.
Risultati
There were no differences between the preoperative clinical and demographic variables between the two
matched groups. The anastomosis subjectively evaluated by the surgeon was easier in the group 1 (
Discussione
barbed suture have been recently introduced with the aim of make it easier for the surgeons to perform
sutures, particularly anastomosis. Also in the hands of an experienced and skilled operator, barbed suture
make sutures faster.
Conclusioni
Usage of bidirectional barbed suture during RARP results in easier and quicker urethrovesical anastomosis
and in a lower incidence of radiologic urinary leakage. These preliminary results are encouraging and
provide the impetus to conduct further studies with an increased sample size to more clearly define the
outcomes in the use of Quill bidirectional barbed suture.
Tipologia IRIS:
14 - Intervento a convegno non pubblicato
Elenco autori:
B. Rocco, E. De Lorenzis, K. Palmer, S. Pigilam, S. Samavedi, H..A. Mushin, V. Patel
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