The first experience with unilateral barbed suture V-Loc in laparoscopic radical prostatectomy
Authors:
Miloš Broďák; Josef Košina; Michal Balík; Petr Hušek; Lukáš Holub; Jaroslav Pacovský
Authors‘ workplace:
Urologická klinika FN a LF UK, Hradec Králové
Published in:
Ces Urol 2012; 16(3): 157-162
Category:
Original article
Overview
Aim:
We present our initial experience with a novel self-cinching unidirectional barbed suture V Loc, for vesico-urethral anastomosis during laparoscopic radical prostatectomy.
Methods:
We evaluated a cohort of 50 consecutive patients who underwent laparoscopic radical prostatectomy with V-Loc tailored vesico-urethral anastomosis.
Results:
Median follow-up was 4 months. The mean time of anastomosis was 14 minutes. We recorded one case of temporary urine secretion into the drain and no anastomotic stricture.
Conclusion:
Vesico-urethral anastomosis with V-Loc suture during a laparoscopic radical prostatectomy is fast, effective and safe.
Key words:
radical prostatectomy, vesico-urethral anastomosis, unidirectional barbed suture V-Loc.
Sources
1. Jarolím L, Kawaciuk I, Hanek P, Hyršl L, Dušek P, Jerie J, Schmidt M, Kaliská V, Fabišovský M, Rejchrt M. Funkční výsledky radikálních retropubických prostatektomií Ces Urol 2005; 9: 20–25.
2. Pacík D, Walsh PC. Radikální retropubická prostatektomie – nejúčinnější a nejméně zatěžující metoda pro vyléčení lokalizovaného karcinomu prostaty I. Urolog pro praxi 2002; 5: 193–199.
3. Pacík D, Walsh PC. Radikální retropubická prostatektomie – nejúčinnější a nejméně zatěžující metoda pro vyléčení lokalizovaného karcinomu prostaty II. Urolog pro praxi 2002; 6: 252–257.
4. Broďák M, Košina J, Všetička J, Holub L, Hušek P, Pacovský J. Extraperitoneální laparoskopická radikální prostatektomie. Urologie pro praxi 2011; 12: 50–54.
5. Moran ME, Marsh C, Perrotti M. Bidirectional-barbed sutured knotless running anastomosis v classic Van Velthoven suturing in a model system. J Endourol 2007; 21(10): 1175–1178.
6. Demyttenaere SV, Nau P, Henn M, Beck C, Zaruby J, Primavera M, Kirsch D, Miller J, Liu JJ, Bellizzi A, Melvin WS. Barbed suture for gastrointestinal closure: a randomized control trial. Surg Innov 2009; 16(3): 237–242.
7. Kaul S, Sammon J, Bhandari A, Peabody J, Rogers CG, Menon M. A novel method of urethrovesical anastomosis during robot-assisted radical prostatectomy using a unidirectional barbed wound closure device: feasibility study and early outcomes in 51 patients. J Endourol 2010; 24(11): 1789–1793.
8. Tewari AK, Srivastava A, Sooriakumaran P, Slevin A, Grover S, Waldman O, Rajan S, Herman M, Berryhill R Jr, Leung R. Use of a novel absorbable barbed plastic surgical suture enables a “self-cinching” technique of vesicourethral anastomosis during robot-assisted prostatectomy and improves anastomotic times. J Endourol 2010; 24(10): 1645–1650.
9. Patel VR, Coelho RF, Palmer KJ, Rocco B. Periurethral suspension stitch during robot-assisted laparoscopic radical prostatectomy: description of the technique and continence outcomes. Eur Urol 2009; 56(3): 472–478.
10. Van Velthoven RF, Ahlering TE, Peltier A, et al. Technique for laparoscopic running urethrovesical anastomosis: The single knot method. Urology 2003; 61: 699–702.
11. Zorn KC, Widmer H, Lattouf JB, Liberman D, Bhojani N, Trinh QD, Sun M, Karakiewicz PI, Denis R, El-Hakim A. Novel method of knotless vesicourethral anastomosis during robot-assisted radical prostatectomy: feasibility study and early outcomes in 30 patients using the interlocked barbed unidirectional V-LOC180 suture. Can Urol Assoc J 2011; 5(3): 188–194.
12. Greenberg JA. The use of barbed sutures in obstetrics and gynecology. Rev Obstet Gynecol 2010; 3(3): 82–91.
13. Sammon J, Kim TK, Trinh QD, Bhandari A, Kaul S, Sukumar S, Rogers CG, Peabody JO. Anastomosis during robot-assisted radical prostatectomy: randomized controlled trial comparing barbed and standard monofilament suture. Urology 2011; 78(3): 572–579.
14. Valero R, Schatloff O, Chauhan S, Hwiiko Y, Sivaraman A, Coelho RF, Palmer KJ, Davila H, Patel VR. Bidirectional Barbed Suture for Bladder Neck Reconstruction, Posterior Reconstruction and Vesicourethral Anastomosis During Robot Assisted Radical Prostatectomy. Actas Urol Esp 2011 Sep 1, doi:10.1016/j.acuro.2011.06.010
15. Shah HN, Nayyar R, Rajamahanty S, Hemal AK. Prospective evaluation of unidirectional barbed suture for various indications in surgeon-controlled robotic reconstructive urologic surgery: Wake Forest University experience. Int Urol Nephrol 2011 Nov 6. doi 10.1007/s11255-011-0075-y
16. Lagrange CA, Kaushik D, Clay K, Park E, Nelson CA, Hossain SG. Effect of robotic manipulation on unidirectional barbed suture integrity: evaluation of tensile strength and sliding force. J Endourol. 2011 Dec 6, doi:10.1089/end.2011.0521.
17. Sammon J, Petros F, Sukumar S, Bhandari A, Kaul S, Menon M, Rogers C. Barbed suture for renorrhaphy during robot-assisted partial nephrectomy. J Endourol 2011; 25(3): 529–533.
18. Seideman C, Park S, Best SL, Cadeddu JA, Olweny EO. Self-retaining barbed suture for parenchymal repair during minimally invasive partial nephrectomy. J Endourol 2011; 25(8): 1245–1247.
19. Olweny EO, Park SK, Seideman CA, Best SL, Cadeddu JA. Self-retaining barbed suture for parenchymal repair during laparoscopic partial nephrectomy; initial clinical experience. BJU Int. 2011 Oct 12. doi: 10.1111/j.1464-410X.2011.10547.x.
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Paediatric urologist Nephrology UrologyArticle was published in
Czech Urology
2012 Issue 3
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