Evaluation of prospectively gathered information on all consecutive robotic surgeries for gynecologic cancers was performed in a tertiary academic cancer center between December 2007 and March 2012. We searched for risk factors in patients with gynecologic cancers and complemented this with a literature review. Vaginal vault dehiscence following robotic-assisted hysterectomy for gynecologic cancer may be attributed to surgical techniques and postoperative therapeutic interventions. Vaginal vault dehiscence after robotic hysterectomy for gynecologic cancers: search for risk factors and literature review.ĭrudi, Laura Press, Joshua Z Lau, Susie Gotlieb, Raphael How, Jeffrey Eniu, Ioana Drummond, Nancy Brin, Sonya Deland, Claire Gotlieb, Walter H This technique offers secure, fast, and effective incision closure. The use of barbed suture with straightened needle to close the vaginal cuff in robotic-assisted single-site hysterectomy is easy to perform and demonstrates safety and efficacy. There were no postoperative complications vaginal cuff dehiscence, vaginal cuff infection, and vaginal bleeding that require surgical intervention or admission. The total operation time was 132.5Â min and vaginal cuff closure time was 12.0Â min. A total of 100 patients underwent robotic-assisted single-site hysterectomy. A barbed suture was exclusively used with a straightened needle in upward direction from posterior vaginal cuff to anterior vaginal cuff which played a pivotal role for closure. Surgeons used two barbed sutures in a running fashion to close the vaginal cuff. Consecutive patients undergoing robotic-assisted single-site hysterectomy from February 2014 to August 2015 at Dong San Hospital, Keimyung University were included. To describe a simple and efficient technique for suturing the vaginal cuff in robotic-assisted single-site hysterectomy using barbed suture and a straight needle. Shin, So-Jin Chung, Hyewon Kwon, Sang-Hoon Cha, Soon-Do Cho, Chi-Heum New suturing technique for robotic-assisted vaginal cuff closure during single-site hysterectomy.
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