BMC surgery · 2025
Comparison of reproductive outcomes after laparoscopic tubal anastomosis using conventional (non-barbed) sutures and barbed sutures.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Karadag Ceyda, Karadag Burak
Аннотация
PURPOSE: This study aimed to compare reproductive outcomes after laparoscopic tubal anastomosis using conventional (non-barbed) and barbed sutures.
METHODS: This retrospective cohort study was conducted at a single center between January 2016 and December 2021. Thirty-nine women undergoing laparoscopic tubal anastomosis were divided into two groups: a non-barbed suture (5 - 0 polyglactin suture) group (16 women), and a barbed suture (5 - 0 unidirectional barbed suture) group (23 women). Demographic data, operation times, reversal operation success rates, pregnancy rates, and other factors were compared between the two groups.
RESULTS: The mean operation time was significantly shorter in the barbed suture group (55.8 ± 7.33 min) than in the non-barbed suture group (108.7 ± 17.27 min) (p = 0.001). The overall pregnancy rate was significantly higher in the barbed suture group (87%) than in the non-barbed suture group (56.3%) (p = 0.037). The rate of intrauterine pregnancy was also significantly higher in the barbed suture group (p = 0.041). The intervals between surgery and pregnancy did not differ significantly between the two groups.
CONCLUSION: The use of barbed sutures in laparoscopic tubal anastomosis can result in shorter operation times and better reproductive outcomes than the use of conventional sutures.
METHODS: This retrospective cohort study was conducted at a single center between January 2016 and December 2021. Thirty-nine women undergoing laparoscopic tubal anastomosis were divided into two groups: a non-barbed suture (5 - 0 polyglactin suture) group (16 women), and a barbed suture (5 - 0 unidirectional barbed suture) group (23 women). Demographic data, operation times, reversal operation success rates, pregnancy rates, and other factors were compared between the two groups.
RESULTS: The mean operation time was significantly shorter in the barbed suture group (55.8 ± 7.33 min) than in the non-barbed suture group (108.7 ± 17.27 min) (p = 0.001). The overall pregnancy rate was significantly higher in the barbed suture group (87%) than in the non-barbed suture group (56.3%) (p = 0.037). The rate of intrauterine pregnancy was also significantly higher in the barbed suture group (p = 0.041). The intervals between surgery and pregnancy did not differ significantly between the two groups.
CONCLUSION: The use of barbed sutures in laparoscopic tubal anastomosis can result in shorter operation times and better reproductive outcomes than the use of conventional sutures.