Comparing the impact of three‐dimensional display systems and barbed V‐LOC™ sutures in laparoscopic hysterectomy: A retrospective cohort study

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Bibliografske podrobnosti
izdano v:The Journal of Obstetrics and Gynaecology Research vol. 51, no. 2 (Feb 2025)
Glavni avtor: Tercan, Can
Drugi avtorji: Dagdeviren, Emrah, Yeniocak, Ali Selcuk, Sultan Can, Aktoz, Fatih
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Wiley Subscription Services, Inc.
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Online dostop:Citation/Abstract
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LEADER 00000nab a2200000uu 4500
001 3170520396
003 UK-CbPIL
022 |a 1341-8076 
022 |a 1447-0756 
024 7 |a 10.1111/jog.16251  |2 doi 
035 |a 3170520396 
045 2 |b d20250201  |b d20250228 
100 1 |a Tercan, Can  |u Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey 
245 1 |a Comparing the impact of three‐dimensional display systems and barbed V‐LOC™ sutures in laparoscopic hysterectomy: A retrospective cohort study 
260 |b Wiley Subscription Services, Inc.  |c Feb 2025 
513 |a Journal Article 
520 3 |a AimThis study aims to evaluate the impact of two‐dimensional (2D) versus three‐dimensional (3D) imaging systems and barbed versus standard absorbable multifilament sutures on surgical times and complications in total laparoscopic hysterectomy.MethodsA retrospective cohort study was conducted at a tertiary hospital between May 2020 and September 2024. Patients who underwent total laparoscopic hysterectomy were categorized into four groups based on imaging system (UltraHD‐2D vs. FullHD‐3D) and suture type (VICRYL™ multifilament suture interrupted figure‐of‐8 technique vs. V‐LOC™ barbed suture running technique). Primary outcomes included vaginal cuff closure time and total operation duration. Secondary outcomes were mean suturing time, perceived difficulty, and postoperative complications.ResultsA total of 159 patients were analyzed. Vaginal cuff closure time was significantly shorter with 3D imaging systems compared to 2D systems when VICRYL™ sutures were used (13.85 ± 4.30 vs. 21.17 ± 5.13 min, p < 0.001). No significant difference was observed between imaging systems when V‐LOC™ barbed sutures were used. Across both systems, V‐LOC™ sutures consistently reduced suturing time compared to VICRYL™ sutures (p < 0.001). Surgeon‐perceived difficulty was lower with V‐LOC™ sutures, particularly in 2D systems. No significant difference in complication rates was observed between groups (p = 0.188).ConclusionThe use of 3D imaging systems in total laparoscopic hysterectomy significantly reduces vaginal cuff closure duration and overall operative time with VICRYL™ sutures, while V‐LOC™ sutures consistently enable faster procedures across both imaging modalities. These findings suggest that 3D imaging systems and barbed sutures may enhance surgical efficiency without increasing complication rates. 
653 |a Vagina 
653 |a Laparoscopy 
653 |a Hysterectomy 
653 |a Sutures 
653 |a Three dimensional imaging 
653 |a Postoperative 
653 |a Complications 
653 |a Cohort analysis 
700 1 |a Dagdeviren, Emrah  |u Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey 
700 1 |a Yeniocak, Ali Selcuk  |u Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey 
700 1 |a Sultan Can  |u Department of Obstetrics and Gynecology, Goztepe Prof. Dr. Suleyman Yalcın City Hospital, Istanbul, Turkey 
700 1 |a Aktoz, Fatih  |u Department of Obstetrics and Gynecology, Acibadem University Atakent Hospital, Istanbul, Turkey 
773 0 |t The Journal of Obstetrics and Gynaecology Research  |g vol. 51, no. 2 (Feb 2025) 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3170520396/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch