Application of a modified figure-of-eight suture in laparoscopic intramural myomectomy

Abstract

Objective To evaluate the clinical effect of a modified figure-of-eight suture in laparoscopic intramural myomectomy.Methods From Jan 2008 to Jan 2011,80 women with intramural myoma were recruited and divided into control group (n=40) and observation group (n=40) by odd or even number of their admission order.All patients received the same laparoscopic intramural myomectomy surgery and patients in control group were stanched and sutured with a conventional two-layer suture while patients in observation group were stanched and sutured with a modified figure-of-eight suture.The operation time,blood loss during surgery,hospital stays,and numbers and sizes of myoma removed were compared between the two groups.Results There were no statistical difference between the two groups in numbers of myoma removed [(3.5 ± 1.4) for control group vs.(3.6 ± 1.3) for observation group,P＞0.05] and diameters of myoma removed [(4.6 ± 1.9) cm for control group vs.(4.7 ± 2.1) cm for observation group,P＞0.05],while there were statistical differences between the two groups in operation time [(95.6 ± 23.4) min for control group vs.(76.2 ± 22.6) min for observation group,P＜0.05],blood loss during surgery [(105.6 ± 34.8) ml for control group vs.(68.0 ± 21.1) ml for observation group,P＜0.05],reduction of peripheral hemoglobin concentration on D3 of surgery [(10.2 ± 3.4) g/L for control group vs.(7.4 ± 2.8) g/L for observation group,P＜0.05] and hospital stays [(9.1 ± 2.5) d for control group vs.(7.9 ± 2.3) d for observation group,P＜0.05].Conclusion The modified figure-of-eight suture can reduce the operation time,blood loss and hospital stays.It is an efficient suture method. Key words: Modified figure-of-eight suture; Laparoscope; Intramural myomectomy