The experience of the v-loc™ 180 wound closure device used in laparoscopic myomectomy

Abstract

Hemostatic control, suturing, and renovating leiomyoma are the most important procedures associated with laparoscopic surgery and involve the use of slender instruments when suturing and tieing off. When compared to the normal situation, suturing and tieing off using slender instruments are more imprecise and more difficult. As a result, problems may occur, such as when the joining of tissue is not strong enough and when there are difficulties carrying out stypsis during suturing and cross-cutting.V-Loc 180 is a superior device that is equipped with an efficient barb and welded loop design. We applied this device to laparoscopic myomectomy with the aim of diminishing surgery time, reducing blood loss and reducing the number of complication; such improvement ought to result in better uterus recovery. Prospective controlled study. This prospective study evaluated data on the efficacy of treatment of 62 women who underwent laparoscopic myomectomy at Taipei City Hospital Zhongxiao Branch from January 2010 through to August 2012. The patients were randomly assigned to either the V-Loc™ 180 group and the 2-0 vicryl suture group. The two groups were similar in terms of age, body weight, delivery number, hemoglobin and hematocrit before surgery. After surgery, blood loss, operation time, change in hemoglobin, change in hematocrit and the presence of uterus defects among the V-Loc™ 180 group were significant less than among the vicryl group. When compared with traditional suture material, the V-Loc 180 absorbable wound closure device, which is equipped with an efficient barb and welded loop design, allows the surgeon to stably close any wound rapidly without having to tie-off separately. The wound margin is held firmly together, which is especially important during the critical stage of wound heal over; furthermore, the sutures are absorbable in 180 days. In conclusion, the V-Loc 180 brings a lot of benefits when used for laparoscopic myomectomy.