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allied

academies

February 28-March 01, 2019 | Paris, France

Palliative Care, Obstetrics and Gynecology

Stroke and Clinical Trials

International Conference on

Joint Event on

International Conference on

&

Journal of Research and Reports in Gynecology and Obstetrics | Volume: 3

Can non-absorbable sutures prevent complete vaginal cuff dehiscence?

Louise van der Does

The Center for Innovative GYN Care, USA

Objective:

To compare the risk of complete vaginal cuff

dehiscence (VCD) within the first 90 days of hysterectomy

using absorbable versus non-absorbable sutures for vaginal

cuff closure.

Methods:

IRB approved, retrospective chart review of

patients undergoing laparoscopic hysterectomy for benign

disease between October 2013 and April 2018 by two

gynecological surgical specialists in an ambulatory surgery

center in suburban Maryland, USA. Transvaginal cuff closure

was performed using either absorbable (Vicryl) or non-

absorbable (Ethibond) sutures. Non-absorbable sutures

were surgically removed at 90 days post-op.

Results:

Non-absorbable n=574; Absorbable n=881. No

statistically significant difference in age, race, weight, BMI,

parity, uterine weight, number of previous abdominal

surgeries, or number of comorbidities between the non-

absorbable and absorbable groups. We defined vaginal cuff

dehiscence as complete separation of the vaginal cuff with or

without abdominal or pelvic organ evisceration through the

opening. At 90 days, 0 (0.0%) patients in the non-absorbable

and 11 (1.2%) in the absorbable group had spontaneous

complete cuff separation that required repair (P=.004). The

mean time between the initial hysterectomy and VCD in the

non-absorbable group was 72 days.

Conclusion:

Our data suggest that using a stronger, non-

absorbable suture may be an effective approach to prevent

spontaneous and complete vaginal cuff dehiscence in an

uncontrolled setting. The benefits of a non-absorbable

suture should be weighed against the inconvenience, but

low risk associated with removal of sutures in a controlled

setting. Non-absorbable sutures should be further explored

as a mechanism to prevent complete VCD.

e:

Lvanderdoes@towersurgicalpartners.com

Res Rep Gynaecol Obstet, Volume 3

DOI: 10.4066/2591-7366-C1-003