Comparison of Running V-Loc Suture Versus Interrupted Vicryl Suture for Vaginal Cuff Closure, a Retrospective Cohort Study
Study Objective: To determine if V-Loc Absorbable Wound Closure Device (Covidien, USA) compares favorably to traditional Vicryl suture for vaginal cuff closure.
Design: A retrospective cohort study with a non-concurrent comparison group.
Setting: Two major urban hospitals with advanced robotic surgery programs.
Patients: Two hundred consecutive patients who underwent robotic total laparoscopic hysterectomy for benign indications were evaluated with regard to age, body mass index (BMI), estimated blood loss, and postoperative complications.
Intervention: Two hundred robotic total laparoscopic hysterectomy procedures were performed by one surgeon with two methods for vaginal cuff closure. Interrupted Vicryl suture was utilized in the former 100 cases as the comparison group, and V-Loc Absorbable Wound Closure Device was incorporated into the latter 100 cases.
Measurements and Main Results: A preliminary evaluation of the data indicates that when compared to Vicryl, there was no increased risk of major or minor complications or increased blood loss using V-loc for vaginal cuff closure. Additionally, V-Loc vaginal cuff closure can be performed rapidly with an average time less than ten minutes.
Conclusion: V-Loc Absorbable Wound Closure Device can be used safely and effectively for vaginal cuff closure with no increased risk of complications or increased blood loss compared to interrupted Vicryl suture. Moreover, V-Loc cuff closure can be performed expediently, but additional study is necessary to establish superiority of V-Loc with regard to cuff closure time.