A novel method of urethrovesical anastomosis during robot-assisted radical prostatectomy using a unidirectional barbed wound closure device: feasibility study and early outcomes in 51 patients

Journal of Endourology
Sanjeev KaulMani Menon

Abstract

To describe the safety and feasibility of a running urethrovesical anastomosis (UVA) in robot-assisted radical prostatectomy (RARP) using a unidirectional self-locking barbed suture. Fifty-one consecutive patients with organ-confined prostate cancer underwent RARP by one of two experienced surgeons. UVA was performed in two layers, using a unidirectional barbed suture fashioned into a double-ended stitch. Perioperative outcomes and 30-day complications were recorded. All anastomoses were performed without assistance and without tying a knot. Median time for entire dual-layer anastomosis was 14.0 minutes (interquartile range [IQR]: 12-20) and that for urethrovesical anastomosis was 11 minutes (IQR: 9-15). Not having to rely on an assistant to follow the suture decreased instrument clashes, entangling of the suture around an instrument, and made the anastomosis faster. Eight patients underwent anterior/lateral reconstruction of the bladder neck, and there were no leaks on cystography at 1 week. We describe the first reported clinical experience with a novel technique of performing UVA during RARP that is safe and efficient. Using the barbed wound closure device prevents slippage, precluding the need for assistance, knot tying, an...Continue Reading

References

Apr 3, 2003·Urology·Roland F Van VelthovenRalph V Clayman
May 29, 2003·The Journal of Urology·Mani MenonUNKNOWN VIP Team
Dec 4, 2003·Journal of Endourology·Mani MenonAshutosh Tewari
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Citations

Jan 8, 2013·World Journal of Urology·Evangelos LiatsikosJens Uwe Stolzenburg
Mar 1, 2011·Journal of Endourology·Jesse SammonCraig Rogers
Dec 13, 2012·Journal of Endourology·Khurshid R GhaniMani Menon
Jul 19, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Marco MiloneMario Musella
May 28, 2013·World Journal of Surgical Oncology·Nobuhisa MatsuhashiKazuhiro Yoshida
Oct 31, 2012·American Journal of Veterinary Research·Lane A Hansen, Eric L Monnet
Jul 13, 2013·Journal of Pediatric Surgery·Jeffrey LukishPaul Colombani
May 28, 2014·Asian Journal of Endoscopic Surgery·Toshikazu TakedaMototsugu Oya
Feb 11, 2016·Journal of Biomedical Materials Research. Part a·Christopher DennisGeetha Manivasagam
Jan 31, 2015·Chinese Medical Journal·Lu-Lin MaWen-Hao Tang
Jul 14, 2016·Veterinary Surgery : VS·Valeria AlbaneseFred J Caldwell
Mar 9, 2012·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Marc ManganielloAlireza Moinzadeh
Mar 17, 2016·Investigative and Clinical Urology·Wooju JeongMani Menon
Jul 25, 2018·Minerva chirurgica·Matteo ManfrediFrancesco Porpiglia
Mar 24, 2011·Current Opinion in Urology·Abhishek SrivastavaAshutosh K Tewari
Mar 1, 2012·Arab Journal of Urology·Khurshid R GhaniMani Menon

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