Our Summary

This research paper looks into the use of a certain type of stitch, called a barbed suture, in a specific type of surgery used to remove benign tumors from a woman’s uterus (laparoscopic myomectomy). The traditional way of sewing up the uterus after removing the tumor involves a technique that can be quite difficult and requires a lot of skill and experience. This traditional method also carries a high risk of heavy bleeding. The researchers are interested in whether barbed sutures, which have little hooks that help them stick to the tissue, might be a better option. They could potentially make the surgery quicker and reduce blood loss. This study reviewed six other research papers and found that surgeries using barbed sutures did indeed take less time and led to less blood loss. They also found that using barbed sutures doesn’t seem to negatively affect a woman’s ability to get pregnant afterwards. Therefore, the researchers conclude that barbed sutures are just as safe and easier to use than the traditional kind.

FAQs

  1. What are barbed sutures and how might they improve laparoscopic myomectomy procedures?
  2. Did the research find any negative effects on a woman’s ability to get pregnant after using barbed sutures in laparoscopic myomectomy?
  3. How does the use of barbed sutures compare to the traditional method in terms of safety and ease of use?

Doctor’s Tip

A helpful tip a doctor might tell a patient about myomectomy is to discuss with their surgeon the use of barbed sutures during the procedure. This may potentially lead to a quicker surgery, less blood loss, and a safe outcome. It is important to have an open conversation with the healthcare provider about the best options for the individual patient’s specific situation.

Suitable For

Patients who are typically recommended for myomectomy are those who have symptomatic fibroids, which are non-cancerous tumors in the uterus that can cause heavy menstrual bleeding, pelvic pain, and pressure on the bladder or bowel. Myomectomy is a surgical procedure that removes these fibroids while preserving the uterus, making it a good option for women who wish to retain their fertility or avoid a hysterectomy. Patients with large or numerous fibroids, those who have not responded to other treatments, and those who desire future pregnancy are often candidates for myomectomy.

Timeline

Before myomectomy:

  • Patient may experience symptoms such as heavy menstrual bleeding, pelvic pain, and pressure
  • Patient undergoes diagnostic tests such as ultrasound or MRI to confirm the presence of uterine fibroids
  • Patient discusses treatment options with their healthcare provider, including the possibility of a myomectomy
  • Patient undergoes pre-operative tests and evaluations to ensure they are a suitable candidate for surgery

After myomectomy:

  • Patient undergoes laparoscopic myomectomy surgery to remove the uterine fibroids
  • Barbed sutures are used to close the incisions in the uterus
  • Patient may experience some pain and discomfort in the days following surgery
  • Patient is monitored for any complications and is given instructions for recovery, including restrictions on physical activity
  • Patient follows up with their healthcare provider for post-operative care and evaluation
  • Patient may experience improvements in symptoms such as decreased menstrual bleeding and pelvic pain
  • Patient may be able to resume normal activities within a few weeks post-surgery.

What to Ask Your Doctor

  1. What is a myomectomy and why do I need it?
  2. What are the risks and benefits of using barbed sutures in myomectomy surgery?
  3. How experienced are you in using barbed sutures for myomectomy surgery?
  4. Will using barbed sutures affect my chances of getting pregnant in the future?
  5. How will using barbed sutures affect the length of the surgery and my recovery time?
  6. Are there any alternative treatment options to myomectomy that I should consider?
  7. What should I expect during the recovery process after myomectomy surgery using barbed sutures?
  8. What are the potential complications associated with using barbed sutures in myomectomy surgery?
  9. How soon after the surgery can I resume normal activities and exercise?
  10. Are there any long-term effects or considerations I should be aware of if I choose to have myomectomy surgery using barbed sutures?

Reference

Authors: Savasta F, Libretti A, Leo L, Troìa L, Remorgida V. Journal: Minerva Obstet Gynecol. 2025 Apr;77(2):128-136. doi: 10.23736/S2724-606X.24.05494-0. Epub 2024 Sep 16. PMID: 39283288