PMID- 20626271
OWN - NLM
STAT- MEDLINE
DCOM- 20110215
LR  - 20220311
IS  - 1557-900X (Electronic)
IS  - 0892-7790 (Linking)
VI  - 24
IP  - 11
DP  - 2010 Nov
TI  - 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.
PG  - 1789-93
LID - 10.1089/end.2010.0200 [doi]
AB  - PURPOSE: 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. PATIENTS AND METHODS: 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. RESULTS: 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. CONCLUSIONS: 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, and constant reassessing of 
      anastomosis integrity.
FAU - Kaul, Sanjeev
AU  - Kaul S
AD  - Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan, USA. 
      skaul1@hfhs.org
FAU - Sammon, Jesse
AU  - Sammon J
FAU - Bhandari, Akshay
AU  - Bhandari A
FAU - Peabody, James
AU  - Peabody J
FAU - Rogers, Craig G
AU  - Rogers CG
FAU - Menon, Mani
AU  - Menon M
LA  - eng
PT  - Journal Article
DEP - 20100713
PL  - United States
TA  - J Endourol
JT  - Journal of endourology
JID - 8807503
SB  - IM
MH  - Anastomosis, Surgical/*methods
MH  - Feasibility Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Perioperative Care
MH  - Prostatectomy/*methods
MH  - Robotics/*methods
MH  - *Sutures
MH  - Treatment Outcome
MH  - Urethra/*surgery
MH  - Urinary Bladder/*surgery
MH  - Wound Closure Techniques/*instrumentation
EDAT- 2010/07/16 06:00
MHDA- 2011/02/16 06:00
CRDT- 2010/07/15 06:00
PHST- 2010/07/15 06:00 [entrez]
PHST- 2010/07/16 06:00 [pubmed]
PHST- 2011/02/16 06:00 [medline]
AID - 10.1089/end.2010.0200 [doi]
PST - ppublish
SO  - J Endourol. 2010 Nov;24(11):1789-93. doi: 10.1089/end.2010.0200. Epub 2010 Jul 
      13.