{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T16:03:34Z","timestamp":1784822614928,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,7,18]],"date-time":"2018-07-18T00:00:00Z","timestamp":1531872000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the safety and efficacy of unidirectional barbed suture technique for vaginal cuff closure in total laparoscopic hysterectomy (TLH).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a retrospective chart review, data were analyzed from 165 patients who underwent a TLH with an unidirectional barbed suture technique for vaginal cuff closure from January 2012 to June 2016 at tertiary\u2010care university\u2010based teaching hospital and academic affiliated hospital. Vaginal cuff was closed by single layer 3\/0 V\u2010Loc unidirectional 9\u2033, 180 day Absorbable Wound Closure Device (Covidien Healthcare, Mansfield, MA) and the suture was not stitched backward to secure distal end.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 165 patients were included and the median age was 50 years (range, 35\u201384 years). The median completion time for hysterectomy time was 100 min (range, 40\u2013240 min) and the median vaginal cuff closure time was 7 min (range, 4\u201315 min). The median estimated blood loss was 87.8 mL (range 30\u2013250 mL) and the median uterine weight was 200 g (range, 40\u2013900 g). Intraoperative complication included bladder perforation (1.2%) and postoperative complications were vaginal cuff dehiscence (1.8%), cuff cellulitis (0.6%), vesicovaginal fistula (0.6%) and unexplained fever (0.6%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>According to the results of current study, the use of unidirectional barbed suture without backward stitching appears to be safe for the vaginal cuff closure in TLH.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.13696","type":"journal-article","created":{"date-parts":[[2018,7,19]],"date-time":"2018-07-19T00:10:18Z","timestamp":1531959018000},"page":"1793-1799","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Unidirectional barbed suture for vaginal cuff closure without backward stitch in total laparoscopic hysterectomy"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5390-6637","authenticated-orcid":false,"given":"Selim","family":"Misirlioglu","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology VKF Koc University Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aysen","family":"Boza","sequence":"additional","affiliation":[{"name":"Women's Health Center VKF American Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tonguc","family":"Arslan","sequence":"additional","affiliation":[{"name":"Women's Health Center VKF American Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bulent","family":"Urman","sequence":"additional","affiliation":[{"name":"Women's Health Center VKF American Hospital  Istanbul Turkey"},{"name":"Department of Obstetrics and Gynecology VKF Koc University School of Medicine  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cagatay","family":"Taskiran","sequence":"additional","affiliation":[{"name":"Women's Health Center VKF American Hospital  Istanbul Turkey"},{"name":"Department of Obstetrics and Gynecology VKF Koc University School of Medicine  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,18]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"CD003677","article-title":"Surgical approach to hysterectomy for benign gynaecological disease","volume":"8","author":"Aarts JW","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-015-3653-x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2011.01.002"},{"key":"e_1_2_7_5_1","first-page":"146","article-title":"Advances in suture material for obstetric and gynecologic surgery","volume":"2","author":"Greenberg JA","year":"2009","journal-title":"Rev Obstet Gynecol"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2012.01381.x"},{"key":"e_1_2_7_7_1","first-page":"107","article-title":"Barbed suture: A review of the technology and clinical uses in obstetrics and gynecology","volume":"6","author":"Greenberg JA","year":"2013","journal-title":"Rev Obstet Gynecol"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2013.09.014"},{"key":"e_1_2_7_9_1","first-page":"82","article-title":"The use of barbed sutures in obstetrics and gynecology","volume":"3","author":"Greenberg JA","year":"2010","journal-title":"Rev Obstet Gynecol"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-012-2214-9"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1553350614554235"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/srep23425"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2011.05.013"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.4293\/108680812X13462882736772"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.4293\/108680810X12924466007566"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2013.02.015"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2012.0079"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.06.006"},{"key":"e_1_2_7_19_1","first-page":"143","article-title":"Comparison between unidirectional barbed and polyglactin 910 suture in vaginal cuff closure in patients undergoing total laparoscopic hysterectomy","volume":"23","author":"Morgan\u2010Ortiz F","year":"2013","journal-title":"Surg Technol Int"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2014.03.012"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.4293\/108680813X13693422518795"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10397-012-0745-5"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(15)30862-8"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000115507.26155.45"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.4293\/JSLS.2013.00351"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2012.07.015"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2015.05.007"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181af68c6"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2011.03.011"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjog.13696","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.13696","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T14:36:34Z","timestamp":1694961394000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.13696"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,18]]},"references-count":28,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1111\/jog.13696"],"URL":"https:\/\/doi.org\/10.1111\/jog.13696","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,18]]},"assertion":[{"value":"2017-10-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}