{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T17:31:33Z","timestamp":1775151093237,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T00:00:00Z","timestamp":1740009600000},"content-version":"vor","delay-in-days":19,"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":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aims to evaluate the impact of two\u2010dimensional (2D) versus three\u2010dimensional (3D) imaging systems and barbed versus standard absorbable multifilament sutures on surgical times and complications in total laparoscopic hysterectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study was conducted at a tertiary hospital between May 2020 and September 2024. Patients who underwent total laparoscopic hysterectomy were categorized into four groups based on imaging system (UltraHD\u20102D vs. FullHD\u20103D) and suture type (VICRYL\u2122 multifilament suture interrupted figure\u2010of\u20108 technique vs. V\u2010LOC\u2122 barbed suture running technique). Primary outcomes included vaginal cuff closure time and total operation duration. Secondary outcomes were mean suturing time, perceived difficulty, and postoperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 159 patients were analyzed. Vaginal cuff closure time was significantly shorter with 3D imaging systems compared to 2D systems when VICRYL\u2122 sutures were used (13.85\u2009\u00b1\u20094.30 vs. 21.17\u2009\u00b1\u20095.13\u2009min, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). No significant difference was observed between imaging systems when V\u2010LOC\u2122 barbed sutures were used. Across both systems, V\u2010LOC\u2122 sutures consistently reduced suturing time compared to VICRYL\u2122 sutures (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Surgeon\u2010perceived difficulty was lower with V\u2010LOC\u2122 sutures, particularly in 2D systems. No significant difference in complication rates was observed between groups (<jats:italic>p<\/jats:italic>\u2009=\u20090.188).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The use of 3D imaging systems in total laparoscopic hysterectomy significantly reduces vaginal cuff closure duration and overall operative time with VICRYL\u2122 sutures, while V\u2010LOC\u2122 sutures consistently enable faster procedures across both imaging modalities. These findings suggest that 3D imaging systems and barbed sutures may enhance surgical efficiency without increasing complication rates.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.16251","type":"journal-article","created":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T01:08:21Z","timestamp":1740100101000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Comparing the impact of <scp>three\u2010dimensional<\/scp> display systems and barbed V\u2010<scp>LOC<\/scp>\u2122 sutures in laparoscopic hysterectomy: A retrospective cohort study"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1325-6294","authenticated-orcid":false,"given":"Can","family":"Tercan","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Basaksehir Cam and Sakura City Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1730-3724","authenticated-orcid":false,"given":"Emrah","family":"Dagdeviren","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Basaksehir Cam and Sakura City Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8149-6348","authenticated-orcid":false,"given":"Ali Selcuk","family":"Yeniocak","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Basaksehir Cam and Sakura City Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4927-0557","authenticated-orcid":false,"given":"Sultan","family":"Can","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Goztepe Prof. Dr. Suleyman Yalc\u0131n City Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3210-849X","authenticated-orcid":false,"given":"Fatih","family":"Aktoz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Acibadem University Atakent Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2009.01.003"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-06612-x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-014-3253-1"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-017-4637-9"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/sja.SJA_543_18"},{"issue":"1","key":"e_1_2_8_7_1","first-page":"57","article-title":"Total laparoscopic hysterectomy: 10 steps toward a successful procedure","volume":"2","author":"Einarsson JI","year":"2009","journal-title":"Rev Obstet Gynecol"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-023-07335-8"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.37984.623889.F6"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.5387\/fms.2017-22"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192114163"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-019-06886-9"},{"issue":"1","key":"e_1_2_8_13_1","first-page":"127","article-title":"A randomized, controlled trial comparing the clinical outcomes of 3D versus 2D laparoscopic hysterectomy","volume":"17","author":"Song T","year":"2022","journal-title":"Wideochir Inne Tech 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