Bidirectional Barbed Suture for Bladder Neck Reconstruction, Posterior Reconstruction and Vesicourethral Anastomosis During Robot Assisted Radical Prostatectomy

Title
Bidirectional Barbed Suture for Bladder Neck Reconstruction, Posterior Reconstruction and Vesicourethral Anastomosis During Robot Assisted Radical Prostatectomy
Author(s)
고영휘Valero, R[Valero, R]Schatloff, O.[Schatloff, O.]Chauhan, S[Chauhan, S]Sivaraman, A.[Sivaraman, A.]Coelho, R. F[Coelho, R. F]Palmer, K. J[Palmer, K. J]Davila, H[Davila, H]Patel, V. R[Patel, V. R]
Keywords
STRICTURES; STRENGTH; OUTCOMES
Issue Date
201202
Publisher
ENE EDICIONES SL
Citation
ACTAS UROLOGICAS ESPANOLAS, v.36, no.2, pp.69 - 74
Abstract
Background: The urethrovesical anastomosis is a particular challenging step of robot assisted radical prostatectomy (RARP). Failure to achieve a watertight anastomosis is associated with postoperative urinary leak and its consequences, which include paralytic ileus, prolonged catheterization, urinary peritonitis and possibly re-intervention. The bidirectional barbed suture is a new technology that may lead to improve the quality of the urethrovesical anastomosis. Objective: To present our surgical technique of urethrovesical anastomosis, bladder neck reconstruction and posterior reconstruction, using a bidirectional barbed suture. Material and methods: The bladder neck reconstruction, posterior reconstruction and vesicourethral anastomosis were performed using a 2-0 synthetic absorbable bidirectional monofilament barbed suture Results: All cases were finished successfully without major complication or conversion to laparoscopic or open surgery. Conclusion: The authors successfully modified their RARP technique to take advantage of the properties of the bidirectional barbed suture. Comparative studies that evaluate objective outcomes such as leakage rates and operative time are needed to definitely establish the benefits of this device in comparison to the traditional absorbable monofilament. (C) 2011 AEU. Published by Elsevier Espana, S.L. All rights reserved.
URI
http://hdl.handle.net/YU.REPOSITORY/29818http://dx.doi.org/10.1016/j.acuro.2011.06.010
ISSN
0210-4806
Appears in Collections:
의과대학 > 비뇨기과학교실 > Articles
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