American Journal of Obstetrics & Gynecology
Volume 200, Issue 5 , Pages e18-e20 , May 2009

An evaluation of knot integrity when tied robotically and conventionally

  • Tyler Muffly, MD

      Affiliations

    • Department of Obstetrics and Gynecology, University of Missouri at Kansas City, Kansas City, MO
    • Corresponding Author InformationReprints: Tyler Muffly, MD, University of Missouri at Kansas City, 2301 Holmes Street, OB/GYN Offices, Kansas City, KS 64108
    • ,
  • T. Chad McCormick, DO

      Affiliations

    • Department of Obstetrics and Gynecology, University of Missouri at Kansas City, Kansas City, MO
    • ,
  • Julianne Dean, BA

      Affiliations

    • Arizona College of Osteopathic Medicine, Glendale, AZ
    • ,
  • Aaron Bonham, MS

      Affiliations

    • Department of Obstetrics and Gynecology, University of Missouri at Kansas City, Kansas City, MO
    • ,
  • Richard F.C. Hill, MD

      Affiliations

    • Department of Obstetrics and Gynecology, University of Missouri at Kansas City, Kansas City, MO
    • St. Luke's Hospital, Kansas City, MO

Received 30 June 2008 ,Revised 20 August 2008 ,Accepted 29 August 2008.

References 

  1. Elliott D, Siddiqui S, Chow G. Assessment of the durability of robot-assisted laparoscopic sacrocolpopexy for treatment of vaginal vault prolapse. J Robotic Surg. 2007;1:163–168
  2. Beste TM, Nelson KH, Daucher JA. Total laparoscopic hysterectomy utilizing a robotic surgical system. JSLS. 2005;9:13–15
  3. Schubert DC, Unger JB, Mukherjee D, et al. Mechanical performance of knots using braided and monofilament absorbable sutures. Am J Obstet Gynecol. 2002;187:1438–1442
  4. Trimbos JB. Security of various knots commonly used in surgical practice. Obstet Gynecol. 1984;64:274–280
  5. Behm T, Unger JB, Ivy JJ, et al. Flat square knots: are 3 throws enough?. Am J Obstet Gynecol. 2007;197:172.e1–172.e3
  6. Kadirkamanathan SS, Shelton JC, Hepworth CC, Laufer JG, Swain CP. A comparison of the strength of knots tied by hand and at laparoscopy. J Am Coll Surg. 1996;182:46–54
  7. Trimbos JB, Brohim R, van Rijssel EJ. Factors relating to the volume of surgical knots. Int J Gynaecol Obstet. 1989;30:355–359
  8. Tera H, Aberg C. Tissue strength of structures involved in musculoaponeurotic layer sutures in laparotomy incisions. Acta Chir Scand. 1976;142:349–355

 Accepted for the 29th American Urogynecologic Society Annual Scientific Meeting, Sept. 4-6, 2008, Chicago, IL.

 Authorship and contribution to the article is limited to the 5 authors indicated. This study was funded through an institutional Grant from the St. Luke's Hospital Foundation.

PII: S0002-9378(08)01027-2

doi: 10.1016/j.ajog.2008.08.058

American Journal of Obstetrics & Gynecology
Volume 200, Issue 5 , Pages e18-e20 , May 2009

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