V1716 PEDIATRIC ROBOTIC PYELOPLASTY USING THE V-LOC BARBED SUTURE

Abstract

You have accessJournal of UrologyPediatrics & Reconstruction1 Apr 2011V1716 PEDIATRIC ROBOTIC PYELOPLASTY USING THE V-LOC BARBED SUTURE Daniel Su, Murali Ankem, and Joseph Barone Daniel SuDaniel Su New Brunswick, NJ More articles by this author , Murali AnkemMurali Ankem New Brunswick, NJ More articles by this author , and Joseph BaroneJoseph Barone New Brunswick, NJ More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.2041AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Dismembered pyeloplasty is the gold standard for treatment of symptomatic ureteropelvic junction obstruction (UPJO) in the pediatric population. Traditionally, delay absorbable sutures are used in running or interrupted fashion for the creation of a watertight pelvic closure. With the advancement in robotic surgery, pyeloplasty is performed frequently with robotic assistance. In this study we evaluate a new barbed suture for robotic pyeloplasty (RPP). Due to the presence of barbs, this suture does not requiring knot tying and is able to maintain tight closure during running sutures without added tension. We propose this is a safe and effective suture for RPP with the added advantage of maintaining a watertight closure at all times and convenience of not having to tie knots. METHODS We review a series of 3 pediatric RPP during which the V-Loc suture was used. We compare this series to a matched series of 3 pediatric RPP during which 3-0 Vicryl suture was used. All six patients are ages between 3 and 12, all had symptomatic UPJO with the finding of hydronephrosis on renal ultrasound and obstruction on MAG-3 Renal Scan. All patients underwent Cystoscopy with the placement of a multilength ureteral stent on the affected side prior to port placement. Pyeloplasty was done in the standard fashion with the assistance of the Da Vinci Robotic System. Postoperative all patients had a foley catheter in place, this was removed on postoperative day 1. A Jackson-Pratt drain was also left adjacent to the renal pelvis, this drain was removed once output was < 30 cc/ day. A JP creatinine was not checked in any patients. Patients were followed with a renal ultrasound 2 weeks postop. RESULTS Using V-Loc suture did not seem to affect OR time, JP removal time or LOHD in our series. All postop ultrasound showed reduced hydronephrosis. CONCLUSIONS The Covidien V-Loc suture is a safe and effective suture for use in pediatric RPP. It offers the convenience of not requiring knots thus adding surgeon ease and offers the advantage of a watertight closure at all times without added tension. This is a small series and will need to verified by larger, prospective studies. Comparison of the actual surgical time required using Vicryl sutures to V-Lock sutures may provide additional advantage in using this suture. Patient V-Loc Laterality of UPJO Operating time (min) Days to JP removal Length of hospital stay 1 Y RIGHT 150 1 2 2 Y Left 167 1 3 3 Y Left 184 1 2 4 N Right 177 1 2 5 N Left 165 2 3 6 N Left 152 1 3 © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e689 Peer Review Report Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Daniel Su New Brunswick, NJ More articles by this author Murali Ankem New Brunswick, NJ More articles by this author Joseph Barone New Brunswick, NJ More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...