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| LETTER TO THE EDITOR |
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| Year : 2019 | Volume
: 8
| Issue : 1 | Page : 48 |
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Stratafix for the vaginal stump in laparoscopic hysterectomy
Beuy Joob1, Viroj Wiwanitkit2
1 Medical Academic Center, Bangkok, Thailand
2 Department of Community Medicine, Dr. DY Patil University, Pune, Maharashtra, India
| Date of Submission | 30-Oct-2018 |
| Date of Decision | 06-Nov-2018 |
| Date of Acceptance | 13-Nov-2018 |
| Date of Web Publication | 23-Jan-2019 |
Correspondence Address:
Dr. Beuy Joob
Medical Academic Center, Bangkok
Thailand
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/GMIT.GMIT_111_18
How to cite this article:
Joob B, Wiwanitkit V. Stratafix for the vaginal stump in laparoscopic hysterectomy. Gynecol Minim Invasive Ther 2019;8:48 |
To the Editor,
We read the publication on “New continuous barbed suture device with stratafix (SF) for the vaginal stump in laparoscopic hysterectomy” with a great interest.[1] Yanazume et al. concluded that “SF suturing facilitates the vaginal stump closure in total laparoscopic hysterectomy (TLH) without increasing the complications. SF allowed vaginal stump approximation and reduced the operative burden, especially in less experienced operators.”[1] The use of SF might be helpful in reducing the time for suturing. However, there are still many considerations. First, the problem of wound breakage after SF is still possible and there is still a requirement for good wound care, complication surveillance, and management.[2] The cost of the SF is interesting. There should be a proof that SF is cost-effective comparing to standard classical technique. In the previous report on knee surgery, SF can significantly reduce time of surgery and might imply for the cost-effectiveness.[3]
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Yanazume S, Togami S, Fukuda M, Kawamura T, Kamio M, Ota S, et al. New continuous barbed suture device with stratafix for the vaginal stump in laparoscopic hysterectomy. Gynecol Minim Invasive Ther 2018;7:167-71.  [ PUBMED] [Full text] |
| 2. | Hughes J, Ballard DH, Macieski F, Ho MT, Caldito G, Valiulis J, et al. Wound breakdown with stratafix versus monocryl suture in aesthetic and reconstructive plastic surgery: Data from a single surgeon. Am Surg 2017;83:e4-5. |
| 3. | Chan VW, Chan PK, Chiu KY, Yan CH, Ng FY. Does barbed suture lower cost and improve outcome in total knee arthroplasty? A randomized controlled trial. J Arthroplasty 2017;32:1474-7. |
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