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01-12-2013 | Original Article

Unfavorable outcomes of laparoscopic pyeloplasty using barbed sutures: a multi-center experience

Authors: Evangelos Liatsikos, Thomas Knoll, Iason Kyriazis, Ioannis Georgiopoulos, Panagiotis Kallidonis, Patrick Honeck, Jens Uwe Stolzenburg

Published in: World Journal of Urology | Issue 6/2013

Abstract

Purpose

Barbed self-retaining sutures (SRS) have been introduced as an advance in suture technology, facilitating reconstructive laparoscopic surgery. We present the experience of three centers performing laparoscopic pyeloplasty with the use of SRS.

Methods

Preoperative, intraoperative and follow-up data were collected for 6 patients undergoing pyeloplasty using the Quill SRS (Angiotech, Vancouver, CAN) in three centers. Standard laparoscopic pyeloplasty technique was used and a knot-less continuous anastomosis between the spatulated ureter and the renal pelvis was created.

Results

Knot-less uretero-pelvic anastomosis creation was feasible in all six cases. Peri-operative data were similar to standard pyeloplasty using conventional suture materials. A very high stricture recurrence rate (5/6 patients) was noted during follow-up. Further endourologic and open interventions were needed to address the recurrence of the strictures.

Conclusions

Knotless intracorporeal laparoscopic suturing using SRS for the reconstruction of UPJ during laparoscopic pyeloplasty is associated with high rates of stricture recurrence at least in the initial cases of each surgeon. Until further investigations elucidate the cause of treatment failure, SRS should not be recommended for upper urinary tract reconstruction.

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Title: Unfavorable outcomes of laparoscopic pyeloplasty using barbed sutures: a multi-center experience
Authors: Evangelos Liatsikos
Thomas Knoll
Iason Kyriazis
Ioannis Georgiopoulos
Panagiotis Kallidonis
Patrick Honeck
Jens Uwe Stolzenburg
Publication date: 01-12-2013
Publisher: Springer Berlin Heidelberg
Published in: World Journal of Urology / Issue 6/2013
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-012-1019-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Unfavorable outcomes of laparoscopic pyeloplasty using barbed sutures: a multi-center experience

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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