A retrospective analysis of the efficacy of baseball suture method in single-port laparoscopic myomectomy

Abstract

Objective: To assess the hemostatic effect of baseball suture after myomectomy under single-port laparoscopy.

Methodology: Retrospective review of 91 patients admitted to Department of Gynecology, Jiaxing Maternity and Child Health Care Hospital from July 2021 to August 2023 who had myomas removed via single-port laparoscopy. We counted the suture method (traditional suture method vs baseball suture method) of each case divided into two groups (41 cases in control group; 50 cases in experimental group), and assessed the amount of intraoperative bleeding, postoperative hemoglobin decrease, and pelvic effusion. Propensity score matching (PSM) between groups was performed by the maximum diameter of the myoma, patient’s age, number of myomas, type of myoma, and location of myoma.

Results: After PSM, a total of 38 pairs were matched. The mean amount of intraoperative bleeding, postoperative hemoglobin decrease, and pelvic fluid accumulation in the control group were significantly higher than those in the experimental group (115.79ml vs 94.34ml; 16.55g/l vs 12.79g/l; 146.74ml vs 119.13ml, P<0.05). There was no significant difference in operation time between the two groups (83.84min vs 87.79min, P>0.05).

Conclusions: Our data suggested that using baseball suture method can significantly reduce the amount of intraoperative bleeding, postoperative hemoglobin decrease, and pelvic fluid accumulation in patients undergoing single-port laparoscopic myomectomy compared with traditional suture method. In addition, although using baseball suture method is more cumbersome, it does not significantly increase operation time.