Recommended Suture Types for Oophorectomy Procedures
For oophorectomy procedures, delayed absorbable monofilament sutures such as poliglecaprone (Monocryl) are recommended as the primary choice due to less bacterial seeding and reduced infection risk compared to multifilament options. 1
Optimal Suture Selection
- Monofilament absorbable sutures are preferred for oophorectomy as they cause less bacterial seeding and may reduce infection risk in gynecological procedures 1
- Poliglecaprone 25 (Monocryl) is particularly advantageous as it provides excellent handling properties, minimal resistance during passage through tissue, and excellent tensile properties 2
- Poliglecaprone 25 has been shown to have significantly lower suture extrusion rates (3.1%) compared to polyglactin-910 (Vicryl) (11.4%), making it preferable for procedures like oophorectomy 3
- Alternative options include chromic catgut and polyglactin 910 (Vicryl), though evidence doesn't strongly favor one particular suture type over poliglecaprone 1
Suturing Technique
- Continuous non-locking suturing techniques are preferred over interrupted sutures as they distribute tension more evenly across the suture line 1, 4
- Continuous suturing has been associated with lower rates of wound dehiscence compared to interrupted suturing techniques 4
- For oophorectomy procedures performed as part of comprehensive surgical staging for ovarian cancer, careful attention to suturing technique is essential to achieve optimal cytoreduction 5
Specific Considerations for Oophorectomy
- When performing oophorectomy as part of gynecological cancer surgery, the choice of suture material should support the goal of keeping encapsulated masses intact during removal 5
- For bilateral salpingo-oophorectomy procedures, the same suture recommendations apply, with careful attention to hemostasis 5
- In cases where oophorectomy is performed as part of fertility-sparing surgery (unilateral salpingo-oophorectomy), meticulous suturing technique is particularly important to preserve remaining reproductive function 5
Postoperative Considerations
- Monocryl sutures provide approximately 20-30% in vivo breaking strength retention after 2 weeks, which is considered the critical wound healing period 2
- Complete absorption of poliglecaprone 25 sutures occurs between 91-119 days post-implantation, with minimal tissue reaction 2
- Continuous suturing with absorbable sutures eliminates the need for suture removal and provides longer wound support, which may contribute to reduced wound dehiscence rates 4
Potential Complications to Monitor
- Monitor for signs of infection, including increasing pain, redness, swelling, or discharge at the surgical site 6
- Avoid overly tight sutures that can strangulate tissue and impair healing, particularly important in vascular areas like the ovarian pedicle 1
- Consider the mobility and tension of the surgical area when selecting suture material strength and size 1