Reproductive outcome after laparoscopic ovarian cystectomy using barbed sutures versus conventional smooth sutures: A retrospective cohort study

Jing Ouyang, Huan Dong, Chenxuan Wei, Ruoer Yu, Siqin Yang, Hong Xu
International Journal of Gynecology & Obstetrics · 2024 · vol. 166(3) , pp. 1351–1358 · doi:10.1002/ijgo.15523 · PMID:38607329 · W4394749526
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

Laparoscopic ovarian cystectomy with barbed sutures showed comparable reproductive outcomes and ovarian reserve to conventional sutures, but with shorter surgical times.

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This retrospective cohort study compared reproductive outcomes and ovarian reserve in patients undergoing laparoscopic cystectomy for benign non-endometriotic ovarian cysts using either barbed or conventional smooth sutures. The results indicated that while barbed sutures significantly reduced surgical duration, they yielded pregnancy rates comparable to those of conventional sutures without adversely affecting anti-Müllerian hormone levels. The authors concluded that barbed sutures offer a viable alternative with higher efficiency, though the study explicitly excluded endometriomas from its patient population. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

OBJECTIVE: To investigate the effects of barbed and conventional sutures on reproductive outcomes and ovarian reserve after laparoscopic treatment for benign non-endometrioma ovarian cysts. METHODS: This retrospective study was conducted at an affiliated women's hospital between May 2017 and December 2019. Patients with benign non-endometriotic ovarian cysts undergoing laparoscopic cystectomy were included. RESULTS: Patients received barbed sutures (221 patients) or conventional smooth sutures (203 patients) intraoperatively. The two groups had comparable baseline characteristics. The surgical duration and ovarian suturing time were significantly shorter in the barbed suture group than in the conventional smooth suture group (P  0.05). A total of 316 (74.53%) patients experienced at least one pregnancy postoperatively: 170 (76.92%) and 146 (71.92%) patients in the barbed suture and conventional smooth suture groups, respectively (χ2 = 1.395, P = 0.238). Multivariate Poisson regression demonstrated that barbed sutures had no significant effect on the overall postoperative pregnancy rate (adjusted incidence rate ratio, 1.10; 95% confidence interval, 0.93-1.36; P = 0.382). CONCLUSION: In patients with benign non-endometriotic ovarian cysts undergoing laparoscopic ovarian cystectomy, barbed sutures had a reproductive outcome similar to that of conventional smooth sutures while providing higher surgical efficiency without adverse effects on the postoperative ovarian reserve. Barbed sutures are probably a viable option to conventional smooth sutures.
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Abstract

Objective To investigate the effects of barbed and conventional sutures on reproductive outcomes and ovarian reserve after laparoscopic treatment for benign non-endometrioma ovarian cysts.

Methods

This retrospective study was conducted at an affiliated women's hospital between May 2017 and December 2019. Patients with benign non-endometriotic ovarian cysts undergoing laparoscopic cystectomy were included.

Results

Patients received barbed sutures (221 patients) or conventional smooth sutures (203 patients) intraoperatively. The two groups had comparable baseline characteristics. The surgical duration and ovarian suturing time were significantly shorter in the barbed suture group than in the conventional smooth suture group (P 0.05). A total of 316 (74.53%) patients experienced at least one pregnancy postoperatively: 170 (76.92%) and 146 (71.92%) patients in the barbed suture and conventional smooth suture groups, respectively (χ2 = 1.395, P = 0.238). Multivariate Poisson regression demonstrated that barbed sutures had no significant effect on the overall postoperative pregnancy rate (adjusted incidence rate ratio, 1.10; 95% confidence interval, 0.93–1.36; P = 0.382).

Conclusion

In patients with benign non-endometriotic ovarian cysts undergoing laparoscopic ovarian cystectomy, barbed sutures had a reproductive outcome similar to that of conventional smooth sutures while providing higher surgical efficiency without adverse effects on the postoperative ovarian reserve. Barbed sutures are probably a viable option to conventional smooth sutures. CONFLICT OF INTEREST STATEMENT All authors declare no conflicts of interest. DATA AVAILABILITY STATEMENT The data and materials are available from the corresponding author on reasonable request.

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Condition tags

endometrioma

MeSH descriptors

Laparoscopy Laparoscopy Laparoscopy Ovarian Cysts Ovarian Cysts Sutures Sutures Suture Techniques Suture Techniques Suture Techniques Adult Female Humans Operative Time Ovarian Reserve Pregnancy Pregnancy Rate Retrospective Studies

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