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Hur and colleagues reviewed their hospital rates of dehiscence over ten years and reported a 1. With all suturing performed laparoscopically, we report a dehiscence rate of 0. This study does not support the conclusions of Uccella et al. Effective knot tying and suture reliability are key features of both of the two sutures used over the duration of the study period, resulting in excellent reliability in tissue fixation for the entire period.
No dehiscences occurred in the second half of the nearly one thousand patients in whom Vicryl suture with a knot pusher was used. No study has ever reported such detail as to whether the visualized sutures at the dehisced vaginal apex had broken or whether the knots had become untied, and we did not observe those features either.
In the present study, all dehiscences in our series occurred exclusively early in the first one-quarter of the series and resolved well before any change of suture, with no dehiscence occurrence during the latter half of the use of the first type of suture.
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