García Seguí, Alejandro JoséVerges, A.Galán-Llopis, J. A.García Tello, AnaFata Chillón, Fernando Ramón deAngulo Cuesta, Javier2015-07-252015-07-252015Garcia-Segui, A., Verges, A., Galán-Llopis, J. A., Garcia-Tello, A., de Fata, F. R., & Angulo, J. C. (2015). “Knotless” laparoscopic extraperitoneal adenomectomy. Actas Urológicas Españolas (English Edition), 39(2), 128-136.0210480616797980http://hdl.handle.net/11268/4251Laparoscopic adenomectomy is a feasible and effective surgical procedure. We have progressively simplified the procedure using barbed sutures and a technique we call “knotless” laparoscopic adenomectomy. We present a prospective, multicenter, descriptive study that reflects the efficacy and safety of this technique in an actual, reproducible clinical practice situation. A total of 26 patients with benign prostatic hyperplasia of considerable size (> 80 cc) underwent “knotless” laparoscopic adenomectomy. This is an extraperitoneal laparoscopic technique with 4 trocars based on the controlled and hemostatic enucleation of the adenoma using ultrasonic scalpels, precise urethral sectioning under direct vision assisted by a urethral plug, trigonization using barbed suture covering the posterior wall of the fascia, capsulorrhaphy with barbed suture and extraction of the morcellated adenoma through the umbilical incision.engHipertrofia prostática benignaAdenomectomía laparoscópicaSutura barbadajournal article10.1016/j.acuroe.2015.01.004restricted accessUrologíaCirugía