妇科手术剖腹术后皮肤缝合的随机试验。
Randomized trial of skin closure after laparotomy for gynaecological surgery.
作者信息
Obermair Andreas, Crandon Alex, Perrin Lewis, Walsh Tom, Carrazo Marcelo, Nicklin James
机构信息
Royal Brisbane and Women's Hospital, Queensland Centre for Gynaecological Cancer, Brisbane, Queensland, Australia.
出版信息
ANZ J Surg. 2007 Jun;77(6):460-3. doi: 10.1111/j.1445-2197.2007.04095.x.
BACKGROUND
New suture materials may provide patients with a better cosmetic outcome at similar pain and wound complication rate.
METHODS
To assess pain and cosmetic outcome among patients randomized to receive wound closure after laparotomy for gynaecological surgery using staples, polyglecaprone 25 or polyglecaprone 6211 subcuticular sutures.
RESULTS
Overall, 90 patients (87.4% consent rate) were randomized. There was no difference in wound complications and pain between the three groups. Patients randomized to polyglecaprone 6211 subcuticular sutures rated the cosmetic result at 1 and 6 weeks after surgery somewhat lower than patients randomized to the two alternative groups; however, at 3 months after surgery, all three groups rated the cosmetic result as similar.
CONCLUSIONS
This study suggests that the three wound closure methods have similar short-term pain and cosmetic outcomes, as well as a similar rate of wound complications, leaving the decision of the most appropriate closure method to individual surgeons.
背景
新型缝合材料可能在相似的疼痛和伤口并发症发生率情况下为患者带来更好的美容效果。
方法
评估随机接受妇科剖腹手术后使用吻合钉、聚乙醇酸25或聚乙醇酸6211皮下缝合线进行伤口闭合的患者的疼痛和美容效果。
结果
总体而言，90例患者（同意率87.4%）被随机分组。三组之间伤口并发症和疼痛无差异。随机接受聚乙醇酸6211皮下缝合线的患者在术后1周和6周对美容效果的评分略低于随机接受另外两组方法的患者；然而，术后3个月时，所有三组对美容效果的评分相似。
结论
本研究表明，三种伤口闭合方法具有相似的短期疼痛和美容效果，以及相似的伤口并发症发生率，最合适的闭合方法由外科医生个人决定。
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