Greenberg James A, Einarsson Jon I
Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts 02130, USA.
J Minim Invasive Gynecol. 2008 Sep-Oct;15(5):621-3. doi: 10.1016/j.jmig.2008.06.004. Epub 2008 Jul 10.
Bidirectional barbed suture is a new design that incorporates tiny barbs spaced evenly along the length of the suture cut facing in opposite directions from the midpoint. Unlike the smooth-textured traditional suture, the bidirectional barbs on this new product introduce a new paradigm in which wound tension is evenly distributed across the length of the suture line rather than at the knotted end. No knots are required with bidirectional barbed suture. We present a small case series with bidirectional barbed suture to close myometrial defects in laparoscopic myomectomies and vaginal cuffs in total laparoscopic hysterectomies. On the basis of our early experience, we are optimistic that this new suture material is a potentially valuable tool for gynecologic surgeons.
双向倒刺缝线是一种新设计，其在缝线切口的长度方向上均匀分布着微小的倒刺，这些倒刺从中点向相反方向排列。与质地光滑的传统缝线不同，这种新产品上的双向倒刺引入了一种新的模式，即伤口张力沿缝线长度均匀分布，而不是集中在打结端。双向倒刺缝线无需打结。我们展示了一个小病例系列，使用双向倒刺缝线来闭合腹腔镜子宫肌瘤切除术中的子宫肌层缺损以及全腹腔镜子宫切除术中的阴道残端。基于我们的早期经验，我们乐观地认为这种新型缝合材料对于妇科外科医生来说是一种潜在的有价值的工具。
