Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
J Minim Invasive Gynecol. 2011 Jan-Feb;18(1):92-5. doi: 10.1016/j.jmig.2010.10.003. Epub 2010 Nov 20.
To compare perioperative outcomes during laparoscopic myomectomy using a bidirectional barbed suture vs conventional smooth suture.
Retrospective analysis of 138 consecutive laparoscopic myomectomies performed by a single surgeon over 3 years (Canadian Task Force classification II-2).
Major university teaching hospital.
One hundred thirty-eight women with symptomatic uterine myomas.
In women undergoing laparoscopic myomectomy from February 2007 through April 2010, conventional smooth sutures were used in 31 patients, and bidirectional barbed suture in 107 patients.
The primary indications for laparoscopic myomectomy in either group were pelvic pain or pressure and abnormal uterine bleeding. Use of bidirectional barbed suture was found to significantly shorten the mean (SD) duration of surgery (118 [53] minutes vs 162 [69] minutes; p <.05) and reduce the duration of hospital stay (0.58 [0.46] days vs 0.97 [0.45] days; p <.05). No significant differences were observed between the 2 groups insofar as incidence of perioperative complications, estimated blood loss, and number or weight of myomas removed during surgery.
Use of bidirectional barbed suture seems to facilitate closure of the hysterotomy site in laparoscopic myomectomy.
比较使用双向倒刺缝线与传统光滑缝线进行腹腔镜子宫肌瘤剔除术的围手术期结果。
对一位外科医生在 3 年内进行的 138 例连续腹腔镜子宫肌瘤剔除术的回顾性分析（加拿大任务组分类 II-2）。
主要大学教学医院。
138 例有症状的子宫肌瘤妇女。
在 2007 年 2 月至 2010 年 4 月间接受腹腔镜子宫肌瘤剔除术的妇女中，31 例使用传统光滑缝线，107 例使用双向倒刺缝线。
两组腹腔镜子宫肌瘤剔除术的主要指征均为盆腔疼痛或压迫和异常子宫出血。使用双向倒刺缝线显著缩短了手术的平均（SD）时间（118 [53] 分钟与 162 [69] 分钟；p <.05）和减少了住院时间（0.58 [0.46] 天与 0.97 [0.45] 天；p <.05）。两组在围手术期并发症发生率、估计失血量、术中切除的肌瘤数量或重量方面无显著差异。
在腹腔镜子宫肌瘤剔除术中使用双向倒刺缝线似乎有助于缝合子宫切口。
