Müller R, Köhler R, Schultze H, Wolansky D
Frauenklinik Bezirkskrankenhauses Halberstadt.
Zentralbl Gynakol. 1990;112(13):803-9.
Using a retrospective investigation the authors demonstrate the advantage of the modified Sarafoff-suture (a one layer suture of the myometrium) in comparison with the two-layer suture. The results shows a lower rate of febrile courses, less postoperative complications and a shorter hospital stay. The first clinical experiences showed less scar complications in the courses of vaginal delivery in patients with a previous caesarean section. Therefore, the authors advise the modified Sarafoff-suture for wound closure in caesarean section.
作者通过回顾性调查证明了改良的萨拉福缝合法(子宫肌层单层缝合)相较于双层缝合法的优势。结果显示,发热病程发生率更低、术后并发症更少且住院时间更短。首批临床经验表明,既往有剖宫产史的患者经阴道分娩过程中瘢痕并发症较少。因此,作者建议在剖宫产手术中采用改良的萨拉福缝合法进行伤口缝合。