Department of Obstetrics and Gynaecology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Department of Obstetrics and Gynaecology, San Paolo Hospital, Savona, Italy.
Eur J Obstet Gynecol Reprod Biol. 2013 Sep;170(1):219-21. doi: 10.1016/j.ejogrb.2013.06.006. Epub 2013 Jun 29.
Hysterectomy represents one of the most performed procedures in gynecological surgery. The minimally invasive approach increases patients' benefits and reduces hospitalization costs. The aim of this study was to demonstrate the efficacy and safety of double barbed suture in vaginal cuff closure during total laparoscopic hysterectomy.
A retrospective cohort study of 88 consecutive patients treated with total laparoscopic hysterectomy for benign or precancerous conditions was undertaken from January 2010 to December 2011. Vaginal cuff suture was performed with traditional interrupted suture with polycolic acid (Vicryl™) in 40 patients and with bidirectional barbed device, Quill SRS™, in 48 patients.
No difference in vaginal cuff dehiscence, major vaginal bleeding or spotting, and infection was evident between the two groups, with significant reduction in operative times for the bidirectional barbed suture group.
Vaginal cuff suture performed with bidirectional barbed QUILL SRS™ is a safe and well-tolerated procedure that reduces operative times.
子宫切除术是妇科手术中最常进行的手术之一。微创方法增加了患者的获益并降低了住院费用。本研究旨在证明双倒刺缝线在全腹腔镜子宫切除术中用于阴道残端关闭的疗效和安全性。
这是一项回顾性队列研究，纳入了 2010 年 1 月至 2011 年 12 月期间因良性或癌前病变接受全腹腔镜子宫切除术的 88 例连续患者。40 例患者采用传统间断缝合聚乙醇酸缝线（Vicryl™）缝合阴道残端，48 例患者采用双向倒刺装置 Quill SRS™缝合阴道残端。
两组患者在阴道残端裂开、大量阴道出血或渗血以及感染方面无差异，但双向倒刺缝合组的手术时间明显缩短。
采用双向倒刺 Quill SRS™缝合阴道残端是一种安全且耐受良好的手术方法，可缩短手术时间。
