Morgan-Ortiz Fred, Contreras-Soto Juan Omar, Soto-Pineda Juan M, Zepeda Marco A López A López, Peraza-Garay Felipe J
Laparoscopic Diploma Course Program Coordinator Investigation and Teaching Center for Health Sciences Autonomous University of Sinaloa, Culiacan Civil Hospital Sinaloa, Mexico.
Investigation and Teaching Center for Health Sciences Autonomous University of Sinaloa, Culiacan Civil Hospital, Sinaloa, Mexico.
Surg Technol Int. 2013 Sep;23:143-8.
The aim of the study was to compare the efficacy and safety of barbed unidirectional vs. polyglactin 910 suture in vaginal cuff closure on patients submitted to total laparoscopic hysterectomy. From November 2011 until March 2012, a prolective, comparative, longitudinal, non-randomized study was performed on patients submitted to total laparoscopic hysterectomy (TLH). On entry, patients were assigned to two different groups, Group 1: Vaginal cuff closure with unidirectional #00 (n = 25) barbed suture, and Group 2: Vaginal cuff closure with polyglactin 910 #1 suture. The length of closure time and the frequency of dehiscence in vaginal vault were measured on the 14th postoperative day. We did not find significant differences between the groups on the general characteristic analysis. However, significant differences were found (P = .029) in the average vaginal cuff closure time (12.7 ± 3.1 min. for barbed suture group vs. 20.4 ± 7.1 min. for polyglactin 910 group). No dehiscence case was found in any group. Based on the results of this study, we can conclude that unidirectional barbed suture reduces the surgical time for vaginal cuff closure during total laparoscopic hysterectomy and doesn't increase the vaginal cuff dehiscence risk.
本研究的目的是比较倒刺单向缝线与聚乙醇酸910缝线在全腹腔镜子宫切除术中阴道残端闭合的有效性和安全性。2011年11月至2012年3月，对接受全腹腔镜子宫切除术（TLH）的患者进行了一项前瞻性、比较性、纵向、非随机研究。纳入时，患者被分为两组，第1组：用单向#00（n = 25）倒刺缝线进行阴道残端闭合，第2组：用聚乙醇酸910 #1缝线进行阴道残端闭合。在术后第14天测量阴道穹窿的闭合时间长度和裂开频率。在一般特征分析中，我们未发现两组之间存在显著差异。然而，在平均阴道残端闭合时间上发现了显著差异（P = .029）（倒刺缝线组为12.7 ± 3.1分钟，聚乙醇酸910组为20.4 ± 7.1分钟）。两组均未发现裂开病例。基于本研究结果，我们可以得出结论，倒刺单向缝线可减少全腹腔镜子宫切除术中阴道残端闭合的手术时间，且不会增加阴道残端裂开风险。
