Fleming N
J Nurse Midwifery. 1990 Jan-Feb;35(1):19-25. doi: 10.1016/0091-2182(90)90053-8.
The author's clinical experience, research results, and review of relevant literature suggest that a one-suture, nonlock continuous stitch technique for repairing perineal wounds may reduce postpartum perineal pain. The principles of this alternative suturing method involve taking large bites of tissue with continuous nonlocking stitches, avoiding several layers of suture material, approximating wound edges loosely, and placing subcuticular sutures well below the skin surface. No recommendation for a specific type of absorbable suture material is made. Research trials to document clinical observations and literature reports are needed.
作者的临床经验、研究结果以及对相关文献的综述表明，一种用于修复会阴伤口的单缝线、非锁定连续缝合技术可能会减轻产后会阴疼痛。这种替代缝合方法的原则包括用连续非锁定缝线大量咬取组织、避免多层缝合材料、宽松地对合伤口边缘以及将皮下缝线置于皮肤表面以下较深位置。未对特定类型的可吸收缝合材料提出建议。需要进行研究试验以记录临床观察结果和文献报告。
