Hart Stuart, Sobolewski Craig J
USF Health Center for Advanced Medical Learning and Simulation (CAMLS) University of South Florida Morsani College of Medicine Tampa Bay, Florida.
Division of Minimally Invasive Gynecologic Surgery Department of Obstetrics and Gynecology Duke University Durham, North Carolina.
Surg Technol Int. 2013 Sep;23:161-5.
Laparoscopic suturing and knot tying are some of the most difficult surgical skills to acquire, and are often times regarded as a rate-limiting step in the performance of advanced gynecologic endoscopic procedures. Automated suturing devices can significantly decrease the steep learning curve of this task but still require laparoscopic knot tying. Barbed sutures offer several advantages including rapid, consistent wound closure with even distribution of tension across the wound, the suture holds tension on its own, the need for knot tying with associated issues related to suture tensile strength and knot security is eliminated, and suturing time is decreased. Use of a barbed suture with an automated suturing device can offer many advantages to both the novice and the experienced surgeon, including increased efficiency, more uniform wound closure, and the ability to perform a laparoscopic continuous running stitch without the need for intracorporeal knot tying.
腹腔镜缝合和打结是最难掌握的一些外科技术，常常被视为高级妇科内镜手术操作中的一个限速步骤。自动缝合装置可显著降低这项任务陡峭的学习曲线，但仍需要腹腔镜打结。倒刺缝线具有多个优点，包括快速、一致地闭合伤口，张力在伤口上均匀分布，缝线自身即可保持张力，消除了与缝线抗张强度和结安全性相关的打结需求，并且缩短了缝合时间。将倒刺缝线与自动缝合装置结合使用，可为新手和经验丰富的外科医生带来诸多优势，包括提高效率、使伤口闭合更均匀，以及能够进行腹腔镜连续缝合而无需体内打结。
