Dr Moya is the Director of the Center for Aesthetics and Cosmetic Surgery and MWL Body Contouring Program, Geisinger Health System, Danville, Pennsylvania.
Aesthet Surg J. 2013 Sep;33(3 Suppl):57S-71S. doi: 10.1177/1090820X13499577.
Wound-closing technology continues to evolve with the advent of barbed sutures, which appear to address some of the limitations of traditional sutures (numerous knots and time-consuming insertion, among other things). Advantages of knotless suture devices, specifically in body contouring, have been discussed in the literature over the past decade, with a recent increase over the past several years due to the US Food and Drug Administration (FDA) approval of unidirectional V-Loc (Covidien, Mansfield, Massachusetts) and bidirectional Quill (Angiotech Pharmaceuticals, Inc, Vancouver, British Columbia, Canada) barbed sutures for soft tissue approximation. A thorough review of the existing literature and evaluation of the author's personal experience are presented in this article. As with any new surgical device, a learning curve is present that needs to be overcome to realize the full benefits of utilizing barbed sutures in body surgery while minimizing their complications.
随着带倒刺缝线的出现，伤口闭合技术不断发展，这种缝线似乎解决了传统缝线的一些局限性（例如需要打多个结，缝线插入时间长等）。在过去十年的文献中，已经讨论了无结缝线器械的优点，特别是在身体塑形方面，近年来由于美国食品和药物管理局（FDA）批准了单向 V-Loc（Covidien，马萨诸塞州曼斯菲尔德）和双向 Quill（安斯泰来制药公司，不列颠哥伦比亚省温哥华，加拿大）带倒刺缝线用于软组织接近，这种讨论有所增加。本文对现有文献进行了全面回顾，并评估了作者的个人经验。与任何新的手术设备一样，都存在一个需要克服的学习曲线，以便在最大限度地减少并发症的同时，充分利用带倒刺缝线在身体手术中的优势。
