Obstetrics, Gynecology and Women's Health Institute, The Cleveland Clinic, Cleveland, Ohio.
Obstetrics, Gynecology and Women's Health Institute, The Cleveland Clinic, Cleveland, Ohio.
J Minim Invasive Gynecol. 2014 Jan-Feb;21(1):27. doi: 10.1016/j.jmig.2013.09.007. Epub 2013 Oct 4.
To demonstrate the technique for closure of the uterine wall defect during minimally invasive myomectomy using unidirectional knotless barbed suture.
Step-by-step explanation of the technique using videos and pictures (educational video).
Women have a 70% to 80% lifetime risk of developing uterine leiomyomas. Myomectomy is a common procedure performed for conservative treatment of leiomyomas that is frequently performed using a minimally invasive technique. Knotless barbed sutures have recently been used successfully in minimally invasive myomectom procedures. Advantages of using barbed sutures in this setting include the ability to perform knotless suturing and rapid suture deployment, which may result in decreased operative time and blood loss. In addition, the tensile strength of the suture is maintained by the barbs, which facilitates the operative procedure and may potentially lead to a more even distribution of tension along the closure.
Closure of the uterine wall defect using unidirectional knotless barbed suture during minimally invasive myomectomy.
The use of unidirectional knotless barbed suture substantially facilitates closure of uterine defects during minimally invasive myomectomy and may offer additional advantages such as minimizing operative time.
展示在微创子宫肌瘤剔除术中使用单向无结带刺缝合线缝合子宫壁缺损的技术。
使用视频和图片（教学视频）逐步解释技术。
女性一生中患子宫肌瘤的风险为 70%至 80%。子宫肌瘤剔除术是一种常见的保守治疗子宫肌瘤的手术，通常采用微创技术进行。带刺无结缝线最近已成功用于微创子宫肌瘤剔除术。在这种情况下使用带刺缝线的优点包括能够进行无结缝合和快速缝线部署，这可能会减少手术时间和出血量。此外，缝线的张力强度由倒刺维持，这有利于手术操作，并可能导致张力更均匀地分布在缝合线上。
在微创子宫肌瘤剔除术中使用单向无结带刺缝合线缝合子宫壁缺损。
在微创子宫肌瘤剔除术中使用单向无结带刺缝合线可显著促进子宫缺陷的闭合，并可能具有最小化手术时间等额外优势。
