Song Taejong, Kim Tae-Joong, Kim Woo Young, Lee San-Hui
Department of Obstetrics & Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea; Department of Obstetrics & Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Republic of Korea.
Department of Obstetrics & Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Eur J Obstet Gynecol Reprod Biol. 2015 Feb;185:99-102. doi: 10.1016/j.ejogrb.2014.11.022. Epub 2014 Dec 15.
To compare the surgical outcomes between uterine wall repairs using barbed suture versus traditional suture during laparoendoscopic single-site myomectomy (LESS-M).
Data were prospectively collected from 60 consecutive patients with uterine myomas at three institutions. Patients were managed by LESS-M with either traditional suture (the first 30 patients) or barbed suture (the next 30 patients). Operative time, blood loss, and technical difficulty were assessed for each patient.
Patient characteristics (age, body mass index, other demographic data, number of myomas, and location and size of the largest myoma) were similar between the two study groups. No significant differences in operative complications, failure rate of the intended surgeries, degree of postoperative pain, or hospital stay duration were observed between the two groups. The use of barbed suture significantly reduced the suturing time for treating the uterine wall defects (P=0.014), as well as the total operative time (P=0.027). The use of barbed suture was also associated with less operative blood loss (P=0.040) and less technical difficulty (P=0.001) compared with traditional suture.
The use of barbed suture in LESS-M effectively reduces the time required for suturing, thereby decreasing the total operative time, the operative blood loss, and the surgical difficulty.
比较在单孔腹腔镜子宫肌瘤切除术（LESS-M）中使用倒刺缝线与传统缝线进行子宫壁修复的手术效果。
前瞻性收集了来自三个机构的60例连续子宫肌瘤患者的数据。患者接受LESS-M治疗，其中前30例使用传统缝线，后30例使用倒刺缝线。评估每位患者的手术时间、失血量和技术难度。
两个研究组的患者特征（年龄、体重指数、其他人口统计学数据、肌瘤数量以及最大肌瘤的位置和大小）相似。两组在手术并发症、预期手术失败率、术后疼痛程度或住院时间方面均未观察到显著差异。使用倒刺缝线显著缩短了治疗子宫壁缺损的缝合时间（P = 0.014）以及总手术时间（P = 0.027）。与传统缝线相比，使用倒刺缝线还与较少的手术失血量（P = 0.040）和较低的技术难度（P = 0.001）相关。
在LESS-M中使用倒刺缝线可有效减少缝合所需时间，从而缩短总手术时间、减少手术失血量并降低手术难度。
