Kim Su Mi, Baek Jong Min, Song Jae Yen, Lee Sung Jong, Park Eun Kyung, Kim Chan Joo, Lee Yong Seok
Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea.
Department of General Surgery, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea.
Arch Gynecol Obstet. 2018 Mar;297(3):691-697. doi: 10.1007/s00404-017-4637-9. Epub 2017 Dec 30.
To compare surgical outcomes and complications of 334 women who underwent total laparoscopic hysterectomy with or without the use of barbed sutures for vaginal cuff closure.
A retrospective study was conducted on a cohort of women who underwent total laparoscopic hysterectomy for benign gynecologic diseases at Dae-Jeon St. Mary's Hospital, between May 2009 and May 2016. Surgical outcomes and complications were compared between the two groups.
A total of 334 women were included: 212 cases of vaginal cuff suture performed with traditional suture material and 122 cases of vaginal cuff suture performed with the barbed suture. No difference in major complications including vaginal bleeding and vaginal cuff dehiscence was found between the two groups, with a significant reduction in operative times for the barbed suture group (P = 0.002). Underlying clinical variables including diabetes, pelvic adhesion, and obesity showed no significant differences in complication rate.
Vaginal cuff suture performed with barbed suture material is a safe and well-tolerated procedure and reduces operative times. We did not find any meaningful decrease in postoperative vaginal complications including vaginal cuff dehiscence based on the suture material.
比较334例行全腹腔镜子宫切除术的女性患者，使用或不使用倒刺缝线进行阴道残端闭合的手术结果及并发症。
对2009年5月至2016年5月期间在大田圣母医院因良性妇科疾病接受全腹腔镜子宫切除术的一组女性患者进行回顾性研究。比较两组的手术结果及并发症。
共纳入334例女性患者：212例使用传统缝线材料进行阴道残端缝合，122例使用倒刺缝线进行阴道残端缝合。两组在包括阴道出血和阴道残端裂开在内的主要并发症方面无差异，倒刺缝线组手术时间显著缩短（P = 0.002）。包括糖尿病、盆腔粘连和肥胖在内的基础临床变量在并发症发生率方面无显著差异。
使用倒刺缝线材料进行阴道残端缝合是一种安全且耐受性良好的手术，可缩短手术时间。基于缝线材料，我们未发现包括阴道残端裂开在内的术后阴道并发症有任何有意义的减少。
