Grin Leonti, Namazov Ahmet, Ivshin Ale, Rabinovich Mark, Shochat Victoria, Shenhav Simon, Gemer Ofer, Zohav Efraim, Anteby Eyal Y
Department of Obstetrics and Gynecology, Barzilai University Medical Center, Faculty of Health Sciences, Ben-Gurion University of Negev, Ashkelon, Israel.
Department of Obstetrics and Gynecology, Barzilai University Medical Center, Faculty of Health Sciences, Ben-Gurion University of Negev, Ashkelon, Israel.
J Obstet Gynaecol Can. 2019 Nov;41(11):1571-1578. doi: 10.1016/j.jogc.2019.01.011. Epub 2019 Mar 16.
This study sought to compare the short-term outcome of uterine incision repair during a Caesarean section (CS) using a bidirectional knotless barbed suture versus polyglactin suture.
A randomized controlled trial was conducted at a university hospital. Participants undergoing a CS were randomly assigned to uterine incision closure by bidirectional knotless barbed suture (group A) or polyglactin (group B). The primary outcome was the time needed to repair the uterine incision. The analysis was by intent to treat. A sample size of 35 per group (n = 70) was planned to detect a 30% reduction in uterine repair time (Canadian Task Force Classification I).
From July 2016 through October 2017, 150 women were screened, and 70 were statistically analyzed: group A (n = 35) and group B (n = 35). Time to complete uterine incision repair was 308 ± 57 seconds for group A and 411 ± 74 seconds for group B (P < 0.001). Total surgery time (33.4 ± 8.8 minutes vs. 33.2 ± 7.5 minutes; P = 0.64) was not significantly different between groups A and B, respectively.
Repair of the CS uterine incision with barbed suture compared with polyglactin suture reduces suturing time.
本研究旨在比较剖宫产术中使用双向无结倒刺缝线与聚乙醇酸缝线修复子宫切口的短期效果。
在一所大学医院进行了一项随机对照试验。接受剖宫产的参与者被随机分配用双向无结倒刺缝线（A组）或聚乙醇酸缝线（B组）关闭子宫切口。主要结局是修复子宫切口所需的时间。分析采用意向性分析。计划每组样本量为35例（n = 70），以检测子宫修复时间减少30%（加拿大工作组分类I）。
2016年7月至2017年10月，共筛查了150名女性，其中70名进行了统计学分析：A组（n = 35）和B组（n = 35）。A组完成子宫切口修复的时间为308±57秒，B组为411±74秒（P < 0.001）。A组和B组的总手术时间分别为33.
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