Ota Yoshiaki, Ota Kuniaki, Takahashi Toshifumi, Suzuki Soichiro, Sano Rikiya, Shiota Mitsuru
Department of Gynecological Oncology, Kawasaki Medical School, Kurashiki, Japan.
Fukushima Medical Center for Children and Women, Fukushima Medical University, Fukushima, Japan.
Gynecol Minim Invasive Ther. 2021 Apr 30;10(2):104-108. doi: 10.4103/GMIT.GMIT_105_20. eCollection 2021 Apr-Jun.
We examined whether a new suturing method that used a single-thread unidirectional barbed suture without exposing the barbs on the wound surface was acceptable compared with the conventional suture method during laparoscopic myomectomy (LM).
This was a retrospective study. The subjects were 26 women who underwent LM for symptomatic uterine fibroids. The operative time, amount of blood loss, and number of threads used were compared between a group in which suturing was performed with a conventional synthetic absorbable suture (conventional suture group, = 13) and a group in which suturing was performed using a barbed suture (barbed suture group, = 13).
Operative time in the barbed suture group was significantly shorter than that in the conventional suture group, while blood loss during LM in the barbed suture group was significantly lower than that in the conventional suture group. The number of threads used in the conventional suture group was significantly larger than that in the barbed suture group. No complications were observed in both the groups during LM.
This new technique using a barbed suture is safe and feasible for LM.
我们研究了一种在腹腔镜子宫肌瘤切除术（LM）中使用单股单向倒刺缝线且不使倒刺暴露于伤口表面的新缝合方法与传统缝合方法相比是否可接受。
这是一项回顾性研究。研究对象为26例因症状性子宫肌瘤接受LM的女性。比较了使用传统合成可吸收缝线进行缝合的组（传统缝合组，n = 13）和使用倒刺缝线进行缝合的组（倒刺缝线组，n = 13）之间的手术时间、失血量和使用的缝线数量。
倒刺缝线组的手术时间明显短于传统缝合组，而倒刺缝线组LM期间的失血量明显低于传统缝合组。传统缝合组使用的缝线数量明显多于倒刺缝线组。两组在LM期间均未观察到并发症。
这种使用倒刺缝线的新技术对LM是安全可行的。
