Ateş Tatar Sezin, Karadağ Burak, Karadağ Ceyda, Duranoğlu Turgut Gökçe, Karataş Selim, Mülayim Barış
Antalya Training and Research Hospital, Clinic of Obstetrics and Gynecology, Antalya, Turkey.
Akdeniz University Faculty of Medicine, Department of Obstetrics and Gynecology, Antalya, Turkey.
Turk J Obstet Gynecol. 2023 Jun 1;20(2):126-130. doi: 10.4274/tjod.galenos.2023.21208.
To compare the surgical and clinical results of traditional absorbable polyglactin 910 and barbed sutures in laparoscopic myomectomy.
This single-center randomized study included 75 women who underwent laparoscopic myomectomy. The uterine wall defects were closed with a continuous conventional absorbable polyglactin 910 suture (Vicryl; Ethicon, Somerville, NJ, USA) in 41 women and with a unidirectional barbed suture (V-Loc 180; Covidien, Mansfield, MA, USA) in 34 women.
The time required to suture the uterine wall defect was lower in the V-Loc group than in the Vicryl group (p=0.007). However, no significant difference was observed in the operative time between the two study groups. The intraoperative blood loss and need for postoperative blood transfusion were significantly lower in the barbed group than in the Vicryl group (p=0.018 and p=0.048, respectively).
In laparoscopic myomectomy cases, the unidirectional barbed suture is more effective than the conventional absorbable suture. Barbed sutures facilitate the suturing process and reduce the time required to suture the uterine wall defect, blood loss, and the need for postoperative blood transfusion.
比较传统可吸收聚乙醇酸910缝线和倒刺缝线在腹腔镜子宫肌瘤剔除术中的手术及临床效果。
这项单中心随机研究纳入了75例行腹腔镜子宫肌瘤剔除术的女性患者。41例患者采用连续传统可吸收聚乙醇酸910缝线（薇乔；美国强生公司，新泽西州萨默维尔）关闭子宫壁缺损，34例患者采用单向倒刺缝线（V-Loc 180；美国柯惠医疗公司，马萨诸塞州曼斯菲尔德）关闭子宫壁缺损。
V-Loc组缝合子宫壁缺损所需时间低于薇乔组（p = 0.007）。然而，两组研究对象的手术时间差异无统计学意义。倒刺缝线组术中失血量及术后输血需求均显著低于薇乔组（分别为p = 0.018和p = 0.048）。
在腹腔镜子宫肌瘤剔除术中，单向倒刺缝线比传统可吸收缝线更有效。倒刺缝线有助于缝合过程，减少缝合子宫壁缺损所需时间、失血量及术后输血需求。
