کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3919565 | 1599786 | 2015 | 5 صفحه PDF | دانلود رایگان |
ObjectivesTo compare surgical outcomes of different types of intracorporeal sutures for laparoscopic posterior myomectomy, by a prospective randomized study.Study designProspective randomized study on 47 patients with single posterior intramural myoma (4–7 cm in diameter) undergoing laparoscopic myomectomy. The patients enrolled were divided into two groups, one operated using conventional suture in double strand, and the other with bidirectional barbed suture Stratafix. The main outcome measures were suturing time, peri-operative variables, and post-operative adhesions in both groups.ResultsThe mean operative time was shorter with the Stratafix™ than with the conventional suture (66.3 ± 8.2 vs. 73 ± 8 min; p = 0.005). Suturing time was significantly shorter in the Stratafix™ than in the control group (8.8 ± 2.4 vs. 15.5 ± 2.8 min; p = 0.001). Intraoperative bleeding was significantly less in the Stratafix group (p = 0.0012). Conversely, there was no statistically significant difference for postoperative adhesions between the two groups (26.7% vs. 21.4% p = 0.5).ConclusionsThe use of barbed suture may reduce operative time, suturing time, and blood loss. No difference in post operative adhesions was found.
Journal: European Journal of Obstetrics & Gynecology and Reproductive Biology - Volume 195, December 2015, Pages 146–150