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首页> 外文期刊>Surgical innovation >The Role of Knotless Barbed Suture in Gynecologic Surgery: Systematic Review and Meta-Analysis
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The Role of Knotless Barbed Suture in Gynecologic Surgery: Systematic Review and Meta-Analysis

机译：无节带刺缝合在妇科手术中的作用：系统评价和荟萃分析

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Knotless barbed sutures are an innovative suturing material that can facilitate laparoendoscopic operations. The purpose of this study is to examine the available evidence on the application of barbed sutures on both laparoscopic and robotic operations in the field of gynecologic surgery. A systematic search was performed in PubMed, Scopus, and Cochrane databases. In total, 1991 patients were included in the study. The duration of closure with knotless suture ranged from 3.9 to 13 minutes, which was less than the use of conventional suture in every study. The duration of suturing was significantly less in the barbed suture group during hysterectomy, the mean difference between the observed groups was 2.41 minutes per operation (95% confidence interval, 1.23-3.59) whereas in myomectomy there was no statistically significant difference between compared groups. Concerning the estimated blood loss and the presence of major bleeding in hysterectomy, no statistical difference between the 2 groups was observed, while the estimated blood loss in myomectomy was found to be statistically significant (P = .04). Regarding the dehiscence of vaginal cuff in hysterectomy, no statistically significant difference was observed (1031 patients, odds ratio = 1.63; 95% confidence interval = 0.37-7.25). The complete absence of knots, the even distribution of tissue strength along the wound, and the reduction of operation time are the main advantages of this type of sutures. Additional clinical trials of higher methodological quality are necessary to further clarify suturing advantages and postoperative outcomes of the barbed sutures.
机译：无结带刺的缝合线是一种创新的缝合材料，可以促进腹腔镜手术。这项研究的目的是检查在妇科手术领域中在腹腔镜手术和机器人手术中应用带刺缝合线的现有证据。在PubMed，Scopus和Cochrane数据库中进行了系统的搜索。总共1991名患者被纳入研究。用无结缝线缝合的持续时间为3.9至13分钟，这比每个研究中使用传统缝线的时间短。在子宫切除术中，有刺缝合组的缝合时间显着减少，观察组之间的平均差异为每次手术2.41分钟（95％置信区间为1.23-3.59），而在子宫肌瘤切除术中，比较组之间无统计学差异。关于子宫切除术中的估计失血量和大出血的存在，两组之间没有观察到统计学差异，而子宫肌瘤切除术中的估计失血量具有统计学意义（P = .04）。关于子宫切除术中阴道套的开裂，未观察到统计学上的显着差异（1031例患者，优势比= 1.63; 95％置信区间= 0.37-7.25）。这种缝线的主要优点是完全没有打结，组织强度沿伤口均匀分布以及减少了手术时间。为了进一步阐明带刺缝线的缝合优势和术后结果，需要更高方法学质量的其他临床试验。

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