原文：
Use of Bidirectional Barbed Suture in Laparoscopic Myomectomy: Evaluation of Perioperative Outcomes, Safety, and Efficacy
ABSTRACT Study Objective: To compare perioperative outcomes during laparoscopic myomectomy using a bidirectional barbed suture vs conventional smooth suture.
Design: Retrospective analysis of 138 consecutive laparoscopic myomectomies performed by a single surgeon over 3 years (Canadian Task Force classification II-2).
Setting: Major university teaching hospital.
Patients: One hundred thirty-eight women with symptomatic uterine myomas.
Interventions: In women undergoing laparoscopic myomectomy from February 2007 through April 2010, conventional smooth sutures were used in 31 patients, and bidirectional barbed suture in 107 patients.
Measurements and Main Results: The primary indications for laparoscopic myomectomy in either group were pelvic pain or pressure and abnormal uterine bleeding. Use of bidirectional barbed suture was found to significantly shorten the mean (SD) duration of surgery (118 [53] minutes vs 162 [69] minutes; p ,.05) and reduce the duration of hospital stay (0.58 [0.46] days vs 0.97 [0.45] days; p ,.05). No significant differences were observed between the 2 groups insofar as incidence of perioperative complications, estimated blood loss, and number or weight of myomas removed during surgery.
Conclusion: Use of bidirectional barbed suture seems to facilitate closure of the hysterotomy site in laparoscopic myomectomy.
譯文：
雙向鋸齒縫線在腹腔鏡子宮肌瘤切除術(shù)中的應(yīng)用：術(shù)后轉(zhuǎn)歸、安全性及療效評價
目的：比較雙向鋸齒縫線與傳統(tǒng)縫線在腹腔鏡子宮肌瘤切除術(shù)后傷口閉合中的療效。
試驗設(shè)計：回顧性分析，納入腹腔鏡子宮肌瘤切除患者138例，手術(shù)均由同一名醫(yī)師完成。
患者：138名癥狀性子宮肌瘤女性。
干預(yù)：納入2007年2月至2010年4月接受腹腔鏡子宮肌瘤切除術(shù)的患者。其中，31人選用傳統(tǒng)光滑縫線實施傷口閉合，107人選用雙向鋸齒縫線。
方法與結(jié)果：兩組主要適應(yīng)證為骨盆痛與異常子宮出血。雙向鋸齒縫線組患者手術(shù)時間明顯縮短（傳統(tǒng)縫線組手術(shù)時間162±69min；鋸齒縫線組118±53min），住院時間降低（鋸齒縫線組0.58±0.46 d；傳統(tǒng)縫線組0.97±0.45 d）。截止研究時，兩組術(shù)后并發(fā)癥、預(yù)計失血量及術(shù)中肌瘤大小或數(shù)量等未發(fā)現(xiàn)差異。
結(jié)論：雙向鋸齒縫線可促進腹腔鏡子宮肌瘤切除術(shù)后的傷口閉合。