The use of barbed suture for uterine myometrium suture in cesarean section

DOI
  • KATO Yuichiro
    Department of Obstetrics and Gynecology, Gifu Municipal Hospital
  • MIZOGUCHI Toma
    Department of Obstetrics and Gynecology, Gifu Municipal Hospital
  • TANIGAKI Keiko
    Department of Obstetrics and Gynecology, Gifu Municipal Hospital
  • SHIBATA Mayuko
    Department of Obstetrics and Gynecology, Gifu Municipal Hospital
  • HIRAKU Yuka
    Department of Obstetrics and Gynecology, Gifu Municipal Hospital
  • TOYOKI Hiroshi
    Department of Obstetrics and Gynecology, Gifu Municipal Hospital

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Other Title
  • 帝王切開術の子宮筋層縫合における有棘縫合糸の使用経験

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<p> We report our experience on the use of barbed suture in the myometrial suture in the cesarean section. Previously, we sutured the myometrium by interrupted first-layer sutures with 0 VICRYL®, followed by a continuous Lembert second-layer suture with 0 VICRYL®. The new regimen involved a continuous first-layer suture with STRATAFIX︎® Spiral PDS Plus®, followed by the same second-layer suture as previously. The interrupted suture group and the STRATAFIX group showed no difference in the amount of bleeding and the number of hemostatic procedures. However, the STRATAFIX group, compaired with the interrupted suture group, showed significantly shortened operation time in patients with the first cesarean section, and also the more retained thickness at the one month checkup in patients with first and repeated cesarean section.</p>

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