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.
译文：
双向锯齿缝线在腹腔镜子宫肌瘤切除术中的应用：术后转归、安全性及疗效评价
目的：比较双向锯齿缝线与传统缝线在腹腔镜子宫肌瘤切除术后伤口闭合中的疗效。
试验设计：回顾性分析，纳入腹腔镜子宫肌瘤切除患者138例，手术均由同一名医师完成。
患者：138名症状性子宫肌瘤女性。
干预：纳入2007年2月至2010年4月接受腹腔镜子宫肌瘤切除术的患者。其中，31人选用传统光滑缝线实施伤口闭合，107人选用双向锯齿缝线。
方法与结果：两组主要适应证为骨盆痛与异常子宫出血。双向锯齿缝线组患者手术时间明显缩短（传统缝线组手术时间162±69min；锯齿缝线组118±53min），住院时间降低（锯齿缝线组0.58±0.46 d；传统缝线组0.97±0.45 d）。截止研究时，两组术后并发症、预计失血量及术中肌瘤大小或数量等未发现差异。
结论：双向锯齿缝线可促进腹腔镜子宫肌瘤切除术后的伤口闭合。
