The effect of suture materials with different absorption times on isthmocele: a retrospective study.

IF 1.2 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Ginekologia polska Pub Date : 2023-06-12 DOI:10.5603/GP.a2023.0052

Selcuk Yetkinel, Pinar Caglar Aytac, Hakan Kalayci, Tayfun Cok, Gulsen Dogan Durdag, Didem Alkas Yaginc, Safak Yilmaz Baran, Songul Alemdaroglu, Esra Bulgan Kilcdag

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引用次数: 0

Abstract

Objectives: With the increasing rate of cesarean operations, the formation of niches and related early and late complications have been observed more frequently. In this study, we examined the effects of using a suture material that can be absorbed faster than conventional sutures on the formation of niches.

Material and methods: This study was designed as a retrospective study and completed with a total of 101 patients. During the cesarean operation, the uterus was closed with Rapide Vicryl® in 49 patients and Vicryl® in 52 patients. The uterine niche was measured with a sonohysterogram 6 months after the operation. The primary outcome of the study was determined as uterine niche formation and the secondary outcome was the post-menstrual spotting (PMS) rate.

Results: Duration of surgery, intraoperative/postoperative blood loss, and hospitalization time were similar between the two groups. Niche formation was significantly lower in the Rapide Vicryl group (22.4%) when compared to the Vicryl group (42.3%) (p = 0.046). Also, PMS was observed significantly lower in the Rapide Vicryl group (16.2% and 52.8% in Rapide Vicryl and Vicryl groups, respectively; p = 0.002).

Conclusions: The formation of niches and associated PMS rates were less with suture materials that were absorbed faster.

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不同吸收时间缝合材料对峡部组织影响的回顾性研究。

目的:随着剖宫产率的提高，剖宫产生态位的形成及相关的早、晚期并发症越来越多。在这项研究中，我们研究了使用比传统缝合线吸收更快的缝合线材料对壁龛形成的影响。材料和方法:本研究采用回顾性研究设计，共纳入101例患者。在剖宫产手术中，49例患者使用Rapide Vicryl®，52例患者使用Vicryl®关闭子宫。术后6个月行宫腔超声检查。该研究的主要结果确定为子宫生态位形成，次要结果是月经后点滴(PMS)率。结果:两组手术时间、术中/术后出血量、住院时间相似。Rapide Vicryl组的生态位形成率(22.4%)显著低于Vicryl组(42.3%)(p = 0.046)。此外，Rapide Vicryl组的PMS显著降低(分别为16.2%和52.8%);P = 0.002)。结论:缝线材料吸收越快，壁龛形成越少，PMS率越低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ginekologia polska OBSTETRICS & GYNECOLOGY-

CiteScore

2.00

自引率

15.40%

发文量

317

审稿时长

4-8 weeks

期刊介绍： Ginekologia Polska’ is a monthly medical journal published in Polish and English language. ‘Ginekologia Polska’ will accept submissions relating to any aspect of gynaecology, obstetrics and areas directly related. ‘Ginekologia Polska’ publishes original contributions, comparative works, case studies, letters to the editor and many other categories of articles.