Barbed Suture versus Conventional Suture for Uterine Repair in Women with Placenta Accreta and Placenta Increta: A Retrospective Cohort Study
Background: Placenta accreta spectrum can cause catastrophic hemorrhage. Knotless barbed suture line has been considered to reduce bleeding during cesarean section (CS). The purpose of this study was to determine whether the use of knotless barbed suture line could effectively reduce bleeding in pat...
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| Format: | Article |
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IMR Press
2023-08-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
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| Online Access: | https://www.imrpress.com/journal/CEOG/50/9/10.31083/j.ceog5009180 |
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| author | Ruihong Dong Lin Zhang Qian Chen Qiuhe Chen Yuxia Wu Dan Shan Yayi Hu |
| author_facet | Ruihong Dong Lin Zhang Qian Chen Qiuhe Chen Yuxia Wu Dan Shan Yayi Hu |
| author_sort | Ruihong Dong |
| collection | DOAJ |
| description | Background: Placenta accreta spectrum can cause catastrophic hemorrhage. Knotless barbed suture line has been considered to reduce bleeding during cesarean section (CS). The purpose of this study was to determine whether the use of knotless barbed suture line could effectively reduce bleeding in patients with placenta accreta and placenta increta. Methods: After obtaining ethical approval, we performed a retrospective cohort study between women with the barbed suture (n = 42) and no barbed suture (control, n = 42). In the barbed suture group, the bleeding site from the damaged myometrium layer caused by the placenta villous invasion was sutured by barbed line with a continuous running suture made in the myometrium layer. In the control group, the uterine incision was repaired with two layers of a continuous suture using the conventional polyglactin suture line. Primary outcomes were the blood loss during the CS and blood loss in the first 24 hours after surgery. Results: The total sample size was 84 (42 in the barbed suture group, another 42 in the control group). Blood loss during CS was significantly lower than the control group by an average of approximately 200 mL (848.57 ± 373.20 mL in the barbed suture group vs. 1055.95 ± 470.88 mL in the control group, p = 0.028). Blood loss during the first 24 hours was also diminished in the barbed suture group (42.70 ± 36.71 mL in the barbed suture group vs. 65.60 ± 61.44 mL in the control group, p = 0.041). Conclusions: The application of barbed suture line reduced blood loss both during CS and after 24 hours of CS. |
| format | Article |
| id | doaj-art-068e79abbdb44979a76286dbd1fda939 |
| institution | Kabale University |
| issn | 0390-6663 |
| language | English |
| publishDate | 2023-08-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj-art-068e79abbdb44979a76286dbd1fda9392025-08-20T03:55:27ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632023-08-0150918010.31083/j.ceog5009180S0390-6663(23)02118-8Barbed Suture versus Conventional Suture for Uterine Repair in Women with Placenta Accreta and Placenta Increta: A Retrospective Cohort StudyRuihong Dong0Lin Zhang1Qian Chen2Qiuhe Chen3Yuxia Wu4Dan Shan5Yayi Hu6Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, 610041 Chengdu, Sichuan, ChinaDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, 610041 Chengdu, Sichuan, ChinaDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, 610041 Chengdu, Sichuan, ChinaDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, 610041 Chengdu, Sichuan, ChinaDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, 610041 Chengdu, Sichuan, ChinaDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, 610041 Chengdu, Sichuan, ChinaDepartment of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, 610041 Chengdu, Sichuan, ChinaBackground: Placenta accreta spectrum can cause catastrophic hemorrhage. Knotless barbed suture line has been considered to reduce bleeding during cesarean section (CS). The purpose of this study was to determine whether the use of knotless barbed suture line could effectively reduce bleeding in patients with placenta accreta and placenta increta. Methods: After obtaining ethical approval, we performed a retrospective cohort study between women with the barbed suture (n = 42) and no barbed suture (control, n = 42). In the barbed suture group, the bleeding site from the damaged myometrium layer caused by the placenta villous invasion was sutured by barbed line with a continuous running suture made in the myometrium layer. In the control group, the uterine incision was repaired with two layers of a continuous suture using the conventional polyglactin suture line. Primary outcomes were the blood loss during the CS and blood loss in the first 24 hours after surgery. Results: The total sample size was 84 (42 in the barbed suture group, another 42 in the control group). Blood loss during CS was significantly lower than the control group by an average of approximately 200 mL (848.57 ± 373.20 mL in the barbed suture group vs. 1055.95 ± 470.88 mL in the control group, p = 0.028). Blood loss during the first 24 hours was also diminished in the barbed suture group (42.70 ± 36.71 mL in the barbed suture group vs. 65.60 ± 61.44 mL in the control group, p = 0.041). Conclusions: The application of barbed suture line reduced blood loss both during CS and after 24 hours of CS.https://www.imrpress.com/journal/CEOG/50/9/10.31083/j.ceog5009180barbed sutureplacenta accretaplacenta incretapostpartum hemorrhage |
| spellingShingle | Ruihong Dong Lin Zhang Qian Chen Qiuhe Chen Yuxia Wu Dan Shan Yayi Hu Barbed Suture versus Conventional Suture for Uterine Repair in Women with Placenta Accreta and Placenta Increta: A Retrospective Cohort Study Clinical and Experimental Obstetrics & Gynecology barbed suture placenta accreta placenta increta postpartum hemorrhage |
| title | Barbed Suture versus Conventional Suture for Uterine Repair in Women with Placenta Accreta and Placenta Increta: A Retrospective Cohort Study |
| title_full | Barbed Suture versus Conventional Suture for Uterine Repair in Women with Placenta Accreta and Placenta Increta: A Retrospective Cohort Study |
| title_fullStr | Barbed Suture versus Conventional Suture for Uterine Repair in Women with Placenta Accreta and Placenta Increta: A Retrospective Cohort Study |
| title_full_unstemmed | Barbed Suture versus Conventional Suture for Uterine Repair in Women with Placenta Accreta and Placenta Increta: A Retrospective Cohort Study |
| title_short | Barbed Suture versus Conventional Suture for Uterine Repair in Women with Placenta Accreta and Placenta Increta: A Retrospective Cohort Study |
| title_sort | barbed suture versus conventional suture for uterine repair in women with placenta accreta and placenta increta a retrospective cohort study |
| topic | barbed suture placenta accreta placenta increta postpartum hemorrhage |
| url | https://www.imrpress.com/journal/CEOG/50/9/10.31083/j.ceog5009180 |
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