Новая методика двустороннего самофиксирующегося шва при кесаревом сечении

Abstract

Objective. To improve the technique for cesarean section and reduce the incidence of postoperative complications using selflocking surgical (anchor) sutures. Design and results. The study involved 86 patients who underwent cesarean delivery at the age from 18 to 40 years, similar in demographic parameters, somatic status, parity, pregnancy complications and the number of cesarean sections in history. Two groups of patients were allocated: the first (main) group – 46 women, in whom a double-sided single-row suture with a selflocking suture anchor without reverse tip was used to repair a wound on the uterus (patent RU2729747C1); the second (comparison group) – 40 women; a double-row suture to repair the uterine wound involving multifilament sutures was used. For a number of characteristics (the duration of operation, the duration of suturing of the uterus, the restoration of physical activity during the first day, the need for analgesics, the activity of reparative processes in the myometrium), the advantage of a singlerow suture anchor was noted. Conclusion. The developed method provides conditions for the activation of reparative processes in the myometrium and potentiates rapid rehabilitation of patients after surgery. However, further research is needed to introduce the method into widespread clinical practice. Key words: cesarean section, incompetent uterine scar, isthmocele, double-sided single-row suture, self-locking suture anchor