AI Article Synopsis
- A lot of cesarean sections have been performed lately, leading to concerns about issues that can happen later, like problems with the uterine scar.
- There's a new type of suture called knotless barbed suture that helps doctors stitch the uterus more effectively during surgery.
- A recent study showed that using this new suture might reduce problems with uterine scars after a cesarean, and more research is needed to confirm its benefits.
Article Abstract
Due to the high number of cesarean sections over the last two decades, there has been a growing awareness of the post-surgical obstetric long-term sequelae (i.e., uterine scar defects and abnormal placentation) following this surgical procedure. Knotless barbed suture is an absorbable bidirectional and unidirectional monofilament, characterized by the presence of "barbs" along its length. After being introduced in gynecology, the favorable features of the knotless barbed suture, such as the uniform distribution of tensile force, provide the rationale for studying its benefits in obstetric surgery. Recently, our research group has investigated a double-layer barbed suture ("fishbone" suture) for closing the uterine wall during cesarean section by a case-control study, reporting a low incidence of uterine scar defects and a reduced size of defects in women who had developed them (NCT04825821). In the near future, large prospective studies are strongly awaited to investigate reproductive outcomes and long-term sequelae after cesarean section performed with knotless barbed suture.
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| http://dx.doi.org/10.1007/s00404-021-06121-8 | DOI Listing |
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