PDF(Pubmed)
Abstract：
UNASSIGNED: The aim was to assess the hemostatic impact of B-Lynch sutures following an open myomectomy for efficacy.
UNASSIGNED: In this prospective clinical research, performed in Alazhar university hospitals (Al-Hussain, Damietta, Assiut) and Minia University Maternity Hospital, 250 women scheduled for open myomectomy between January 2021 and January 2023 had multiple fibroid uteri with uterine sizes corresponding to 12-22 weeks. There were two groups of women. Group I (125) underwent standard open myomectomy surgery, whereas Group II (125) underwent normal open laparotomy surgery followed by B-Lynch sutures. Certain inclusion and exclusion criteria were applied to every patient. We recorded vital data, length of the procedure, complications (bleeding during the procedure, bleeding from multiple bites, bladder injury, fever, wound infection), complete blood count before and after surgery, need for blood transfusion, postoperative vital data, time until ambulation, passing flatus, and ability to eat and drink, as well as the amount of blood lost during and after the procedure.
UNASSIGNED: There was no statistically significant difference between the two groups in age, parity, weight, number of fibroids, or uterine size as measured by ultrasonography. Between groups I and II, there was a significant difference in the average intraoperative blood loss (Group I lost 562.6 ml, whereas Group II lost 411.3 ml) as well as the mean blood loss following surgery (205 ±82 ml in Group I and 117 ±41 ml in Group II). No significant difference was observed in the mean length of hospital stay between groups I and II (2 ±0.3 days and 2 ±0.6 days, respectively).
UNASSIGNED: Using a B-Lynch suture can help minimize blood loss during and after an open myomectomy. Therefore, if the uterus is large and has a lot of fibroids, it is recommended to be done frequently.
UNASSIGNED: In this prospective clinical research, performed in Alazhar university hospitals (Al-Hussain, Damietta, Assiut) and Minia University Maternity Hospital, 250 women scheduled for open myomectomy between January 2021 and January 2023 had multiple fibroid uteri with uterine sizes corresponding to 12-22 weeks. There were two groups of women. Group I (125) underwent standard open myomectomy surgery, whereas Group II (125) underwent normal open laparotomy surgery followed by B-Lynch sutures. Certain inclusion and exclusion criteria were applied to every patient. We recorded vital data, length of the procedure, complications (bleeding during the procedure, bleeding from multiple bites, bladder injury, fever, wound infection), complete blood count before and after surgery, need for blood transfusion, postoperative vital data, time until ambulation, passing flatus, and ability to eat and drink, as well as the amount of blood lost during and after the procedure.
UNASSIGNED: There was no statistically significant difference between the two groups in age, parity, weight, number of fibroids, or uterine size as measured by ultrasonography. Between groups I and II, there was a significant difference in the average intraoperative blood loss (Group I lost 562.6 ml, whereas Group II lost 411.3 ml) as well as the mean blood loss following surgery (205 ±82 ml in Group I and 117 ±41 ml in Group II). No significant difference was observed in the mean length of hospital stay between groups I and II (2 ±0.3 days and 2 ±0.6 days, respectively).
UNASSIGNED: Using a B-Lynch suture can help minimize blood loss during and after an open myomectomy. Therefore, if the uterus is large and has a lot of fibroids, it is recommended to be done frequently.
摘要：
■目的是评估B-Lynch缝线在开放性子宫肌瘤切除术后的止血效果。
■在这项前瞻性临床研究中，在阿拉扎尔大学医院(Al-Hussain，Damietta,Assiut）和Minia大学妇产医院，计划在2021年1月至2023年1月之间进行开放式子宫肌瘤切除术的250名妇女患有多个子宫肌瘤，子宫大小为12-22周。有两组妇女。I组（125）接受了标准的开放性子宫肌瘤切除术，而II组（125）接受了正常的开腹手术，然后进行了B-Lynch缝合。某些纳入和排除标准适用于每位患者。我们记录了重要数据,程序的长度，并发症（手术过程中出血，多次咬伤出血,膀胱损伤,发烧,伤口感染)，手术前后的全血细胞计数，需要输血,术后生命数据，时间，直到步行，通过肠胃气胀,以及进食和饮水的能力，以及手术期间和之后的失血量。
■两组在年龄上无统计学差异，奇偶校验，体重,肌瘤的数量，或通过超声检查测量的子宫大小。在第一组和第二组之间，术中平均失血量有显著差异(第一组失血量为562.6ml,而II组损失了411.3ml）以及手术后的平均失血量（I组205±82ml，II组117±41ml）。I组和II组的平均住院时间没有显着差异（2±0.3天和2±0.6天，分别)。
■使用B-Lynch缝合线可以帮助减少开放性子宫肌瘤切除术期间和之后的失血量。因此,如果子宫很大并且有很多肌瘤，建议经常做。
■在这项前瞻性临床研究中，在阿拉扎尔大学医院(Al-Hussain，Damietta,Assiut）和Minia大学妇产医院，计划在2021年1月至2023年1月之间进行开放式子宫肌瘤切除术的250名妇女患有多个子宫肌瘤，子宫大小为12-22周。有两组妇女。I组（125）接受了标准的开放性子宫肌瘤切除术，而II组（125）接受了正常的开腹手术，然后进行了B-Lynch缝合。某些纳入和排除标准适用于每位患者。我们记录了重要数据,程序的长度，并发症（手术过程中出血，多次咬伤出血,膀胱损伤,发烧,伤口感染)，手术前后的全血细胞计数，需要输血,术后生命数据，时间，直到步行，通过肠胃气胀,以及进食和饮水的能力，以及手术期间和之后的失血量。
■两组在年龄上无统计学差异，奇偶校验，体重,肌瘤的数量，或通过超声检查测量的子宫大小。在第一组和第二组之间，术中平均失血量有显著差异(第一组失血量为562.6ml,而II组损失了411.3ml）以及手术后的平均失血量（I组205±82ml，II组117±41ml）。I组和II组的平均住院时间没有显着差异（2±0.3天和2±0.6天，分别)。
■使用B-Lynch缝合线可以帮助减少开放性子宫肌瘤切除术期间和之后的失血量。因此,如果子宫很大并且有很多肌瘤，建议经常做。
