Barbed unidirectional V-Loc 180 suture in laparoscopic Roux-en-Y gastric bypass: a study comparing unidirectional barbed monofilament and multifilament absorbable suture

Costantino, Federico; Dente, Mario; Perrin, Philippe; Sarhan, Fadi Abou; Keller, P.

doi:10.1007/s00464-013-2993-5

Cited by 49 publications

(40 citation statements)

References 22 publications

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“…Most of the published articles over recent years are related to bariatric surgery and barbed sutures' use in the performance of laparoscopic gastric bypass [34][35][36][37][38][39][40]. It is well known that performing intracorporeal anastomosis (suture and knottying) requires specific training and a learning curve in every surgeon.…”

Section: Use Of Barbed Sutures In Bariatric Surgerymentioning

confidence: 98%

“…Costantino et al [38] presented a prospective cohort of 315 patients who underwent laparoscopic gastric bypass. Gastrojejunal and jejunojejunal anastomoses were performed by using absorbable multifilament sutures in the first 76 patients and 3-0 barbed monofilament sutures (V-Loc® 180) in the next 239 patients.…”

Section: Use Of Barbed Sutures In Bariatric Surgerymentioning

confidence: 99%

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RETRACTED ARTICLE: Use of Barbed Sutures in Bariatric Surgery. Review of the Literature

2016

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Performing intracorporeal anastomoses and sutures is possibly the technique that requires the greater skill in laparoscopy. The emergence of new barbed sutures seems to facilitate the practice, with bariatric surgery (mainly in mixed and malabsorptive techniques) being one of the specialties that can most benefit from them. This review aims to evaluate barbed sutures' use and safety in bariatric surgery. Barbed sutures might facilitate the practice by improving some aspects of surgery such as reproducibility and operative time, although further research is needed.

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Section: Use Of Barbed Sutures In Bariatric Surgerymentioning

confidence: 98%

Section: Use Of Barbed Sutures In Bariatric Surgerymentioning

confidence: 99%

RETRACTED ARTICLE: Use of Barbed Sutures in Bariatric Surgery. Review of the Literature

2016

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“…The advantages of using non-absorbable barbed sutures are well known and they are the following: they are safe and reproducible with a short learning curve [15]; assistance is not required to maintain suture tension; the suture does not slip [16]; it shortens the total OT [17] and it seems to have similar 30-day outcomes when compared with traditional suture [18].…”

Section: Discussionmentioning

confidence: 99%

Hand-Sewn Running Barbed Suture versus Endoscopic Stapler Closure of the Mesenteric Defects in Retrocolic and Retrogastric RYGB: A Comparative Case-Matched Study

Simonelli¹,

Orlando²,

Zolotas³

et al. 2015

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Background: Obesity is nowadays a major health concern in Western countries and the number of bariatric surgical procedures being performed worldwide is vertiginously rising. The Laparoscopic Roux-en-Y gastric bypass (LRYGB) has become the gold standard bariatric procedure. The retrocolic retrogastric approach is closer to normal anatomy and it is associated to a lower rate of anastomotic leak, a lower rate of gastrojejunal stricture and a lower rate of marginal ulcers; therefore the problem of small bowel obstruction due to internal hernia (IH) has to be faced. The meticulous closure of all possible mesenteric defects with running, non-absorbable sutures may reduce the rate of this complication, but it can be challenging for the surgeon and it rises the operating time (OT). This study has conducted in a context of optimization of our "Fast Track-type" recovery protocol and it aims to compare the rate of early IH and the OT difference when mesenteric defects are closed using running non-absorbable barbed suture or an endoscopic stapler. Materials and Methods: From December 2014 to February 2015 a single-surgeon consecutive series of 22 patients undergoing retrocolic restrogastric LRYBP in our high volume obesity centre has been retrospectively extrapolated from our prospective longitudinal database. We recorded the overall OT and relative rate of IH in patients who received a 15-cm non-absorbable V-Loc™ 1 (group A, 11 patients) or Endopath™ EMS, endoscopic multifeed stapler 2 (group B, 11 patients) defect. Results: The mean OT was 77.36 minutes in the group A and 60.90 minutes in the group B (P value 0.066). 0 patients (0%) in the group A versus 4 patients (36.3%) in the group B developed IH within 30 * Corresponding author. 1 Covidien, Mansfield, MA, USA. 2 Ethicon Endo-Surgery, LLC, Guaynabo, Puerto Rico, USA. V. Simonelli et al.347 days (two-tailed P value at chi-square test: 0.02). Conclusion: Early rate of small bowel obstruction due to IH is extremely higher with the use of an endoscopic stapler instead of non-absorbable barber suture and there is not significant difference in the OT; more prospective randomized trials observing bigger series of patients with longer follow-up are needed to validate our study.

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“…This should permit a greater distribution of tensile strength along the wound and increase the surface area of adhesion between the tissues. Consequently, the knotless, unidirectional barbed suture reduced the time required to close the entry hole compared with conventional surgical suture with intracorporeal knots (22)(23)(24).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic gastrointestinal anastomoses using knotless barbed absorbable sutures are safe and reproducible: a single-center experience with 242 patients

Lee

Kawai

Tashiro

et al. 2016

Jpn. J. Clin. Oncol.

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Objective: Intracorporeal reconstruction of the digestive tract is technically challenging. The V-Loc 180 wound closure device (Covidien) is a self-anchoring unidirectional barbed suture that obviates the need for knot tying. The aim of this prospective cohort study was to investigate the use of the novel suture in gastrointestinal enterotomy closure. Methods: The subjects comprised patients with malignant disease who were scheduled to undergo laparoscopic gastrectomy with curative intent. The barbed suture was used to close the entry hole for the linear stapler during intracorporeal reconstruction following laparoscopic gastric resection. The primary endpoint was the proportion of patients who developed anastomotic leakage at the site where the barbed suture was applied. Results: Between July 2012 and March 2015, 242 patients were enrolled. Of 362 anastomoses, the enterotomy hole at 256 sites was closed using the barbed suture. These 256 sites consisted of 95 gastroduodenostomies, 25 gastrogastrostomies, 13 gastrojejunostomies, 90 jejunojejunostomies, 17 esophagojejunostomies and 16 primary closures of the stomach following local gastric resection. There were no anastomosis-related complications, conversion to usual sutures, mechanical closure of the entry hole and reoperation due to adhesive obstructions or mortality over a median follow-up period of 17.8 months.Conclusions: The use of the unidirectional barbed absorbable suture for gastrointestinal closure is safe and effective in laparoscopic gastrectomy.

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Barbed unidirectional V-Loc 180 suture in laparoscopic Roux-en-Y gastric bypass: a study comparing unidirectional barbed monofilament and multifilament absorbable suture

Cited by 49 publications

References 22 publications

RETRACTED ARTICLE: Use of Barbed Sutures in Bariatric Surgery. Review of the Literature

RETRACTED ARTICLE: Use of Barbed Sutures in Bariatric Surgery. Review of the Literature

Hand-Sewn Running Barbed Suture versus Endoscopic Stapler Closure of the Mesenteric Defects in Retrocolic and Retrogastric RYGB: A Comparative Case-Matched Study

Laparoscopic gastrointestinal anastomoses using knotless barbed absorbable sutures are safe and reproducible: a single-center experience with 242 patients

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