Use of barbed suture for peritoneal closure in transabdominal preperitoneal hernia repair

Abstract

AIM:To investigate the use of the V-Loc wound closure device for transabdominal preperitoneal hernia repair. METHODS:We performed conventional transabdominal preperitoneal hernia repair in 19 patients, including one single incisional case using V-Loc. Except for the use of V-Loc for peritoneal closure, the procedures were the same as those used in conventional techniques. RESULTS:Although the operators included 2 residents who have no experience in laparoscopic herniorrhaphy and intracorporeal suture, the operations were completed. We believe that V-Loc is especially suitable for inexperienced surgeons and the use of V-Loc reduces the operative time by a small amount but reduces operator stress significantly. CONCLUSION:We conclude that V-Loc is the ideal peritoneal closure device for transabdominal preperitoneal hernia repair.

Knotless choledochorraphy with barbed suture, safe and feasible

“…To date, the efficacy of this new material has been evaluated in different surgical fields, a few general surgery studies are available [12][13][14][15][16][17][18], gynecologists have also demonstrated its utilities [19][20][21], oncologists have reported advantages in its properties [22] and urology is the field where its usefulness is already a standard and concentrates most of its reports [23][24][25][26][27].…”

Percutaneous Transabdominal External Looped Needle for Peritoneal Closure in Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair

“…To date, there have been no suitable devices for peritoneal closure for beginners. 6 Small bowel obstruction after TAPP can be caused by displaced spiral tacks used for peritoneal closure, as reported by Fitzgerald et al, 19 with an incidence of 0.2 to 0.5%. Additionally, the study by Kapiris et al reported reduced complaints of persistent inguinal pain as they adopted a stable-free technique for mesh fixation and peritoneal closure.…”

“…recently, uni-or bidirectional braided, self-anchoring, and knotless sutures are frequently used and offer time-saving work. 6 But, with a risk of cut through the peritoneal flaps can occur, producing gap and internal herniation through the preperitoneal space. Some authors reported small bowel obstruction after using a self-anchoring braided suture for peritoneal closure in TAPP repair.…”

“…6 Complete closure of the peritoneum after TAPP repair is an essential step of the operation to avoid on the one hand mesh exposure to the bowel with the risk of adhesion and bowel obstruction and on the other hand bowel incarceration through herniation into the preperitoneal space. 7 Penetrating devices, such as tacks, clips, staples, or strap devices should be avoided for mesh fixation and also for peritoneal closure, because of the risk of nerve injuries and adhesions.…”

The Hand-Sewn Gastrojejunostomy: Braided Suture or Monofilament Suture?

“…In general surgery, unidirectional absorbable V-Loc® (Covidien) is used to close the peritoneum during transabdominal preperitoneal polypropylene procedures [6]. The free tail of the barbed suture could result in intestinal obstruction [7].…”