Feasibility of a novel laparoscopic technique with unidirectional knotless barbed sutures for the primary closure of duodenal ulcer perforation

Kim, Tae-Han; Park, Ji-Ho; Jeong, Sang‐Ho; Lee, Jinkwon; Kwag, Seung-Jin; Kim, Ju‐Yeon; Lee, Woo Hyung; Woo, Jung-Woo; Jang, Jae Yool; Song, Eunjin; Park, Taejin; Jeong, Chi‐Young; Ju, Young‐Tae; Jung, Eun-Jung; Hong, Soon Chan; Choi, Sang-Kyung; Ha, Woo-Song; Lee, Young-Joon

doi:10.1007/s00464-018-6099-y

Cited by 5 publications

(5 citation statements)

References 23 publications

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“…After irrigation of the peritoneal cavity, two closed suction drains were inserted along the pelvic cavity and right subhepatic space. Postoperative management and follow-up did not deviate significantly from those reported in other studies (14,15).…”

Section: Operative Procedures In Group Asupporting

confidence: 45%

Duet laparoscopic repair with knotless barbed sutures for treatment of perforated peptic ulcer: reality in general surgery with lacking of manpower

2021

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Background: Perforated peptic ulcer (PPU) is a fatal complication of peptic ulcer disease, which requires emergency surgery. Laparoscopic repair is the widely accepted and effective method for the treatment of PPU. The aim of this study was to evaluate the safety and efficacy of duet laparoscopic repair of PPU with knotless barbed sutures.Methods: From January 2013 to May 2019, 40 patients with PPU underwent laparoscopic primary repair and omentopexy at the Dankook University Hospital. The operative outcomes and complications of patients undergoing surgery using continuous suturing with absorbable knotless barbed sutures (group A, n=15) were compared with those undergoing surgery with conventional interrupted sutures (group B, n=25). Results:The mean operative time was significantly shorter in group A than group B (84.4±39.8 vs.104.2±49.4 min, P<0.001). There were no differences in other operative outcomes or postoperative complications (group A vs. group B, 20.0% vs. 24.0%, respectively; P=0.249) between the two groups. The mean operation time spent for laparoscopic sutures and omentopexy was 22.7 minutes. Conclusions:The findings of the current study, albeit performed retrospectively at a single institution, suggested that duet laparoscopic repair of PPU with knotless barbed sutures might be considered as an alternative option, especially in hospitals lacking manpower.

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Section: Operative Procedures In Group Asupporting

confidence: 45%

Duet laparoscopic repair with knotless barbed sutures for treatment of perforated peptic ulcer: reality in general surgery with lacking of manpower

2021

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“…However, in previous studies, operating times have been reduced from an average of 131 minutes to 87 minutes by performing continuous suturing using a barbed suture. 16 Thus, the present authors saved time for performing additional HSV procedures on patients in the high-risk group for ulcer recurrence. Both surgeons in the present study reduced the mean operation time to less than 100 minutes after performing the procedure in 10 cases each, suggesting that the procedure would be easy to implement if a surgeon is familiar with laparoscopic gastrectomy techniques.…”

Section: Discussionmentioning

confidence: 81%

“…The detailed laparoscopic primary procedure, performed with a barbed suture at the present authors’ centre, has been described previously. 16 There was no risk of additional contamination after suturing of the perforation, and intraperitoneal irrigation was performed. Between 5 000 and 10 000 cc of sterile warm normal saline was used to clean the abdominal cavity.…”

Section: Methodsmentioning

confidence: 99%

Concurrent laparoscopic highly selective vagotomy with closure of duodenal ulcer perforations show good clinical results as primary repair alone

Park,

Lee,

Kim

et al. 2023

J Int Med Res

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Objective To compare clinical and operative results between laparoscopic primary repair (LPR) alone and LPR with highly selective vagotomy (LPR-HSV) in patients with duodenal ulcer perforation. Methods Clinical data from patients who underwent either LPR or LPR-HSV by resecting both sides of the neurovascular bundle using an ultrasonic or bipolar electrosurgical device for duodenal ulcer perforations, between 2010 and 2020, were retrospectively collected. Between-group differences in continuous and categorical variables were statistically analysed. Results Data from 184 patients (mean age, 49.6 years), who underwent either LPR ( n = 132) or LPR-HSV ( n = 52) were included. The mean operation time was significantly longer in the LPR-HSV group (116.5 ± 39.8 min) than in the LPR group (91.2 ± 33.3 min). Hospital stay was significantly shorter in the LPR-HSV group (8.6 ± 2.6 days) versus the LPR group (11.3 ± 7.1 days). The mean postoperative day of starting soft fluid diet was also significantly shorter in the LPR-HSV group (4.5 ± 1.4 days) than in the LPR group (5.6 ± 4 days). No between-group difference in morbidity rate was observed. The learning curve of the HSV procedure showed a stable procedure time after 10 operations. Conclusions LPR with HSV may be a safe and feasible procedure for selective cases who are at high risk for ulcer recurrence.

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“…Com objetivo de avaliar a segurança e eficácia de um novo método de sutura contínua em cirurgias laparoscópicas de UPP, Kim et al (2018) coletaram dados de 116 pacientes, dividindo-os em dois grupos, com sutura contínua farpada absorvível unidirecional de 15 cm de comprimento (grupo V) e sutura convencional interrompida (grupo C). O grupo V demonstrou menores complicações, com taxas de 0% para vazamento, 2% para coleção de líquido intra-abdominal e 2% para estenose.…”

Section: Complicações Trans E Pós-operatóriasunclassified

“…Em relação a diferentes técnicas de sutura, Kim et al (2018) testaram a sutura contínua farpada absorvível unidirecional de 15 cm de comprimento (grupo V) e a sutura convencional interrompida (grupo C). Os resultados demonstraram que o tempo total da operação (87,7 minutos versus 131,2 minutos), tempo total de sutura (7,1 minutos versus 25,3 minutos) e tempo de sutura por ponto (1,2 minutos versus 6,2 minutos) foram menores no grupo V do que no grupo C.…”

Section: Tempo De Cirurgiaunclassified

Laparoscopia versus laparotomia na Úlcera Péptica Perfurada: revisão de literatura dos últimos cinco anos

Mota¹,

Oliveira²,

Squeff³

et al. 2023

Braz. J. Hea. Rev.

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A úlcera péptica é uma enfermidade que afeta milhões de pessoas. Apesar dos avanços quanto ao entendimento e tratamento da doença, o número de pacientes diagnosticados com perfuração de úlcera péptica não vem diminuindo. Concomitantemente, a taxa de mortalidade supera outras situações de emergência comuns. O padrão-referência para perfurações simples é o reparo laparoscópico, porém grandes ulcerações perfuradas, a laparotomia com piloroplastia pode se tornar a melhor escolha. O presente trabalho tem como objetivo fornecer uma síntese das evidências atuais acerca dos aspectos biológicos e clínicos envolvidos nas técnicas laparoscópicas e laparotômicas para correção de úlcera péptica perfurada. A coleta de dados ocorreu por meio de busca bibliográfica na base de dados PubMed (via National Library of Medicine), utilizando os descritores “Peptic ulcer”, “Laparoscopic”, “Laparoscopy”, “Laparotomy”. Foram selecionados 56 trabalhos publicados entre 2017 e 2022. Considerando que há diferentes técnicas cirúrgicas para correção de úlcera peptídica perfurada, a revisão traz a definição correta de tal condição, bem como com a abordagem de cada técnica, envolvendo aspectos inerentes às indicações e contraindicações, complicações trans e pós-operatórias, tempo de internação, tempo de cirurgia, custo financeiro e taxa de mortalidade. Os resultados do presente estudo podem ajudar a desenvolver estratégias eficientes e seguras para a prevenção e o tratamento dessa condição, além de contribuir para uma conduta adequada durante a terapia dos indivíduos.

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Feasibility of a novel laparoscopic technique with unidirectional knotless barbed sutures for the primary closure of duodenal ulcer perforation

Abstract: The use of a continuous suture technique with unidirectional barbed sutures is as safe as the conventional suture technique and allows easier and faster suturing in the repair of perforated peptic ulcers.

Cited by 5 publications

References 23 publications

Duet laparoscopic repair with knotless barbed sutures for treatment of perforated peptic ulcer: reality in general surgery with lacking of manpower

Duet laparoscopic repair with knotless barbed sutures for treatment of perforated peptic ulcer: reality in general surgery with lacking of manpower

Concurrent laparoscopic highly selective vagotomy with closure of duodenal ulcer perforations show good clinical results as primary repair alone

Laparoscopia versus laparotomia na Úlcera Péptica Perfurada: revisão de literatura dos últimos cinco anos

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