Knotless choledochorraphy with barbed suture, safe and feasible

Fernández, L.M. Rodríguez; Toriz, Augusto; Hernandez, Jorge; Sánchez, Norberto; Linares, Erick Marcello Alfaro; Zenteno, Massiel; Cuendis, Adolfo; Olivares, José; Guerrero, Gustavo; Cervantes, Cesar F.

doi:10.1007/s00464-015-4620-0

Cited by 12 publications

(18 citation statements)

References 26 publications

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“…Edil et al [32] used barbed sutures in the performance of a pancreaticojejunostomy in the last 19 patients in a series of 37 undergoing Whipple procedure and concluded that the use of barbed sutures in performing laparoscopic pancreaticojejunostomy is a safe and effective technique, showing similar results to other series of laparoscopic Whipple procedures. Fernández et al [33] used barbed sutures in choledochorrhaphy in 50 patients. There were no bile leaks or other postoperative complications such as infection, need for reintervention, or death.…”

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RETRACTED ARTICLE: Use of Barbed Sutures in Bariatric Surgery.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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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: 99%

RETRACTED ARTICLE: Use of Barbed Sutures in Bariatric Surgery.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

2016

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“…Lee and Yoon 26 performed primary closure of the CBD in 15 patients during choledochotomy and observed no biliary leakage in any patients; however, these patients required another endoscopic procedure to remove the endobiliary stent 1 month after surgery. In Mexico, Fernandaz et al 27 also proved that the use of unidirectional knotless barbed suture was safe and feasible in LCBDE for primary CBD closure. In our study, mild biliary leakage was observed in only one patient in each group, and they recovered with no further complications after conservative treatments.…”

Section: Discussionmentioning

confidence: 99%

Primary closure with knotless barbed suture versus traditional T-tube drainage after laparoscopic common bile duct exploration: a single-center medium-term experience

et al. 2019

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Objective: Primary closure of the common bile duct (CBD) after laparoscopic CBD exploration (LCBDE) is a technical challenge. The present study was performed to evaluate the safety and effectiveness of this surgical method. Methods: This retrospective study of surgical efficacy and safety involved 79 patients who underwent primary CBD closure with a knotless unidirectional barbed suture or traditional T-tube drainage after LCBDE for CBD stones. Results: The average suturing time, operation time, and postoperative hospital stay were significantly shorter in the primary closure group than T-tube group. There were no significant differences in the mean diameter of the CBD, number of stones, or incidence of postoperative complications between the two groups. No patients developed recurrence of CBD stones during the median follow-up of 21.5 months. Conclusions: After LCBDE and intraoperative choledochoscopy, primary closure with knotless unidirectional barbed sutures is a safe and effective therapeutic option for patients with cholelithiasis and concurrent CBD stones. This is especially true when the CBD is dilated more than 8 mm.

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“…V-Loc device consists of a helical barbed absorbable thread having a unidirectional barb with circumferential distribution having a loop at the end with a self-anchoring nature so that it does not loosen after initial tightening. 8,11,15,[20][21][22] These characteristics of V-Loc device eliminate the need for tying a knot and reinforcement for preventing thread slippage. V-Loc maintains even tensile strength along the total length of the wound without knot tying.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6] Recently, knotless barbed absorbable sutures have been used in various surgical situations, including gastrointestinal surgery, [7][8][9][10] gynecologic surgery, [11][12][13] and hepatobiliary-pancreatic surgery. [14][15][16] Currently, V-Loc (Covidien, Mansfield, MA, USA), an absorbable wound closure device that is US Food and Drug Administration (FDA)-approved barbed suture, is a unidirectional barbed suture with a needle at one end and a welded loop at the other end. 17 We applied V-Loc TM 90 2-0 for abdominal wall closure after SILA.…”

Section: Introductionmentioning

confidence: 99%

The Overlapping Running Suture Method Using Single Knotless Barbed Absorbable Suture Material for Abdominal Wall Closure after Single Incision Laparoscopic Appendectomy: Comparison with the Traditional Interrupted Closure Technique

Kim

Park

Joo

et al. 2018

J Minim Invasive Surg

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The aim of our study was to present an abdominal wall closure technique using barbed suture V-Loc TM 90 after single incision laparoscopic appendectomy (SILA) and to compare perioperative outcomes with conventional layer by layer abdominal wall closure after SILA. Methods: From March 2014 to July 2016, a retrospective case-control study was conducted for a total of 269 consecutive patients who underwent SILA. According to abdominal wall closure methods, 129 patients were classified into the V-Loc closure group and 140 patients were assigned into the conventional layer by layer closure group. In the V-Loc group, abdominal wall closure was performed from the fascia to the skin with a single thread of unidirectional absorbable barbed suture V-Loc TM 90 2-0 using continuous running suture and reverse overlapping reinforced running technique. Subcutaneous closure and subcuticular suture were performed with the remaining portion of V-Loc. Results: The V-Loc closure group showed shorter total operation time (40.0±15.4 min vs. 44.9±16.3 min, p=0.013) and abdominal wall closure time (5.5±0.9 min vs. 6.5±0.8 min, p<0.001). Postoperative incision length was significantly shorter in the V-Loc closure group (1.1±0.3 cm vs. 1.8±0.4 cm, p<0.001). Postoperative wound pain, time to resume diet, postoperative hospital stay, complications including surgical site infection, or mean patient satisfaction score at one month after hospital discharge was not significantly different between the two groups. Conclusion: In conclusion, unidirectional knotless barbed suture is a safe alternative method for abdominal wall closure after SILA. It can save time while providing comparable cosmesis.

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Knotless choledochorraphy with barbed suture, safe and feasible

Cited by 12 publications

References 26 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

Primary closure with knotless barbed suture versus traditional T-tube drainage after laparoscopic common bile duct exploration: a single-center medium-term experience

The Overlapping Running Suture Method Using Single Knotless Barbed Absorbable Suture Material for Abdominal Wall Closure after Single Incision Laparoscopic Appendectomy: Comparison with the Traditional Interrupted Closure Technique

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