The application of the V-Loc closure device for gastrointestinal sutures: a preliminary study

Nemecek, Elena; Negrin, Lukas Leopold; Beran, Claudia; Nemecek, Romina; Hollinsky, Christian

doi:10.1007/s00464-013-2982-8

Cited by 43 publications

(31 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There is no precedent of its use on the bile ducts. However, based on the suture characteristics, and its previously published recommendations [12,33], we started using this suture under the hypothesis that it could fulfill the requirements of an ideal bile duct suture permitting an easier, safer and efficient reconstruction based on:…”

Section: Discussionmentioning

confidence: 99%

Knotless choledochorraphy with barbed suture, safe and feasible

et al. 2015

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Knotless choledochorraphy with barbed suture, safe and feasible

et al. 2015

View full text Add to dashboard Cite

show abstract

“…We also note that this material is completely self-retaining and therefore may provide adequate anchorage at each bite, eschewing excessive tension and tissue laceration (Boure et al 2005). Further, although its strength is reduced by 20% one week after surgery and by 35% three weeks after surgery (Boure et al 2005), it maintains adequate strength for the time required to allow bladder healing (Nemecek et al 2013).…”

Section: Discussionmentioning

confidence: 94%

Closure of a recurrent bladder rupture in a calf by means of a peritoneal flap: a case report

Gandini¹,

Giusto²,

Comino³

et al. 2016

Vet. Med. - Czech

View full text Add to dashboard Cite

An 11-month old, Piedmontese bullock was admitted to the Department of Veterinary Science, University of Turin, for urolithiasis and suspected uroperitoneum owing to urinary bladder rupture. A first episode of uroperitoneum had been treated surgically one week previously. On admission, the animal underwent physical and haematological examination, followed by transabdominal ultrasonography and biochemical screening. Clinical and laboratory findings confirmed the recurrence of uroperitoneum, possibly secondary to the previously failed surgical approach. During surgery, urine leakage from the previously treated tear was clearly visible, together with a large necrotic area surrounding the tear. To close the defect, we created a peritoneal flap. For tissue approximation we used a continuous barbed suture material, which obviated the need for knots to secure the leading and terminal ends of the suture. Postoperative monitoring included transabdominal ultrasonography and biochemical profile tests, performed at 10 and 30 days after surgery. Two months after discharge, a telephone follow-up confirmed the positive outcome of the procedure. The creation of a peritoneal flap allows for effective sealing of a bladder tear with necrotic edges. The use of barbed suture greatly simplifies the entire procedure.Keywords: calf; soft tissue surgery; bladder surgery; peritoneal flap Case descriptionAn 11-month old, Piedmontese bullock weighing 325 kilograms was referred for suspected uroperitoneum. The bullock had a two-day history of acute abdomen and anuria. On physical examination, the animal showed signs of depression, weakness, bruxism, tail flagging, and bilateral distension of the ventral abdomen with a fluid wave on ballottement. The preputial tuft was dry, with the presence of crystals. Transabdominal ultrasonography excluded hydronephrosis but confirmed the presence of a large amount of free fluid in the peritoneal cavity. Complete blood cell count was within the normal range, whereas biochemical tests revealed severe azotaemia (creatinine = 1376.38 µmol/l; urea = 72.11 mmol/l) and a slight increase in serum potassium concentration (5.83 mmol/l). Based on these findings, the case was diagnosed as obstructive urolithiasis with urinary bladder rupture and subsequent uroperitoneum. Because of the high economic value of the animal, surgical correction was advised.Ultrasound-guided abdominocentesis was employed to slowly remove about 15 l of urine in approximately 45 min. The procedure was performed using a 5-mm laparoscopic trocar cannula (Covidien, Italy). After sterile skin preparation, the patient received epidural anaesthesia (0.05 mg/kg xylazine and 2% lidocaine (0.2 mg/kg)). The animal was placed in dorsal recumbency and received fluid therapy with 0.9% NaCl (4 ml/kg/h, i.v.). The ventral abdomen was clipped and surgically prepared. A local inverted V-block, cranial to the incision site, was also performed using 2% lidocaine. The prepuce and penis were laterally reflected and a ventral midline celiotomy was mad...

show abstract

“…A number of devices have been developed and used in the clinic, such as flexible endo-stitch, endoscopic clips and G-Pros (55,56). However, the incision in the stomach may be closed by hand-suturing, which has been proved to be a safe, easy and low cost method in comparison with other methods (57). To confirm the tightness of the stomach incision closure, a combination of intra-abdominal perfusion of saline and filling the stomach with air may be a good method to evaluate the closure of the incision by examining if there are bubbles out of the water.…”

Section: Discussionmentioning

confidence: 99%

An innovative procedure of laparoscope combined with endoscopy for gastrointestinal stromal tumor resection and cholecystectomy: A case report and literature review

Yan

Gai

et al. 2016

Experimental and Therapeutic Medicine

View full text Add to dashboard Cite

Abstract. The present study reports a novel approach to laparoscopic and endoscopic cooperative surgery for gastric gastrointestinal stromal tumor (GIST) resection and cholecystectomy, and conducts a review of the associated literature. The novel surgical procedure was performed on one patient who was diagnosed with a GIST and cholecystic polypus. The GIST was resected using an insulation-tipped diathermic electrosurgical knife under the guide of an endoscope. Subsequently, a cholecystectomy was performed by inserting two more 5-mm trocars and instruments transumbilically, guided using an endoscope. The tumor and the gallbladder were exteriorized using a peroral approach and the incision lining of the stomach was sutured laparoscopically. The procedure was successfully performed and the patient experienced no discomfort during the 5-year follow-up. In conclusion, the present study demonstrates that laparoscopic and endoscopic cooperative surgery is feasible and would be an ideal choice for invisible abdominal scar surgery, in particular for multi-visceral resection.

show abstract

The application of the V-Loc closure device for gastrointestinal sutures: a preliminary study

Cited by 43 publications

References 17 publications

Knotless choledochorraphy with barbed suture, safe and feasible

Knotless choledochorraphy with barbed suture, safe and feasible

Closure of a recurrent bladder rupture in a calf by means of a peritoneal flap: a case report

An innovative procedure of laparoscope combined with endoscopy for gastrointestinal stromal tumor resection and cholecystectomy: A case report and literature review

Contact Info

Product

Resources

About