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. 2012 Jul 27;4(7):177-9.
doi: 10.4240/wjgs.v4.i7.177.

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

Satoru Takayama  1 , Nozomu Nakai, Midori Shiozaki, Ryo Ogawa, Masaki Sakamoto, Hiromitsu Takeyama
Affiliations

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

Satoru Takayama et al. World J Gastrointest Surg. .

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.

Keywords: Single incision laparoscopic surgery; Transabdominal preperitoneal approach; V-Loc.

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Figures

Figure 1
Figure 1
The first suture is locked by passing the needle through the end loop of V-Loc.
Figure 2
Figure 2
The closed peritoneum does not loosen after continuous suturing.
Figure 3
Figure 3
A return suture was placed to prevent suture loosening.
See this image and copyright information in PMC

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