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Case Reports
. 2018 Apr 24:2018:8406054.
doi: 10.1155/2018/8406054. eCollection 2018.

Development of Small Bowel Volvulus on Barbed V-Loc™ Suture: A Rare Complication after Laparoscopic Ventral Rectopexy

Giovanni Terrosu  1 , Vittorio Cherchi  1 , Umberto Baccarani  1 , Gian Luigi Adani  1 , Dario Lorenzin  1 , Riccardo Pravisani  1 , Serena Bertozzi  1 , Sergio Calandra  1 , Luigino Noce  1 , Antonia Lavinia Zuliani  1 , Andrea Risaliti  1
Affiliations
Case Reports

Development of Small Bowel Volvulus on Barbed V-Loc™ Suture: A Rare Complication after Laparoscopic Ventral Rectopexy

Giovanni Terrosu et al. Case Rep Surg. .

Abstract

In this case report, we share our experience with an emerging complication in laparoscopic surgery caused by the use of barbed sutures for an off-label indication. We describe a postoperative volvulus caused by the adhesion of the small bowel and V-Loc suture after a ventral laparoscopic rectopexy in a 48-year-old female patient. We also suggest cutting flush the end of the V-Loc and extending the follow-up of these patients.

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Figures

Figure 1
Figure 1
Adhesion between the peritoneum and the distal ileum in the Douglas' pouch.
Figure 2
Figure 2
V-Loc barbed suture.
See this image and copyright information in PMC

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