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Related Experiment Videos

Barbed suture for gastrointestinal closure: a randomized control trial.

Sebastian V Demyttenaere1, Peter Nau, Matthew Henn

  • 1Department of Surgery, Center for Minimally Invasive Surgery, Ohio State University Medical Center, Columbus, OH 43210, USA.

Surgical Innovation
|September 29, 2009
PubMed
Summary

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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

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The V-Loc barbed suture offers comparable gastrointestinal closure to traditional sutures but significantly reduces suturing time in laparoscopic procedures. This feasibility study in pigs showed similar safety and efficacy, paving the way for further research.

Area of Science:

  • Surgical Innovation
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Laparoscopic suturing can be time-consuming.
  • The V-Loc device is a self-anchoring barbed suture designed to eliminate knot tying.
  • Its efficacy in gastrointestinal enterotomy closure requires investigation.

Purpose of the Study:

  • To evaluate the feasibility of using the V-Loc barbed suture for gastrointestinal enterotomy closure.
  • To compare the V-Loc barbed suture with a non-barbed suture in terms of safety and efficacy.
  • To assess the impact of the V-Loc suture on surgical time.

Main Methods:

  • A randomized study was conducted on 12 pigs.
  • Enterotomies were created in the stomach, jejunum, and colon.

Related Experiment Videos

  • Closure was performed using either V-Loc barbed suture or a non-barbed suture.
  • Outcomes assessed included adhesion scores, burst strength, histology, and suturing time.
  • Animals were observed at 3, 7, and 14 days postoperatively.

    • Main Results:

    • V-Loc barbed suture closure demonstrated similar adhesion scores, burst strength, and histology compared to the control group.
    • Suturing time was significantly reduced with the V-Loc device across all tested gastrointestinal segments.
    • Jejunal closures showed some failures at 7 and 14 days in both barbed and non-barbed groups.

    Conclusions:

    • The V-Loc barbed suture provides comparable gastrointestinal closure to 3-0 Maxon suture.
    • The V-Loc device significantly decreases operative time, enhancing efficiency in laparoscopic procedures.
    • Further studies are warranted to fully assess the V-Loc's utility in laparoscopic surgery.