Small bowel volvulus following peritoneal closure using absorbable knotless device during laparoscopic sacral...

Area of Science:

• Surgical Innovation
• Minimally Invasive Surgery
• Gastrointestinal Surgery

Background:

• Laparoscopic sacral colpopexy is a surgical procedure to treat pelvic organ prolapse.
• Long operation times are a known challenge in laparoscopic sacral colpopexy.
• Barbed sutures offer a potential solution to reduce operative time for peritoneal closure.

Observation:

• A case report details a patient who underwent laparoscopic sacral colpopexy.
• The peritoneal closure was performed using a barbed suture technique.
• The patient presented with symptoms of bowel obstruction one month post-surgery.

Findings:

• The patient experienced a small bowel volvulus.
• This adverse event occurred following the use of barbed suture for peritoneal closure.
• The volvulus led to acute abdominal pain and bowel obstruction syndrome.

Implications:

• Barbed sutures, while potentially reducing operative time, may be associated with serious adverse events like small bowel volvulus.
• Further investigation is needed to understand the risks and benefits of barbed sutures in laparoscopic procedures.
• Surgeons should be aware of potential complications when using novel techniques for peritoneal closure.