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Use of barbed suture for peritoneal closure in transabdominal preperitoneal hernia repair
Satoru Takayama1, Nozomu Nakai, Midori Shiozaki
1Satoru Takayama, Nozomu Nakai, Midori Shiozaki, Ryo Ogawa, Masaki Sakamoto, Hiromitsu Takeyama, Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, 467-8601 Aichi, Japan.
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.