[Ileus caused by V-loc sutures]

A laparoscopic bilateral inguinal hernia repair was performed on a 62-year-old man. The peritoneum was sutured on both sides laterally to medial with the V-loc unidirectional barbed suture. An end of approximately 2 cm was left on both sides. Five days later the patient returned to hospital with intestinal obstruction. Exploratory laparoscopy revealed that the two ends of the sutures had formed a string medially, and the small intestine was caught over the string, causing the obstruction. This case demonstrates the need for fast diagnosis in our patients after surgery, when introducing new surgical material.