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Related Experiment Video

Updated: Apr 19, 2026

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

[Ileus caused by V-loc sutures].

Rikke Jurlander Ovesen¹, Hans Friis-Andersen

¹Prip Buus Vej 4, 8700 Horsens. rikke-ovesen@hotmail.com.

Ugeskrift for Laeger

|December 16, 2014

Summary

A new surgical suture caused a rare intestinal obstruction in a patient undergoing laparoscopic hernia repair. Prompt diagnosis is crucial when using novel surgical materials to prevent complications.

Area of Science:

General Surgery
Minimally Invasive Surgery
Surgical Materials Science

Background:

Laparoscopic bilateral inguinal hernia repair is a common surgical procedure.
V-loc unidirectional barbed sutures offer advantages in tissue approximation.
Standard surgical protocols involve securing suture ends after closure.

Observation:

A 62-year-old male patient developed intestinal obstruction five days post-laparoscopic bilateral inguinal hernia repair.
The patient's peritoneum was sutured using V-loc unidirectional barbed sutures, with approximately 2 cm ends left on each side.
Exploratory laparoscopy revealed the suture ends had formed a medial string, entrapping the small intestine.

Findings:

The untrimmed ends of the V-loc suture created a "string" within the abdominal cavity.

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This suture string acted as a point of obstruction for the small intestine, leading to a surgical emergency.

The specific configuration and material properties of the barbed suture contributed to the complication.

Implications:

This case highlights a potential, previously undocumented complication associated with V-loc unidirectional barbed sutures.
It underscores the critical importance of meticulous surgical technique, including appropriate management of suture ends, even with novel materials.
Emphasizes the need for heightened clinical suspicion and rapid diagnostic workup for intestinal obstruction in patients with recent surgery, particularly when new surgical materials are introduced.