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Barbed Suture Causing Acute Small Bowel Obstruction Post Laparoscopic Sacrocolpopexy
Dipak Limbachiya1, Rajnish Tiwari1, Rashmi Kumari1
1Department of Gynaecological Endoscopy, Eva Women's Hospital, Ahmedabad, India.
CRSLS : MIS Case Reports From SLS
|December 1, 2022
Summary
A rare case of small bowel obstruction occurred after laparoscopic sacrocolpopexy due to barbed suture. Prompt surgical intervention successfully resolved the obstruction by detaching the suture from the mesentery.
Area of Science:
- Urogynecology
- Minimally Invasive Surgery
- Surgical Complications
Background:
- Laparoscopic sacrocolpopexy is a surgical procedure for pelvic organ prolapse.
- Barbed sutures are utilized to facilitate tissue fixation during minimally invasive procedures.
Observation:
- A 61-year-old female developed small bowel obstruction on postoperative day five after laparoscopic sacrocolpopexy.
- Imaging revealed distal small bowel mechanical obstruction at the ileum.
- Laparoscopic exploration identified barbed suture tail end anchored to the mesentery, causing bowel compression.
Findings:
- The barbed suture tail end was detached from the mesentery, relieving the obstruction.
- No bowel wall repair was necessary.
- The patient's postoperative course was uneventful after suture removal.
Implications:
- Bowel complications are a serious, albeit uncommon, risk associated with barbed suture use.
- Careful consideration and technique are paramount when employing barbed sutures in pelvic reconstructive surgery.
- Further research into preventative strategies for barbed suture-related complications is warranted.
