Use of barbed suture for peritoneal closure in transabdominal preperitoneal hernia repair

World J Gastrointest Surg. 2012 Jul 27;4(7):177-9. doi: 10.4240/wjgs.v4.i7.177.

Abstract

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.

Keywords: Single incision laparoscopic surgery; Transabdominal preperitoneal approach; V-Loc.