Safety and efficacy of barbed suture for gastrointestinal suture: A prospective and randomized study on obese patients undergoing gastric bypass

Marco Milone, Matteo Nicola Dario Di Minno, Giuseppe Galloro, Paola Maietta, Paolo Bianco, Francesco Milone, Mario Musella

Research output: Contribution to journalArticle

Abstract

Background: Laparoscopic intracorporeal suturing and knot tying for anastomosis are considered the most difficult laparoscopic skills to master. The aim of this study was to establish the safety and efficacy of barbed suture for intestinal sutures to close the gastrojejunal anastomosis in obese patients undergoing gastric bypass. Study Design: All consecutive patients undergoing gastric bypass were screened for enrollment in our study. Patients were randomly allocated to undergo knotless anastomosis with barbed suture (V-Loc™ 180; Covidien, Mansfield, MA) (case group) or knot-tying anastomosis with 3/0 polyglactin sutures (Polysorb®; Covidien) (control group). The primary outcome was the time needed for the gastrojejunal anastomosis and the operative time. The secondary outcomes were the incidence of leak, bleeding, and stenosis and the evaluation of the cost of the different procedures evaluated. Results: Among the 60 consecutive patients enrolled in our study, 30 underwent knot-tying anastomosis, and 30 underwent knotless anastomosis. The time needed for the anastomosis was significantly less (P

Original languageEnglish
Pages (from-to)756-759
Number of pages4
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume23
Issue number9
DOIs
Publication statusPublished - 2013

ASJC Scopus subject areas

  • Surgery

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