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Feasibility of a novel laparoscopic technique with unidirectional knotless barbed sutures for the primary closure of duodenal ulcer perforation

Authors :
Eun-Jin Song
Jung-Woo Woo
Jae Yool Jang
Sang-Ho Jeong
Tae-Han Kim
Jin-Kwon Lee
Ji-Ho Park
Ju-Yeon Kim
Sang-Kyung Choi
Woo-Song Ha
Woohyung Lee
Young-Joon Lee
Taejin Park
Seung-Jin Kwag
Soon-Chan Hong
Eun-Jung Jung
Chi-Young Jeong
Young-Tae Ju
Source :
Surgical Endoscopy. 32:3667-3674
Publication Year :
2018
Publisher :
Springer Science and Business Media LLC, 2018.

Abstract

Laparoscopic primary repair is one of the main procedures used for perforated gastric ulcers, and this technique requires reproducible and secure suturing. The aim of this study was to investigate the safety and efficacy of a novel continuous suture method with barbed sutures during laparoscopic repair for perforated peptic ulcers. Clinical data from 116 consecutive patients undergoing laparoscopic repair for perforated peptic ulcers were collected between November 2009 and October 2015. Continuous suturing with 15-cm-long unidirectional absorbable barbed sutures was used for laparoscopic repair in the study group, termed group V (n = 51). Patients who underwent laparoscopic repair with conventional interrupted sutures were defined as group C (n = 65). The complication and operative data were compared between groups. Although there was no difference between group V and group C in the overall complication rate (15.7% vs. 24.6%; p = 0.259), the complication rate related to suturing was lower (3.9% vs. 15.4%; p = 0.04) in group V. Group V showed rates of 0% for leakage, 2% for intra-abdominal fluid collection, and 2% for stricture; the corresponding rates in group C were 3.1, 7.7, and 4.6%, respectively. Regarding operative data, the total operation time (V vs. C, 87.7 min vs. 131.2 min), total suture time (7.1 min vs. 25.3 min), and suture time per stitch (1.2 min vs. 6.2 min) were significantly shorter in group V than in group C (p

Details

ISSN :
14322218 and 09302794
Volume :
32
Database :
OpenAIRE
Journal :
Surgical Endoscopy
Accession number :
edsair.doi.dedup.....270ace457b860ca538651fe99f8c3475
Full Text :
https://doi.org/10.1007/s00464-018-6099-y