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


CONCLUSIONS
We conclude that V-Loc is the ideal peritoneal closure device for transabdominal preperitoneal hernia repair.
Satoru Takayama, Nozomu Nakai, Midori Shiozaki, Ryo Ogawa, Masaki Sakamoto, Hiromitsu Takeyama, Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, 467-8601 Aichi, Japan.
Satoru
S
Takayama
Nozomu
N
Nakai
Midori
M
Shiozaki
Ryo
R
Ogawa
Masaki
M
Sakamoto
Hiromitsu
H
Takeyama