title: Use of barbed suture in robot-assisted mitral valvuloplasty.
abstract: Robot-assisted annuloplasty using a mitral band has a major issue: suturing is time consuming because knot tying is performed mechanically under endoscopic view. We suture the mitral band to the native valve by running sutures using the V-Loc barbed suture nonabsorbable wound closure device (Covidien, Mansfield, MA) with 3-0 monofilament. This technique allows rapid suturing of the band to the valve. Although conventional interrupted sutures leave multiple knots protruding on the band, using the V-Loc eliminates the need to tie surgical knots and leaves a clean surface, which may potentially reduce the risk of thrombogenesis. This method is highly useful for robotic mitral annuloplasty.
authors.affiliation: Department of General and Cardiothoracic Surgery, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan. Electronic address: watago6633@gmail.com.
authors.forename: Go
authors.initials: G
authors.lastname: Watanabe
authors.affiliation: Department of General and Cardiothoracic Surgery, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.
authors.forename: Norihiko
authors.initials: N
authors.lastname: Ishikawa
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D065287:Robotic Surgical Procedures; D013536:Suture Techniques; D013537:Sutures