title: Are we burying our heads in the sand? Preventing small bowel obstruction from the V-loc® suture in laparoscopic ventral rectopexy.
abstract: OBJECTIVE
  There have been increasing reports in the literature highlighting the complication of V-loc® associated small bowel obstruction in patients after laparoscopic ventral rectopexy.
  
  
  RESULTS
  Using clinical and experimental evidence, we demonstrate that bowel obstruction from the V-loc® following laparoscopic ventral rectopexy will still occur despite the technical recommendations to bury or cut its barbed end flush.
  
  
  CONCLUSIONS
  The risk of bowel obstruction from the V-loc® following laparoscopic ventral rectopexy is not negated by burying or cutting its barbed end flush. We have proposed its pathogenesis to refute commonly held assumptions about its prevention.
authors.affiliation: School of Medicine, The University of Queensland, Brisbane, Queensland, Australia.|Department of Colon and Rectal Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.|Clinical Skills Development Service, Queensland Health, Brisbane, Queensland, Australia.
authors.forename: S
authors.initials: S
authors.lastname: Sakata
authors.affiliation: Department of Colon and Rectal Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
authors.forename: S
authors.initials: S
authors.lastname: Kabir
authors.affiliation: Department of Colon and Rectal Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
authors.forename: D
authors.initials: D
authors.lastname: Petersen
authors.affiliation: Department of Colon and Rectal Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
authors.forename: M
authors.initials: M
authors.lastname: Doudle
authors.affiliation: School of Medicine, The University of Queensland, Brisbane, Queensland, Australia.|Department of Colon and Rectal Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.|Clinical Skills Development Service, Queensland Health, Brisbane, Queensland, Australia.
authors.forename: A R L
authors.initials: AR
authors.lastname: Stevenson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000818:Animals; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000517:prevention & control*; D007421:Intestine, Small / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012007:Rectum / Q000601:surgery*; D012086:Reoperation; D013536:Suture Techniques / Q000009:adverse effects*; D013537:Sutures / Q000009:adverse effects*; D013552:Swine; D055815:Young Adult
keywords: Barbed suture; bowel obstruction; complications; ventral rectopexy