title: The Hand-sewn Anastomosis with an Absorbable Bidirectional Monofilament Barbed Suture Stratafix® During Laparoscopic One Anastomosis Loop Gastric Bypass. Retrospective Study in 50 Patients.
abstract: BACKGROUND
  Laparoscopic One Anastomosis Gastric Bypass (LOAGB) is one of the main bariatric procedures that require a safe and reproducible gastrojejunal anastomosis. Barbed suture has been widely used for surgery in recent years; however, few studies have reported their use for gastro-intestinal anastomosis. We proposed their use for totally hand-sewn anastomosis during LOAGB.
  
  
  OBJECTIVE
  The objective of this study is to evaluate the risk of leaks and stenosis after a hand-sewn anastomosis using an absorbable bidirectional monofilament barbed suture: Stratafix®.
  
  
  METHODS
  The study was done in a private practice setting.
  
  
  METHODS
  Between April and November 2014, 50 consecutive patients undergoing a hand-sewn antecolic, antegastric gastrojejunal anastomosis (GJA) using Stratafix®. Pre, intra, and postoperative parameters were assessed for these patients.
  
  
  RESULTS
  No fistulas or anastomotic stenosis had occurred up to 6 months after surgery. All procedures were completed laparoscopically, and no intraoperative complications occurred. The mean length of hospital stay was 3 days.
  
  
  CONCLUSIONS
  The use of an absorbable bidirectional monofilament barbed suture for the GJA was safe. Further prospective studies with a higher number of patients are needed to address the safety and efficacy of the absorbable bidirectional monofilament barbed suture in bariatric surgery.
authors.affiliation: Department of Bariatric Surgery, Clinique Chirurgicale Mutualiste de Saint-Etienne, Saint-Etienne, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Blanc
authors.affiliation: Department of Bariatric Surgery, Clinique de la Châtaigneraie, 63110, Beaumont, France.
authors.forename: Patrice
authors.initials: P
authors.lastname: Lointier
authors.affiliation: Department of Bariatric Surgery, Clinique Chirurgicale Mutualiste de Saint-Etienne, Saint-Etienne, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Breton
authors.affiliation: Department of Bariatric Surgery, CHU Archet 2 Hospital, Nice, France.
authors.forename: Tarek
authors.initials: T
authors.lastname: Debs
authors.affiliation: Department of General Surgery, CHU Hospital, Jean Monnet University, Avenue Albert Raimond, 42270, Saint Etienne, France. radwankassir42@hotmail.fr.
authors.forename: Radwan
authors.initials: R
authors.lastname: Kassir
mesh_terms: D020341:Absorbable Implants; D000328:Adult; D000368:Aged; D005260:Female; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery; D012189:Retrospective Studies; D013536:Suture Techniques; D013537:Sutures
keywords: Barbed suture; Bariatric surgery; Laparoscopy; One loop gastric bypass; Stratafix®