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International Urogynecology Journal

, Volume 22, Issue 6, pp 761–763 | Cite as

Small bowel volvulus following peritoneal closure using absorbable knotless device during laparoscopic sacral colpopexy

  • Thibault Thubert
  • Guillaume Pourcher
  • Xavier Deffieux
Case Report

Abstract

As laparoscopic sacral colpopexy is associated with long operation times, barbed suture can be used to reduce the time needed to accomplish peritoneal closure. However, little is known about the adverse events of this new technique. We report on the case of a small bowel volvulus following peritoneal closure using a barbed suture. The patient presented with acute abdominal pain and a bowel obstruction syndrome 1 month after laparoscopic sacral colpopexy.

Keywords

Barbed suture Knotless suture Laparoscopic sacrocolpopexy Peritoneal closure Small bowel obstruction V-lock 

Notes

Conflicts of interest

None.

References

  1. 1.
    Alessandri F, Remorgida V, Venturini PL, Ferrero S (2010) Unidirectional barbed suture versus continuous suture with intracorporeal knots in laparoscopic myomectomy: a randomized study. J Minim Invasive Gynecol 17(6):725–729PubMedCrossRefGoogle Scholar
  2. 2.
    Ross JW, Preston M (2005) Laparoscopic sacrocolpopexy for severe vaginal vault prolapse: five-year outcome. J Minim Invasive Gynecol 12(3):221–226PubMedCrossRefGoogle Scholar
  3. 3.
    Einarsson JI, Vellinga T, Twijnstra ARH, Suzuki Y, Greenberg JA (2009) The use of bidirectional barbed suture in laparoscopic myomectomy and total laparoscopic hysterectomy; an evaluation of safety and clinical outcomes. J Minim Invasive Gynecol 16(6, suppl1):S28–S29CrossRefGoogle Scholar
  4. 4.
    Demyttenaere SV, Nau P, Henn M, Beck C, Zaruby J, Primavera M, Kirsch D, Miller J, Liu JJ, Bellizzi A, Melvin WS (2009) Barbed suture for gastrointestinal closure: a randomized control trial. Surg Innov 16(3):237–242PubMedCrossRefGoogle Scholar
  5. 5.
    Whitehead WE, Bradley CS, Brown MB, Brubaker L, Gutman RE, Varner RE, Visco AG, Weber AM, Zyczynski H (2007) Pelvic floor network. Gastrointestinal complications following abdominal sacrocolpopexy for advanced pelvic organ prolapse. Am J Obstet Gynecol 197(1):78.e1–78.e7CrossRefGoogle Scholar

Copyright information

© The International Urogynecological Association 2010

Authors and Affiliations

  • Thibault Thubert
    • 1
    • 2
  • Guillaume Pourcher
    • 3
  • Xavier Deffieux
    • 1
    • 2
    • 4
  1. 1.AP-HP, Service de Gynécologie-Obstétrique et Médecine de la ReproductionHôpital Antoine BéclèreClamartFrance
  2. 2.Faculté de MédecineUniv Paris SudLe Kremlin BicêtreFrance
  3. 3.AP-HP, Service de Chirurgie viscéraleHôpital Antoine BéclèreClamartFrance
  4. 4.Service de Gynécologie Obstétrique et Médecine de la ReproductionHôpital Antoine BéclèreClamartFrance

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