Laparoscopic Linear Stapled Running Enterotomy Closure in Roux-en-Y Gastric Bypass Using Absorbable Unidirectional Barbed Suture (Stratafix® 2/0)

Background Laparoscopic running enterotomy closure for linear stapled Roux-en-Y gastric bypass (RYGB) may be enhanced by using unidirectional barbed sutures (Stratafix™ 2/0, Ethicon) as it eliminates the need for knot tying and assistance from a third hand. Objectives The objective of this paper is...

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Bibliographic Details
Published in:Obesity surgery 2017-10, Vol.27 (10), p.2740-2741
Main Authors: Gys, Ben, Gys, Tobie, Ruyssers, Michael, Lafullarde, Thierry
Format: Article
Language:English
Subjects:
Biomedical materials
Constriction, Pathologic - surgery
Female
Gastric Bypass - methods
Gastrointestinal surgery
How I Do It
Humans
Intestine, Small - pathology
Intestine, Small - surgery
Laparoscopy
Laparoscopy - methods
Medicine
Medicine & Public Health
Obesity
Obesity, Morbid - surgery
Surgery
Surgical outcomes
Suture Techniques
Sutures
Wound Closure Techniques - instrumentation
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Summary:Background Laparoscopic running enterotomy closure for linear stapled Roux-en-Y gastric bypass (RYGB) may be enhanced by using unidirectional barbed sutures (Stratafix™ 2/0, Ethicon) as it eliminates the need for knot tying and assistance from a third hand. Objectives The objective of this paper is to present our technique using unidirectional barbed sutures (Stratafix™ 2/0, Ethicon). Methods After stapling the gastrojejunostomy, we start the closure of the residual enterotomy unidirectional from left to right (single, full-thickness layer) which is cut without a knot. For the jejunojejunostomy, the residual enterotomy is closed perpendicular from top to bottom in order to avoid iatrogenic stricture formation (single, full-thickness layer). No backstitches are performed. Conclusions We feel strongly that this technique might enhance running enterotomy closure for linear stapled RYGB.
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-017-2870-8