Use of a unidirectional barbed suture in laparoscopic partial cholecystectomy : a case report

Publication Date

2000

Document Type

Research

Abstract

Laparoscopic Partial Cholecystectomy (LPC) has emerged as a favorable alternative to Laparoscopic Cholecystectomy (LC) in the treatment of cute cholecystitis due to the decreased incidence of conversion to open cholecystectomy in the former. Even so, post- operative bile leakage remains a potential problem after doing an LPC. In order to prevent this, laparoscopic intra-corporeal suturing to close the gallbladder stump was employed by surgeons. While a variety of sutures have been reported in the literature, no study probing the use of unidirectional barbed suture has been documented. In this case report, V-loc 180 2-0 GS-21 unidirectional absorbable barbed suture (Coviden, USA) was used in a continuous fashion to close the gallbladder stump with a closed system drain placed. Post- operative drainage was noted to be minimal and composed only of serosanguinous fluid, devoid of bile. The patient was discharged improved on the 2'' post-operative day and drain removal was done on the 7* post-op day. The patient was thenceforth clinically stable and no signs and symptoms of bile leakage were noted one month after the procedure. As such, the use of unidirectional barbed suture proves to be promising in stump closure to prevent bile leakage after doing an LPC.

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