Three Cases of Bowel Obstruction Caused by the Barbed Suture Device Used for Peritoneal Closure During Laparoscopic Ventral Rectopexy

Key Points

• Investigate bowel obstruction causes related to barbed sutures in laparoscopic ventral rectopexy cases.
• Reported three cases of bowel obstruction following laparoscopic ventral rectopexy.
• Identified specific causes related to barbed suture and implemented corrective surgical strategies.
• Followed patients for over two years after adjustments.
• Case 1: Bowel obstruction due to 2cm excess suture end, corrective strategy by additional backward stitch.
• Case 2: Obstruction from exposed stitch; adjusted to add two extra stitches after closure.
• Case 3: Bowel obstruction from exposed end despite extra stitches; modified technique to bury suture ends.