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

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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.

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Case series reports bowel obstruction due to barbed sutures in laparoscopic ventral rectopexy, suggesting surgical adjustments.

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Suzuki et al. (2026) studied this question.

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