S Sakata1,2,3, S Kabir2, D Petersen2, M Doudle2, A R L Stevenson1,2,3. 1. School of Medicine, The University of Queensland, Brisbane, Queensland, Australia. 2. Department of Colon and Rectal Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia. 3. Clinical Skills Development Service, Queensland Health, Brisbane, Queensland, Australia.
Abstract
AIM: There have been increasing reports in the literature highlighting the complication of V-loc® associated small bowel obstruction in patients after laparoscopic ventral rectopexy. METHODS AND RESULTS: Using clinical and experimental evidence, we demonstrate that bowel obstruction from the V-loc® following laparoscopic ventral rectopexy will still occur despite the technical recommendations to bury or cut its barbed end flush. CONCLUSION: The risk of bowel obstruction from the V-loc® following laparoscopic ventral rectopexy is not negated by burying or cutting its barbed end flush. We have proposed its pathogenesis to refute commonly held assumptions about its prevention. Colorectal Disease
AIM: There have been increasing reports in the literature highlighting the complication of V-loc® associated small bowel obstruction in patients after laparoscopic ventral rectopexy. METHODS AND RESULTS: Using clinical and experimental evidence, we demonstrate that bowel obstruction from the V-loc® following laparoscopic ventral rectopexy will still occur despite the technical recommendations to bury or cut its barbed end flush. CONCLUSION: The risk of bowel obstruction from the V-loc® following laparoscopic ventral rectopexy is not negated by burying or cutting its barbed end flush. We have proposed its pathogenesis to refute commonly held assumptions about its prevention. Colorectal Disease
Authors: Brooke Gurland; Maria Emilia Carvalho E Carvalho; Beri Ridgeway; Marie Fidela R Paraiso; Tracy Hull; Massarat Zutshi Journal: Int J Colorectal Dis Date: 2017-08-07 Impact factor: 2.571