A novel continuous stitch fundoplication utilizing knotless barbed suture in children with gastroesophageal reflux disease: A pilot study

Jeffrey Lukish*, Howard Pryor, Daniel Rhee, Jose Salazar, Seth Goldstein, Colin Gause, Dylan Stewart, Fizan Abdullah, Paul Colombani

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Introduction The intracorporeal placement and tying of suture (IT) can be challenging leading to prolonged CO2 insufflation, anesthesia, and potential morbidity. The unidirectional barbed knotless suture (V-LOC) has emerged as an innovative technology that has been shown to reduce the time associated with IT. Therefore, we conducted a retrospective analysis comparing our initial experience utilizing V-LOC to perform a novel continuous stitch laparoscopic fundoplication (CF) to standard laparoscopic Nissen fundoplication (NF). Methods Institutional review board approval was obtained to analyze data on patients who underwent V-LOC CF and NF. Data retrieval included age, gender, weight, diagnosis, procedure, operative time, major complications (reoperation for wrap failure/migration or recurrent symptoms), and follow up. Results Twenty patients underwent the V-LOC CF and gastrostomy placement (GT) from January to October 2013. Seventeen patients underwent NF and GT from March 2012 to February 2013. There were no significant differences in age, weight, or incidence of major complications. V-LOC CF led to a significant 30% reduction in operative time compared to NF (79.1 ± 24.2 min vs. 113.8 ± 25.9 min, respectively, P < 0.05). Conclusions This is the first report documenting the continuous stitch fundoplication utilizing the unidirectional barbed knotless suture in children. Although follow-up is short, the V-LOC CF appears to be a safe and effective technique that may reduce operative time in children with gastroesophageal reflux disease. This technology may be beneficial in other minimally invasive applications in pediatric surgery.

Original languageEnglish (US)
Pages (from-to)272-274
Number of pages3
JournalJournal of pediatric surgery
Volume50
Issue number2
DOIs
StatePublished - Feb 1 2015

Keywords

  • Barbed suture
  • Nissen fundoplication
  • Pediatric surgery

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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