ArticleJournal of the West African College of Surgeons
A Randomised Comparison of Barbed and Non-barbed Absorbable Sutures for Peritoneal Closure in TAPP Hernia Repair.
Article in Journal of the West African College of Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
Background: Closure of the peritoneal flap during laparoscopic transabdominal preperitoneal (TAPP) repair is a critical step. Barbed sutures have been proposed to simplify this process, but comparative data with non-barbed sutures are limited. We conducted this study to compare absorbable barbed sutures (polyglyconate) with absorbable non-barbed sutures (polyglactin 910) for peritoneal flap closure in TAPP repair of primary inguinal hernias, focusing on closure time, operative time, postoperative pain, and complications. Materials and Methods: This randomised comparative study was conducted at ABVIMS and Dr. RML Hospital, New Delhi, including 60 adult patients with primary unilateral inguinal hernia undergoing TAPP repair. Patients were divided into two groups: Group A (barbed sutures, Results: Barbed sutures significantly reduced peritoneal closure time (8.61 ± 0.78 min vs. 13.40 ± 0.81 min, Conclusion: Absorbable barbed sutures are effective in reducing closure and operative times in TAPP hernia repair but may be associated with higher early postoperative pain. They offer a useful option for improving operative efficiency without increasing complication rates.
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