Use of barbed thread in laparoscopic gastrointestinal single layer suture anastomosis

To observe the impact of barbed suture and study its safety and feasibility in laparoscopic gastrointestinal surgeries. The study was conducted in the Post Graduate Department of General and Minimal and Access Surgery from June 2018 to June 2021. Our study was conducted on 34 patients and following observation was made.: The mean age in our study was 59.76 ± 12.497 Yrs. (Range from 21to 85 Yrs.). Maximum were present in the age range of 60 to 79 (52.9%) and out of 34 patients, 22 (64.7 %) were males and 12 (35.3 %) females. The peri-operative diagnosis were malignancy 28 (82.4 %) (Ca stomach 21 (61.8 %), Ca colorectum 7 (20.6%)) with 6 (17.6%) of the patients had a benign disease (Choledochal Cyst\Oriental Cholangiohepatitis 3 (8.8%), Benign Gastric Outlet Obstruction 3 (8.8%)). The various procedures done, Gastrojejunostomy in maximum number of patients i.e. 17 (50%) followed by esophagojejunostomy in 6 (17.6%) patients. Ileotransverse Anastomosis in 5 (14.7%), Jejunojejunostomy and Colorectal Anatomosis each in 3 (8.8%) patients was observed. The time taken for various gastro-intestinal anastomosis, Colorectal anstomosis ( mean 35-50 minuts), Gastro- jejunostomy (mean 25-40 minuts), Esophago- jejunostomy (mean 40-45 miutes), Ileotransverse anastomosis (30-49 minute), Jejuno- jejunostomy (40 -49 minuts). The hospital stay in various Gastrointestinal Surgeries Colorectal anstomosis (7 to 10 days), Gastro- jejunostomy (3 to 8 days), Esophago- jejunostomy (7 to 10 mdays), Ileotransverse anastomosis ( 5 to 8 days), Jejuno- jejunostomy ( 5 to 7 days).We conclude that the barbed sutures make the intra-corporeal suturing fascinating and technically easy, which otherwise is tedies event. It adds speed to the intracorporeal suturing and makes it more proficient and technically feasible there by decreasing anastomotic bloodloss and leaks.