Barbed suture material technique for wound closure and concomitant tube placement in uniportal VATS for pneumothorax

Video-assisted thoracoscopic surgery (VATS) has become the reasonable modality with its efficacy in the treatment of primary spontaneous pneumothorax (PSP) for decades (1,2). Recently, uniportal VATS has been applied with minimally invasive concepts in various pulmonary diseases to establish its diagnostic and treatment role in VATS fields (3-5). Thus, several studies already have been described the feasibility of uniportal VATS for PSP over the multi-port VATS with its less invasiveness (6-8). However, a few reports have been introduced for wound management to achieve better cosmetic wound healing and for placement of the chest tube in uniportal VATS. Thus, we introduced a simple technique using knotless, absorbable barbed suture material for wound closure with concomitant anchoring the chest tube in uniportal VATS. In this study, we aimed to present our experiences of the barbed suture material technique in uniportal VATS for PSP, and to evaluate the surgical outcomes and feasibility