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To address some of the difficulties associated with traditional intracorporeal suturing, several automated suture devices (ASDs) have been developed. One of the most commonly used models is the Endo Stitch (Covidien, Mansfield, MA; ssss1), which has been shown to reduce laparoscopic suturing time up to 70% when compared to conventional intracorporeal suturing techniques. [21–24] The Endo Stitch is very user friendly and is available in a 38 cm long, 10 mm diameter model for laparoscopic use. A variety of suture materials can be used with the Endo Stitch, including braided lactomer, silk, nylon, and polyester in sizes 4‐0 to 0 USP and up to 120 cm long.

A significant advance in the Endo Stitch was the development of V‐Loc suture reloads for use with the device (ssss1). Barbed sutured simplifies intracorporeal suturing by eliminating traditional knot tying and making it easier to maintain suture tension between bites. The use of a barbed suture was shown to decrease suturing time an additional 35–42% when compared to standard knot tying with the EndoStitch [25]. V‐Loc reloads are supplied as glycolide‐trimethylene carbonate (V‐Loc 180), which are absorbable and have an absorption profile similar to polyglyconate suture, or polybutester (V‐Loc PBT) which is nonabsorbable.