Barbed Sutures: A Review of the Literature

Abstract

Suspension of the aging face with barbed sutures offers the promise of a minimally invasive technique with diminished adverse events. The technique is in its infancy, but it has potential to be a useful and effective clinical tool as further innovations are made in the clinic and laboratory.

Unidirectional barbed sutures as a novel technique for laparoscopic ventral hernia repair

“…Recent publications have described their potential for surgeons and patients in fixation and tissue approximation [14]. These distinctive sutures are generally unidirectional or bidirectional.…”

Impact of newer unidirectional and bidirectional barbed suture on vesicourethral anastomosis during robot-assisted radical prostatectomy and its comparison with polyglecaprone-25 suture: an initial experience

“…Various animal studies have confirmed equivalence of bio-compatibility and tensile strength of barbed sutures compared to the standard bioabsorbable sutures [9][10][11]. With availability of bioresorbable bidirectional barbed sutures (BBS), and unidirectional barbed sutures (UBS) in Plastic Surgery and Gynecological Surgery [12][13][14][15], we utilized these sutures for VUA and compared UBS with Polyglecaprone-25 suture.…”

Bacterial adhesion to suture material in a contaminated wound model: Comparison of monofilament, braided, and barbed sutures

“…24 The homogeneous tension distribution of a continuous suture, therefore, offers advantages with respect to inflammation and tissue viability. Moreover, while avoiding local ischemia, [25][26][27][28][29] the continuous suture using barbed sutures allows a comparable or even tighter wound closure overall 30,31 with seemingly comparable cosmetic results. 32 Several clinical trials have suggested a similar complication rate for wound closure with barbed sutures as that with monofilament suture material, for example, in total knee arthroplasty, 21,33 vesicourethral anastomosis, 34 and gynecologic surgery.…”