Quill barbed suture-related complication

Rombaut, Sonia; Baulies, Sonia; Cusidó, Maite; Barri-Soldevila, Pere; Rodríguez, I.; Ubeda, Alicia

doi:10.1007/s10397-012-0749-1

Cited by 11 publications

(7 citation statements)

References 12 publications

(10 reference statements)

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“…Indeed, if the filaments have not been cut near the tissue at the end of the suture, the remaining portion might adhere to the intestinal wall, leading to an impairment of bowel function, vascular lesion, and intestinal dilatation. Cutting barbed filament short enough should reduce these risks [26, 31, 39-41]. Nevertheless, Einarsson et al [42] showed that the risk of postoperative abdominal adhesions is similar to that which prevails after the use of conventional and barbed sutures.…”

Section: Discussionmentioning

confidence: 99%

What Is the Role of Barbed Suture in Laparoscopic Myomectomy? A Meta-Analysis and Pregnancy Outcome Evaluation

Gardella

Dominoni

Iacobone

et al. 2018

Gynecol Obstet Invest

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Background: This work analyzes the feasibility and effectiveness of barbed suture during laparoscopic myomectomy. Methods: Eight works have been carefully examined for the meta-analysis from all papers published online until November 2017. Results: Barbed suture proved to be superior to traditional suture technique in blood loss in laparoscopic myomectomy (Standardized Mean Difference [SMD] –0.650, 95% CI –1.420 to –0.119, p = 0.098, test for heterogenity p < 0.0001, I² = 95.54%), Hb drop (SMD –1.452, 95% CI –3.590 to 0.687, p = 0.183, test for heterogenity p < 0.0001, I² = 99.08%), suturing difficulty (SMD –0.638, 95% CI –0.935 to –0.342, p ≤ 0.001, test for heterogenity p = 0.25, I² = 27.84%), suturing time (SMD –1.197, 95% CI –1.848 to –0.549, p ≤0.001, test for heterogenity p = 0.0001, I² = 83.30%) and total operative time (SMD –0.687, 95% CI –0.804 to –0.569, p ≤ 0.001, test for heterogenity p = 0.292, I² = 17.44%). Barbed suture demonstrated to be better in comparison with the control group even with regard to the length of hospitalization (SMD –0.278, 95% CI –0.543 to 0.012, p = 0.040, test for heterogenity p = 0.025, I² = 61.85%), and to perioperative complications (SMD 0.708, 95% CI 0.503–0.996, p = 0.048, test for heterogenity p = 0.79, I² = 0%). Conclusion: Barbed suture significantly facilitates laparoscopic myomectomy by reducing the total operative/suturing time, estimated blood loss/Hb drop, and reduction of perioperative complications.

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Section: Discussionmentioning

confidence: 99%

What Is the Role of Barbed Suture in Laparoscopic Myomectomy? A Meta-Analysis and Pregnancy Outcome Evaluation

Gardella

Dominoni

Iacobone

et al. 2018

Gynecol Obstet Invest

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“…TAPP repair invariably requires peritoneal closure because the bowel may adhere to the exposed prosthetic mesh. However, use of the barbed suture is also associated with the risk of small bowel entrapment when the free end of the thread is cut long; potentially severe postoperative complications, such as intestinal obstruction, have been reported in such circumstances (11)(12)(13)(14)(15)(16)(17)(18)(19)(20). To prevent these complications, the barbed suture may be additionally trimmed and buried using either absorbable sutures, or surgical clips (19).…”

Section: Discussionmentioning

confidence: 99%

Absorbable barbed suture device for laparoscopic peritoneal closure after hernia repair via the transabdominal preperitoneal approach: A single‐center experience with 257 cases

Chihara

Suzuki

Sukegawa

et al. 2018

Asian J Endoscop Surgery

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“…The bowel complication did not seem to relate to the type of barbed sutures. Rombaut et al, 2014 reported a case of bowel obstruction due to the bidirectional Quill suture causing strangulation of the terminal ileum 3 weeks following a laparoscopic myomectomy [4] .…”

Section: Discussionmentioning

confidence: 99%

“…On the contrary, barbed suture with its special design can eliminate knots altogether because of its non-slip attribute. Although barbed sutures are frequently used in myomectomy [1] , bowel complications associated with their use in laparoscopic myomectomy was seldom reported [2] , [3] , [4] . This case report describes a late complication of entrapment and erosion of the small bowel following the use of barbed suture in laparoscopic myomectomy, and a review of the literature is presented.…”

Section: Introductionmentioning

confidence: 99%

Small bowel obstruction from barbed suture following laparoscopic myomectomy—A case report

Lee

Wong

2015

International Journal of Surgery Case Reports

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HighlightsA case of acute bowel obstruction caused by the use of barbed suture in laparoscopic myomectomy.Bowel complications associated with barbed suture were seldom reported despite it is increasingly used in surgery today.Some recommendations arising from this case may help to avoid or reduce this complication.A high index of suspicion is necessary in making an early diagnosis and prompt action should be taken to alleviate major bowel complications due to barbed suture.

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Quill barbed suture-related complication

Cited by 11 publications

References 12 publications

What Is the Role of Barbed Suture in Laparoscopic Myomectomy? A Meta-Analysis and Pregnancy Outcome Evaluation

What Is the Role of Barbed Suture in Laparoscopic Myomectomy? A Meta-Analysis and Pregnancy Outcome Evaluation

Absorbable barbed suture device for laparoscopic peritoneal closure after hernia repair via the transabdominal preperitoneal approach: A single‐center experience with 257 cases

Small bowel obstruction from barbed suture following laparoscopic myomectomy—A case report

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