Tuesday, March 07, 2017

Small bowel obstruction due to laparoscopic barbed sutures: an unknown complication?

Hey, I stumbled upon this...


Author information

  • 1Cirugía General y del Aparato Digestivo, Hospital Universitario Son Espases, España.
  • 2North West London Hospitals NHS Trust. London, UK.
  • 3St. Mark's Hospital. Harrow, UK.
  • 4Hospital Universitario Virgen del Rocío. Sevilla.


These cases highlight that although barbed sutures provide an attractive means to allow easier and faster laparoscopic suturing, they should be used carefully in inframesocolic surgery and the suture end cut and buried to avoid inadvertent attachment to the small bowel or its mesentery. Barbed suture entanglement should be considered as an uncommon yet potentially serious differential cause for SBO presenting in the early period after laparoscopic surgery where a barbed suture has been used.

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