title: Intestinal obstruction following use of laparoscopic barbed suture: a new complication with new material?
abstract: Small bowel obstruction is a common pathology. Among the various etiologies, foreign material has been incriminated as a possible but uncommon cause. Recently, barbed suture has been successfully introduced in various surgical fields and has been reported as safe as standard suture. We report herein a case of intestinal obstruction due to the laparoscopic use of barbed suture during a promontofixation. Barbed suture has the risk of entrapping the small bowel. The surgeon should keep in mind this hypothetical problem and a high index of suspicion is needed to diagnose and treat quickly this potentially severe complication.
authors.affiliation: Clinic for Visceral and Transplantation Surgery, Department of Surgery, University Hospital of Geneva, Geneva , Switzerland. Nicolas.c.buchs@hcuge.ch
authors.forename: Nicolas C
authors.initials: NC
authors.lastname: Buchs
authors.forename: Sandrine
authors.initials: S
authors.lastname: Ostermann
authors.forename: Johannes
authors.initials: J
authors.lastname: Hauser
authors.forename: Bruno
authors.initials: B
authors.lastname: Roche
authors.forename: Christophe E
authors.initials: CE
authors.lastname: Iselin
authors.forename: Philippe
authors.initials: P
authors.lastname: Morel
mesh_terms: D000328:Adult; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small / Q000473:pathology* / Q000601:surgery; D010535:Laparoscopy / Q000009:adverse effects*; D011027:Pneumoperitoneum; D012306:Risk; D013537:Sutures / Q000009:adverse effects*