title: Barbed Sutures in Minimally Invasive Gynecologic Surgery.
abstract: The introduction of knotless barbed suture into the surgical market has decreased the challenges of laparoscopic suturing. Since its introduction, barbed suture has gained popularity in the field of minimally invasive gynecologic surgery and is now commonly used to close the vaginal cuff in total laparoscopic hysterectomy, to re-approximate the myometrium after laparoscopic myomectomy, and to shorten the procedure time during a laparoscopic sacrocolpopexy. Barbed sutures facilitate rapid and consistent wound closure, allowing for equal distribution of tissue tension across the suture line, and thereby providing a more secure wound closure. The most commonly encountered complication after the use of barbed sutures is postoperative bowel obstruction. Proposed methods to decrease the likelihood of this complication include ensuring that the ends of the barbed suture are either buried, over-sewn, or cut flush with the tissue.
authors.affiliation: Department of Obstetrics and Gynecology, University of South Florida/Morsani College of Medicine, Tampa, Florida.
authors.forename: Emad
authors.initials: E
authors.lastname: Mikhail
authors.affiliation: Department of Obstetrics and Gynecology, University of South Florida/Morsani College of Medicine, Tampa, Florida.
authors.forename: Allison
authors.initials: A
authors.lastname: Wyman
authors.affiliation: Department of Obstetrics and Gynecology, University of South Florida/Morsani College of Medicine, Tampa, Florida.
authors.forename: Lindsey
authors.initials: L
authors.lastname: Hahn
authors.affiliation: Division of Female Pelvic Medicine and, Reconstructive Surgery, USF Health Center for Advanced Medical Learning and Simulation (CAMLS), University of South Florida/Morsani College of Medicine, Tampa, Florida.
authors.forename: Stuart
authors.initials: S
authors.lastname: Hart
mesh_terms: D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000517:prevention & control; D010535:Laparoscopy / Q000295:instrumentation* / Q000379:methods; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D013536:Suture Techniques / Q000009:adverse effects / Q000295:instrumentation*; D013537:Sutures; D013673:Technology Assessment, Biomedical