Safety and Efficacy of Barbed Suture for Gastrointestinal Suture: A Prospective and Randomized Study on Obese Patients Undergoing Gastric Bypass

Abstract

Our study appears to be encouraging to suggest the use of barbed suture for gastrointestinal anastomosis.

RETRACTED ARTICLE: Use of Barbed Sutures in Bariatric Surgery. Review of the Literature

“…Most of the published articles over recent years are related to bariatric surgery and barbed sutures' use in the performance of laparoscopic gastric bypass [34][35][36][37][38][39][40]. It is well known that performing intracorporeal anastomosis (suture and knottying) requires specific training and a learning curve in every surgeon.…”

“…In this way, Milone et al [34] reported the first prospective randomized controlled study evaluating the efficacy of V-Loc suture on gastrojejunal anastomosis in human subjects undergoing gastric bypass. They included 60 patients in the study, in which barbed sutures were used in 30 patients while poliglactin 3-0 was used in the other 30.…”

Knotless choledochorraphy with barbed suture, safe and feasible

“…To date, the efficacy of this new material has been evaluated in different surgical fields, a few general surgery studies are available [12][13][14][15][16][17][18], gynecologists have also demonstrated its utilities [19][20][21], oncologists have reported advantages in its properties [22] and urology is the field where its usefulness is already a standard and concentrates most of its reports [23][24][25][26][27].…”

Laparoscopic gastrointestinal anastomoses using knotless barbed absorbable sutures are safe and reproducible: a single-center experience with 242 patients

“…This should permit a greater distribution of tensile strength along the wound and increase the surface area of adhesion between the tissues. Consequently, the knotless, unidirectional barbed suture reduced the time required to close the entry hole compared with conventional surgical suture with intracorporeal knots (22)(23)(24).…”

“…We previously described our technique and initial experience from intracorporeal staple-conserving, deltashaped gastroduodenostomy after distal gastrectomy in 2011, including the first use of barbed sutures for gastrointestinal suturing (20). There are some reports on the use of barbed sutures in digestive surgery to date, but there have been no prospective reports of bowel anastomosis in laparoscopic gastric surgery for malignant disease (21)(22)(23)(24).…”