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Intestinal obstruction following use of laparoscopic barbed suture: a new complication with new material?
Nicolas C Buchs1, Sandrine Ostermann, Johannes Hauser
1Clinic for Visceral and Transplantation Surgery, Department of Surgery, University Hospital of Geneva, Geneva , Switzerland. Nicolas.c.buchs@hcuge.ch
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.
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