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Barbed Suture and Gastrointestinal Surgery. A Retrospective Analysis
Michele Manigrasso1, Nunzio Velotti1, Federica Calculli2
1Department of Clinical Medicine and Surgery. University "Federico II" of Naples, Via S. Pansini 5, 80131 Naples, Italy.
Open Medicine (Warsaw, Poland)
|August 21, 2019
Summary
Barbed sutures simplify laparoscopic surgery by eliminating knot tying. This study found barbed sutures safe and effective for closing gastrointestinal openings in general surgery, with a low complication rate.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
- Surgical Technology
Background:
- Laparoscopic suturing is a challenging skill in minimally invasive surgery.
- Barbed sutures offer a knotless alternative, potentially simplifying laparoscopic procedures.
- Limited data exists on barbed suture efficacy in general surgery.
Purpose of the Study:
- To evaluate the safety and effectiveness of barbed sutures for gastrointestinal closure in general surgery.
- To assess complication rates associated with barbed suture use in bariatric and oncologic procedures.
Main Methods:
- Retrospective analysis of 378 patients undergoing bariatric or gastric/colic malignancy surgery.
- Procedures involved closure of gastroentero, entero-entero, or enterocolotomy using barbed sutures.
- Data collected from January 2014 to January 2019 at University Federico II, Naples, Italy.
Main Results:
- An overall complication rate of 19.8% (75/378) was observed.
- Specific complications included 3.1% anastomotic leaks, 4.2% anastomotic intraluminal bleedings, and 0.8% intra-abdominal abscesses.
- No postoperative deaths were recorded.
Conclusions:
- Barbed sutures are a safe and effective option for closing gastrointestinal openings created by mechanical staplers during intracorporeal anastomosis.
- The use of barbed sutures in general surgery appears to be associated with acceptable complication rates.
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