Related Experiment Video
Updated: Nov 4, 2025
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
A Suturing Method without Exposure of Barbs on the Wound Surface Using a Unidirectional Barbed Monofilament
Yoshiaki Ota1, Kuniaki Ota2, Toshifumi Takahashi2
1Department of Gynecological Oncology, Kawasaki Medical School, Kurashiki, Japan.
Objectives:
We examined whether a new suturing method that used a single-thread unidirectional barbed suture without exposing the barbs on the wound surface was acceptable compared with the conventional suture method during laparoscopic myomectomy (LM).
Materials And Methods:
This was a retrospective study. The subjects were 26 women who underwent LM for symptomatic uterine fibroids. The operative time, amount of blood loss, and number of threads used were compared between a group in which suturing was performed with a conventional synthetic absorbable suture (conventional suture group, n = 13) and a group in which suturing was performed using a barbed suture (barbed suture group, n = 13).
Results:
Operative time in the barbed suture group was significantly shorter than that in the conventional suture group, while blood loss during LM in the barbed suture group was significantly lower than that in the conventional suture group. The number of threads used in the conventional suture group was significantly larger than that in the barbed suture group. No complications were observed in both the groups during LM.
Conclusion:
This new technique using a barbed suture is safe and feasible for LM.
