Abstract
Barbed suture is a useful tool for advanced laparoscopic gynecology. The advantages of barbed suture include its self-anchoring feature which may enhance even distribution of tension along the length of an incision. Additionally, secure tissue approximation and wound holding can be achieved without knots, significantly enhancing efficiency and ease of laparoscopic suturing. Created by cutting barbs into a monofilament suture material in roughly 1 mm increments, barbed suture may be either bidirectional or unidirectional. Common applications in gynecologic surgery include closure of hysterotomy defects at time of myomectomy or vaginal cuff closure at time of hysterectomy.
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Cohen, S.L., Einarsson, J.I. (2015). Barbed Suture Use in Minimally Invasive Gynecology: A Practical Guide. In: Istre, O. (eds) Minimally Invasive Gynecological Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44059-9_14
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DOI: https://doi.org/10.1007/978-3-662-44059-9_14
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