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Table 1 Review of cases of complications caused by barbed suture after laparoscopic hernia repair

From: Bowel obstruction and perforation secondary to barbed suture after minimally invasive inguinal hernia repair: report of two cases and literature review

No.

Year, patients (n)

References

POD

Symptoms

CT finding

Intraoperative finding

Treatment

1

(2012) n = 1

Buchs et al. [18]

8 days

Diffuse abdominal pain

Small bowel obstruction with strangulation

Barbed suture in strangulated bowel segment

Division of barbed suture and bowel release

2

(2015) n = 1

Filser et al. [15]

3 days

Abdominal pain

Small bowel obstruction

Small bowel and mesenteric vessels twisted around barbed suture wire

Lysis of adhesions and removal of suture wire

3

(2015) n = 1

Köhler et al. [4]

13 days

Abdominal pain and vomiting

Piano key phenomenon (US)

The barbs were inseparably ingrown into the small bowel

Cut the barbed suture. Serosal and muscular defect was closed

4

(2018) n = 1

Tagliaferri et al. [19]

1 day

Abdominal pain and distension, vomiting

Small bowel volvulus

Small bowel volvulus with associated ischemia

Release of adherent suture and volvulus detorsion

5

(2019) n = 1

Sartori et al. [20]

3 days

Abdominal pain and vomiting

Small bowel obstruction

Abdominal adhesions and intestinal obstruction

Cut wire cut and release small bowel

6

(2020) n = 1

Zipple et al. [21]

1 day

Abdominal pain, vomiting, and mild leukocytosis

Significant dilated proximal small bowel

Terminal ileum was trapped

Cut and remove suture tail and release bowel

7

(2021) n = 1

Man et al. [17]

90 days

Recurring abdominal pain aggravated

The whirlpool sign of the mesentery

Intestinal volvulus

Lysis of adhesions and reduction of intestinal volvulus

8

(2021) n = 1

Zheng et al. [22]

3 days

Severe abdominal pain

Small intestinal dilation and volvulus

Small bowel obstruction and edema

Cutting the barbed suture and volvulus detorsion

9

(2021) n = 2

Our case 1

47 days

Recurring abdominal pain aggravated

Small bowel dilated with the mesentery rotating

Tail of the barbed suture inserted into the small bowel mesentery; intestinal obstruction

Removed the embedded barbed suture in the mesentery

Our case 2

10 days

Uninterrupted abdominal pain aggravated

Free air and ascites in the abdominal cavity

The tail of the barbed suture punctured the small intestine

The serosal and muscular defect was closed with absorbable sutures