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 |