|September 2009 · Vol. 21, No. 09
Barbed suture, now in the toolbox of minimally invasive gyn surgery
This recent addition to the laparoscopy tray was developed to resist migration and to allow you to approximate tissue more securely and dispense with knots
Because bidirectional barbed suture is knotless, it can securely reapproximate tissues in less time than traditional suturing and at less expense
In myomectomy closure, use the first barbed suture to close the deepest myometrial layer
Dr. Einarsson is Director of Minimally Invasive Gynecologic Surgery at Brigham and Women’s Hospital and Assistant Professor of Obstetrics, Gynecology, and Reproductive Biology at Harvard Medical School in Boston.
Dr. Greenberg is Chief of Gynecology at Faulkner Hospital and Vice Chair of the Department of Obstetrics and Gynecology at Brigham and Women’s Hospital in Boston.
The authors report no financial relationships relevant to this article.
Barbed suture is a relatively new technology that has the potential to greatly facilitate laparoscopic suturing. Two barbed sutures, each a different type, are available, or soon will be: