{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T08:47:51Z","timestamp":1768466871009,"version":"3.49.0"},"reference-count":15,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T00:00:00Z","timestamp":1708905600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Laparoscopic bariatric surgery relies on technically challenging intracorporeal suturing for critical parts of the operation. Barbed sutures have been developed to provide an alternative to suturing for certain manoeuvres within a procedure. Barbed sutures theoretically negate the need for knot tying and allow for continuous application of tension; however the barbs can unintentionally adhere to surrounding tissues. We describe a case series of three patients who developed V\u2010Loc\u2122 (barbed) suture related small bowel obstruction (SBO) to promote awareness of this unusual but preventable complication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records of patients diagnosed with V\u2010Loc\u2122 related SBO between 2018 and 2021 at a tertiary centre were reviewed. Data regarding presentation, diagnosis, management and outcomes were obtained.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three patients were identified where V\u2010Loc\u2122 sutures were aetiologically related to early post\u2010surgical small bowel obstruction secondary to small bowel adherence to barbed suture tail or adhesions between barbed suture tail and unintended viscera. In these cases, non\u2010absorbable V\u2010Loc\u2122 sutures were used to close the small bowel mesenteric defect at Roux\u2010en\u2010Y gastric bypass surgery. All patients required adhesiolysis at re\u2010look laparoscopy prior to resolution. All patients were discharged home well after relook laparoscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Overly long or exposed V\u2010Loc\u2122 suture tails can result in SBO following laparoscopic bariatric surgery. Cutting the suture tail as close as practical to the final throw of the suture and\/or covering exposed suture ends may prevent this complication.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18892","type":"journal-article","created":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T12:49:03Z","timestamp":1708951743000},"page":"1313-1316","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Small bowel obstruction secondary to barbed sutures in bariatric surgery: a cautionary tale"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8737-9433","authenticated-orcid":false,"given":"Walter","family":"Santucci","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary and Upper Gastrointestinal Surgery St Vincent's Hospital Melbourne  Fitzroy Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Audrey","family":"Choy","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Upper Gastrointestinal Surgery St Vincent's Hospital Melbourne  Fitzroy Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiuye","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Upper Gastrointestinal Surgery St Vincent's Hospital Melbourne  Fitzroy Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salena","family":"Ward","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Upper Gastrointestinal Surgery St Vincent's Hospital Melbourne  Fitzroy Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Winter","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Upper Gastrointestinal Surgery St Vincent's Hospital Melbourne  Fitzroy Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael W","family":"Hii","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary and Upper Gastrointestinal Surgery St Vincent's Hospital Melbourne  Fitzroy Victoria Australia"},{"name":"The Department of Surgery The University of Melbourne, St Vincent's Hospital Melbourne  Fitzroy Victoria 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