{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T18:03:33Z","timestamp":1780509813518,"version":"3.54.1"},"reference-count":3,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2023,5,28]],"date-time":"2023-05-28T00:00:00Z","timestamp":1685232000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Unidirectional barbed suture is widely used in minimally invasive procedures as a secure alternative to traditional knot tying. In this report, a 44-year-old female with endometriosis and complex gynecological history presented to our emergency department 2\u00a0weeks after undergoing minimally invasive gynecological surgery. She had persistent, progressive signs and symptoms typical of intermittent partial small bowel obstruction. On her third admission within 7\u00a0days for this pattern, laparoscopic abdominal exploration was performed. She was noted to have small bowel obstruction secondary to ingrowth of the tail of a unidirectional barbed suture kinking the terminal ileum during this procedure. We discuss small bowel obstruction due to unidirectional barbed suture and make recommendations on how to avoid this complication.<\/jats:p>","DOI":"10.1177\/00031348231175115","type":"journal-article","created":{"date-parts":[[2023,5,28]],"date-time":"2023-05-28T21:55:32Z","timestamp":1685310932000},"page":"3937-3938","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["\u201cEarly Post-operative Mechanical Small Bowel Obstruction Induced by Unidirectional Barbed Suture\u201d"],"prefix":"10.1177","volume":"89","author":[{"given":"Kaylan N.","family":"Gee","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Tennessee Graduate School of Medicine, Knoxville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heath R.","family":"Many","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma and Critical Care Surgery, University of Tennessee Graduate School of Medicine, Knoxville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Foulke","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Tennessee Graduate School of Medicine, Knoxville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lou M.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Trauma and Critical Care Surgery, University of Tennessee Graduate School of Medicine, Knoxville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,5,28]]},"reference":[{"key":"bibr1-00031348231175115","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-014-1301-1"},{"key":"bibr2-00031348231175115","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyv212"},{"key":"bibr3-00031348231175115","doi-asserted-by":"publisher","DOI":"10.3109\/13645706.2011.638643"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231175115","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348231175115","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231175115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:50Z","timestamp":1777379870000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00031348231175115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,28]]},"references-count":3,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1177\/00031348231175115"],"URL":"https:\/\/doi.org\/10.1177\/00031348231175115","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,28]]}}}