{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T21:15:56Z","timestamp":1793394956286,"version":"4.5.0"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T00:00:00Z","timestamp":1626134400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T00:00:00Z","timestamp":1626134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Laparoscopic transabdominal preperitoneal patch (TAPP) is now commonly used in the repair of inguinal hernia. Barbed suture can be a fast and effective method of peritoneal closure. We report two rare cases of small bowel obstruction and perforation caused by barbed suture after TAPP.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Cases<\/jats:title>\n                <jats:p>Patient 1 is a 45-year-old man who underwent laparoscopic repair of a right inguinal hernia. Barbed suture was used to close the peritoneal defect. At 47\u00a0days after the operation, he was diagnosed with a small bowel obstruction caused by an elongated tail of the barbed suture. Emergency laparoscopic exploration was performed for removal of the embedded suture and detorsion of the volvulus. The second patient is a 50-year-old man who was admitted with a small bowel perforation one week after TAPP herniorrhaphy. Emergency exploration revealed that the tail of the barbed suture had pierced the small intestine, causing a tiny perforation. After cutting and releasing the redundant tail of the barbed suture, the serosal and muscular defect was closed with 2 absorbable single-knot sutures. Both patients have recovered well. Finally, we searched the PubMed database and reviewed the literature on the effectiveness and safety of barbed suture for TAPP.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Surgeons should understand the characteristics of barbed suture and master the technique of peritoneum closure during TAPP in order to reduce the risk of bowel obstruction and perforation.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-021-01249-w","type":"journal-article","created":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T09:04:26Z","timestamp":1626167066000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Bowel obstruction and perforation secondary to barbed suture after minimally invasive inguinal hernia repair: report of two cases and literature review"],"prefix":"10.1186","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7476-0828","authenticated-orcid":false,"given":"Liming","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taku","family":"Maejima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susumu","family":"Fukahori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoji","family":"Nishihara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daitaro","family":"Yoshikawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toru","family":"Kono","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,7,13]]},"reference":[{"issue":"1","key":"1249_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s10029-017-1668-x","volume":"22","author":"G HerniaSurge","year":"2018","unstructured":"HerniaSurge G. International guidelines for groin hernia management. Hernia. 2018;22(1):1\u2013165.","journal-title":"Hernia"},{"issue":"9","key":"1249_CR2","doi-asserted-by":"publisher","first-page":"972","DOI":"10.1007\/s004640080090","volume":"15","author":"SA Kapiris","year":"2001","unstructured":"Kapiris SA, et al. Laparoscopic transabdominal preperitoneal (TAPP) hernia repair. A 7-year two-center experience in 3017patients. Surg Endosc. 2001;15(9):972\u20135.","journal-title":"Surg Endosc"},{"issue":"2","key":"1249_CR3","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1177\/1553350610394452","volume":"18","author":"P Patri","year":"2011","unstructured":"Patri P, et al. V-Loc, a new wound closure device for peritoneal closure\u2014is it safe? A comparative study of different peritoneal closure systems. Surg Innov. 2011;18(2):145\u20139.","journal-title":"Surg Innov"},{"issue":"3","key":"1249_CR4","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1007\/s10029-014-1301-1","volume":"19","author":"G Kohler","year":"2015","unstructured":"Kohler G, et al. Small bowel obstruction after TAPP repair caused by a self-anchoring barbed suture device for peritoneal closure: case report and review of the literature. Hernia. 2015;19(3):389\u201394.","journal-title":"Hernia"},{"issue":"1","key":"1249_CR5","doi-asserted-by":"publisher","first-page":"ojaa008","DOI":"10.1093\/asjof\/ojaa008","volume":"2","author":"NM Abboud","year":"2020","unstructured":"Abboud NM, et al. A new suturing method for optimal wound healing: technique and experience. Aesthet Surg J Open Forum. 2020;2(1):ojaa008.","journal-title":"Aesthet Surg J Open Forum"},{"issue":"6","key":"1249_CR6","doi-asserted-by":"publisher","first-page":"1769","DOI":"10.1097\/01.prs.0000209971.08264.b0","volume":"117","author":"AP Murtha","year":"2006","unstructured":"Murtha AP, et al. Evaluation of a novel technique for wound closure using a barbed suture. Plast Reconstr Surg. 2006;117(6):1769\u201380.","journal-title":"Plast Reconstr Surg"},{"issue":"2","key":"1249_CR7","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1111\/ases.12732","volume":"13","author":"K Hara","year":"2020","unstructured":"Hara K, et al. An easy and reliable method to close Petersen\u2019s defect using barbed suture to prevent internal hernia from developing after gastrectomy with Roux-en-Y reconstruction. Asian J Endosc Surg. 2020;13(2):238\u201341.","journal-title":"Asian J Endosc Surg"},{"issue":"2","key":"1249_CR8","doi-asserted-by":"publisher","first-page":"104","DOI":"10.4103\/GMIT.GMIT_105_20","volume":"10","author":"Y Ota","year":"2021","unstructured":"Ota Y, et al. A suturing method without exposure of barbs on the wound surface using a unidirectional barbed monofilament absorbable suture (STRATAFIX) in laparoscopic myomectomy: a feasibility study. Gynecol Minim Invasive Ther. 2021;10(2):104\u20138.","journal-title":"Gynecol Minim Invasive Ther"},{"issue":"3","key":"1249_CR9","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1007\/s00595-020-02108-1","volume":"51","author":"H Hamamoto","year":"2021","unstructured":"Hamamoto H, et al. Closure of enterotomy after side-to-side ileocolic anastomosis with two barbed sutures in totally laparoscopic colectomy for right-sided colon cancer. Surg Today. 2021;51(3):457\u201361.","journal-title":"Surg Today"},{"issue":"2","key":"1249_CR10","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1111\/ases.12626","volume":"12","author":"N Chihara","year":"2019","unstructured":"Chihara N, et al. Absorbable barbed suture device for laparoscopic peritoneal closure after hernia repair via the transabdominal preperitoneal approach: a single-center experience with 257 cases. Asian J Endosc Surg. 2019;12(2):162\u20136.","journal-title":"Asian J Endosc Surg"},{"issue":"2","key":"1249_CR11","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1007\/s00464-014-3917-8","volume":"29","author":"R Bittner","year":"2015","unstructured":"Bittner R, et al. Update of guidelines on laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (International Endohernia Society). Surg Endosc. 2015;29(2):289\u2013321.","journal-title":"Surg Endosc"},{"issue":"7","key":"1249_CR12","doi-asserted-by":"publisher","first-page":"177","DOI":"10.4240\/wjgs.v4.i7.177","volume":"4","author":"S Takayama","year":"2012","unstructured":"Takayama S, et al. Use of barbed suture for peritoneal closure in transabdominal preperitoneal hernia repair. World J Gastrointest Surg. 2012;4(7):177\u20139.","journal-title":"World J Gastrointest Surg"},{"issue":"2","key":"1249_CR13","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1016\/j.jviscsurg.2020.08.002","volume":"158","author":"TT Albert","year":"2021","unstructured":"Albert TT, Vaillant JC, Genser L. Early small bowel volvulus after gastric bypass: think about barbed sutures! J Visc Surg. 2021;158(2):187\u20138.","journal-title":"J Visc Surg"},{"issue":"2","key":"1249_CR14","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1016\/j.tjog.2016.03.008","volume":"56","author":"H Chen","year":"2017","unstructured":"Chen H, Hong MK, Ding DC. Acute small bowel obstruction caused by barbed suture on the second day after laparoscopic hysterosacropexy: a case report and literature review. Taiwan J Obstet Gynecol. 2017;56(2):247\u20139.","journal-title":"Taiwan J Obstet Gynecol"},{"key":"1249_CR15","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1016\/j.ijscr.2015.02.020","volume":"8C","author":"J Filser","year":"2015","unstructured":"Filser J, et al. Small bowel volvulus after transabdominal preperitoneal hernia repair due to improper use of V-Loc barbed absorbable wire\u2014do we always \u201cread the instructions first\u201d? Int J Surg Case Rep. 2015;8C:193\u20135.","journal-title":"Int J Surg Case Rep"},{"issue":"9","key":"1249_CR16","doi-asserted-by":"publisher","first-page":"O180","DOI":"10.1111\/codi.13057","volume":"17","author":"S Sakata","year":"2015","unstructured":"Sakata S, et al. Are we burying our heads in the sand? Preventing small bowel obstruction from the V-loc(R) suture in laparoscopic ventral rectopexy. Colorectal Dis. 2015;17(9):O180\u20133.","journal-title":"Colorectal Dis"},{"issue":"15","key":"1249_CR17","doi-asserted-by":"publisher","first-page":"3696","DOI":"10.12998\/wjcc.v9.i15.3696","volume":"9","author":"Y Man","year":"2021","unstructured":"Man Y, et al. Recurrent abdominal pain due to small bowel volvulus after transabdominal preperitoneal hernioplasty: a case report and review of literature. World J Clin Cases. 2021;9(15):3696\u2013703.","journal-title":"World J Clin Cases"},{"issue":"5","key":"1249_CR18","doi-asserted-by":"publisher","first-page":"369","DOI":"10.3109\/13645706.2011.638643","volume":"21","author":"NC Buchs","year":"2012","unstructured":"Buchs NC, et al. Intestinal obstruction following use of laparoscopic barbed suture: a new complication with new material? Minim Invasive Ther Allied Technol. 2012;21(5):369\u201371.","journal-title":"Minim Invasive Ther Allied Technol"},{"issue":"7","key":"1249_CR19","doi-asserted-by":"publisher","first-page":"rjy165","DOI":"10.1093\/jscr\/rjy165","volume":"2018","author":"EM Tagliaferri","year":"2018","unstructured":"Tagliaferri EM, et al. Small bowel obstruction SBO after TAPP repair caused by a self-anchoring barbed suture device for peritoneal closure: case report. J Surg Case Rep. 2018;2018(7):rjy165.","journal-title":"J Surg Case Rep"},{"issue":"4","key":"1249_CR20","first-page":"322","volume":"40","author":"A Sartori","year":"2019","unstructured":"Sartori A, et al. Small bowel occlusion after trans-abdominal preperitoneal hernia approach caused by barbed suture: case report and review of literature. G Chir. 2019;40(4):322\u20134.","journal-title":"G Chir"},{"issue":"1","key":"1249_CR21","doi-asserted-by":"publisher","first-page":"e14","DOI":"10.1177\/000313482008600108","volume":"86","author":"MK Zipple","year":"2020","unstructured":"Zipple MK, et al. Small bowel obstruction secondary to barbed suture after minimally invasive inguinal hernia repair. Am Surg. 2020;86(1):e14\u20136.","journal-title":"Am Surg"},{"key":"1249_CR22","doi-asserted-by":"publisher","first-page":"646091","DOI":"10.3389\/fsurg.2021.646091","volume":"8","author":"L Zheng","year":"2021","unstructured":"Zheng L, et al. Case report: small bowel obstruction owing to self-anchoring barbed suture device after TAPP repair. Front Surg. 2021;8:646091.","journal-title":"Front Surg"},{"issue":"3","key":"1249_CR23","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1007\/s10029-007-0289-1","volume":"12","author":"G Peach","year":"2008","unstructured":"Peach G, Tan LC. Small bowel obstruction and perforation due to a displaced spiral tacker: a rare complication of laparoscopic inguinal hernia repair. Hernia. 2008;12(3):303\u20135.","journal-title":"Hernia"},{"key":"1249_CR24","doi-asserted-by":"publisher","first-page":"626505","DOI":"10.3389\/fsurg.2021.626505","volume":"8","author":"G Stabile","year":"2021","unstructured":"Stabile G, et al. Case report: bowel occlusion following the use of barbed sutures in abdominal surgery. A single-center experience and literature review. Front Surg. 2021;8:626505.","journal-title":"Front Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01249-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-021-01249-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-021-01249-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T09:14:56Z","timestamp":1626167696000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-021-01249-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,13]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1249"],"URL":"https:\/\/doi.org\/10.1186\/s40792-021-01249-w","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,13]]},"assertion":[{"value":"15 June 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 July 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 July 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patients for publication of this case report and any accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"161"}}