{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:27:43Z","timestamp":1786649263815,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Closure of the peritoneal flap during laparoscopic transabdominal preperitoneal (TAPP) repair is a critical step. Barbed sutures have been proposed to simplify this process, but comparative data with non-barbed sutures are limited. We conducted this study to compare absorbable barbed sutures (polyglyconate) with absorbable non-barbed sutures (polyglactin 910) for peritoneal flap closure in TAPP repair of primary inguinal hernias, focusing on closure time, operative time, postoperative pain, and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      This randomised comparative study was conducted at ABVIMS and Dr. RML Hospital, New Delhi, including 60 adult patients with primary unilateral inguinal hernia undergoing TAPP repair. Patients were divided into two groups: Group A (barbed sutures,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u00a0=\u00a030) and Group B (non-barbed sutures,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u00a0=\u00a030). Primary outcomes included peritoneal closure time and total operative time. Secondary outcomes were postoperative pain (visual analogue scale), ease of surgery, and incidence of seroma or haematoma. Statistical analysis was performed using Statistical Package for the Social Sciences v23, with\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0&lt;\u00a00.05 considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Barbed sutures significantly reduced peritoneal closure time (8.61\u00a0\u00b1\u00a00.78\u2009min vs. 13.40\u00a0\u00b1\u00a00.81\u00a0min,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) and total operative time (102.5\u00a0\u00b1\u00a016.65\u00a0min vs. 110.53\u00a0\u00b1\u00a011.09\u00a0min,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0=\u00a00.013). However, postoperative pain was higher in the barbed suture group at 48\u2009h (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0=\u00a00.005) and 7 days (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0=\u00a00.043). There was no significant difference in seroma or haematoma formation between the groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u00a0=\u00a00.472).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Absorbable barbed sutures are effective in reducing closure and operative times in TAPP hernia repair but may be associated with higher early postoperative pain. They offer a useful option for improving operative efficiency without increasing complication rates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jwas.jwas_71_25","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T16:00:16Z","timestamp":1775750416000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A Randomised Comparison of Barbed and Non-barbed Absorbable Sutures for Peritoneal Closure in TAPP Hernia Repair"],"prefix":"10.4103","author":[{"given":"Tushar","family":"Deoria","sequence":"first","affiliation":[{"name":"Department of Surgery, ABVIMS and Dr. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoj Kumar","family":"Dokania","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and Dr. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veer","family":"Kavita","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and Dr. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atul","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and Dr. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gyan","family":"Ranjan","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and Dr. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitin","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and Dr. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manidip","family":"Chakravorty","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and Dr. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"CIT0001-20260409","doi-asserted-by":"crossref","first-page":"2773","DOI":"10.1007\/s00464-011-1799-6","article-title":"Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia","volume":"25","author":"Bittner","year":"2011","journal-title":"Surg Endosc"},{"key":"CIT0002-20260409","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1007\/s00464-013-3198-7","article-title":"Mesh fixation in TAPP laparoscopic hernia repair: Introduction of a new method in a prospective randomized trial","volume":"28","author":"Kleidari","year":"2014","journal-title":"Surg Endosc"},{"key":"CIT0003-20260409","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1007\/s10029-019-01936-6","article-title":"TAPP or TEP? International guidelines for groin hernia management","volume":"23","author":"K\u00f6ckerling","year":"2019","journal-title":"Hernia"},{"key":"CIT0004-20260409","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1007\/s10029-015-1431-0","article-title":"Comparison of peritoneal closure techniques in laparoscopic transabdominal preperitoneal inguinal hernia repair: A prospective randomized study","volume":"19","author":"Oguz","year":"2015","journal-title":"Hernia"},{"key":"CIT0005-20260409","doi-asserted-by":"crossref","first-page":"7","DOI":"10.4103\/ijawhs.ijawhs_30_18","article-title":"Peritoneal closure using self-anchoring-barbed absorbable sutures during laparoscopic transabdominal preperitoneal inguinal hernioplasty: How to make it more safe?","volume":"2","author":"Gilbert","year":"2019","journal-title":"Int J Abdom Wall Hernia Surg"},{"key":"CIT0006-20260409","first-page":"1","article-title":"Use of adhesive or self-gripping meshes in TAPP and TEP hernia repair: A review","volume":"16","author":"Fortelny","year":"2012","journal-title":"Hernia"},{"key":"CIT0007-20260409","first-page":"273","article-title":"Usefulness of absorbable barbed sutures for peritoneal closure in laparoscopic hernia repair","volume":"11","author":"Chihara","year":"2018","journal-title":"Asian J Endosc Surg"},{"key":"CIT0008-20260409","first-page":"82","article-title":"The use of barbed sutures in obstetrics and gynecology","volume":"3","author":"Greenberg","year":"2010","journal-title":"Rev Obstet Gynecol"},{"key":"CIT0009-20260409","first-page":"e106","article-title":"Laparoscopic hernia repair: Peritoneal closure with barbed suture","volume":"23","author":"Morales-Conde","year":"2013","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"CIT0011-20260409","first-page":"322","article-title":"Small bowel occlusion after trans-abdominal preperitoneal hernia approach caused by barbed suture: Case report and review of literature. Il Giornale di Chirurgia","volume":"40","author":"Sartori","year":"2019","journal-title":"Il Giornale di Chirurgia"}],"container-title":["Journal of West African College of Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_71_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:51:30Z","timestamp":1786647090000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_71_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,9]]},"references-count":10,"URL":"https:\/\/doi.org\/10.4103\/jwas.jwas_71_25","relation":{},"ISSN":["2276-6944","2992-5827"],"issn-type":[{"value":"2276-6944","type":"print"},{"value":"2992-5827","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,9]]},"assertion":[{"value":"2025-04-22","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}