However, little is known about the adverse events associated with these new materials and concerns have arisen regarding their safety in certain procedures. Although barbed sutures provide an attractive means to allow easier and faster laparoscopic suturing, they should be used carefully in inframesocolic surgery and the suture end cut and buried to avoid inadvertent attachment to the small bowel or its mesentery.
However, there is limited insight into the undesirable effects associated with these innovative materials, and concerns have emerged regarding their safety in specific procedures. Although barbed sutures offer a convenient method for quicker and more efficient laparoscopic suturing, they must be used with caution in inframesocolic surgery and the suture end should be cut and buried to prevent accidental attachment to the small intestine or its mesentery.