What are barb sutures?

barb suture

A barbed suture is a knotless monofilament surgical suture that has barbs on its surface. These barbs penetrate inside the tissue and hold them into place, which eliminates the need for knotting the suture. While conventional sutures rely on a surgeon's ability to tie secure knots; barbed sutures provide a knot-less application in select surgical situations.


Why are barb sutures used??

  • Easy to Use
  • No Initial and final knots
  • No Knot Burial
  • No Sutures Sinus formation
  • Less Foreign Material
  • Less Surgical time
  • Better Approximation
  • Better Surgical outcome


Where are barb sutures used?

  • Plastic reconstruction Surgery
  • Gynecological Procedures
  • Laparoscopic surgeries
  • Hernia Procedures
  • Skin Closure
  • Urological Procedures
  • General Surgical Procedures


Barb sutures are available only in monofilament sutures like polydioxanone sutures, poliglecaprone sutures and polypropylene sutures. Barb sutures are available in various barb designs and patterns like uni-directional, bi-directional, spiral barb, with and without loop, etc


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. which may lead to small bowel obstruction presenting in the early postoperative period.