Evidence map›Paper›PMID 31508982›Full record

SynthesisAnnals of the Royal College of Surgeons of England2020

Benefits of barbed suture utilisation in gastrointestinal anastomosis: a systematic review and meta-analysis.

T Wiggins, M S Majid, S R Markar, J Loy, S Agrawal, Y Koak

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Annals of the Royal College of Surgeons of England, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04658784 (Barbed Suture Versus Non-Barbed Suture for Posterior Colporrhaphy), which is not on this map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04658784 nacompletednot on this map

Barbed Suture Versus Non-Barbed Suture for Posterior Colporrhaphy: A Randomized Controlled Trial

TypeinterventionalSponsorWake Forest University Health SciencesRan2020 to 2022Enrolled72ConditionsRectoceleArms2-0 dioxanone, glycolide and trimethylene carbonate, 2-0 polydioxanone
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  10. Robotic- assisted minimally invasive Ivor-Lewis handsewn anastomosis technique and outcomes from a large-volume European centre.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

T WigginsDepartment of Bariatric Surgery, Homerton University Hospital, London, UK.
M S MajidDepartment of Bariatric Surgery, Homerton University Hospital, London, UK.
S R MarkarDepartment of Surgery and Cancer, Imperial College London, UK.
J LoyDepartment of Bariatric Surgery, Homerton University Hospital, London, UK.
S AgrawalDepartment of Bariatric Surgery, Homerton University Hospital, London, UK.
Y KoakDepartment of Bariatric Surgery, Homerton University Hospital, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAnastomosis formation constitutes a critical aspect of many gastrointestinal procedures. Barbed suture materials have been adopted by some surgeons to assist in this task. This systematic review and meta-analysis compares the safety and efficacy of barbed suture material for anastomosis formation compared with standard suture materials.

methodsAn electronic search of Embase, Medline, Web of Science and Cochrane databases was performed. Weighted mean differences were calculated for effect size of barbed suture material compared with standard material on continuous variables and pooled odds ratios were calculated for discrete variables.

findingsThere were nine studies included. Barbed suture material was associated with a significant reduction in overall operative time (WMD: -12.87 (95% CI = -20.16 to -5.58) (

conclusionsUse of barbed sutures for gastrointestinal anastomosis appears to be associated with shorter overall operative times. There was no difference in rates of complications (including anastomotic leak, bleeding or stricture) compared with standard suture materials.

Indexed as

SuturesAnastomosis, SurgicalAnastomotic LeakConstriction, PathologicDigestive System Surgical ProceduresEquipment DesignHumansOperative TimePostoperative ComplicationsPostoperative HemorrhageSuture TechniquesAnastomosis, Roux en-yBarbed sutureColorectal surgeryGastric bypass

Identifiers

PMID31508982
PMCPMC6996435

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.