Clinical Studies

Orthopaedic Surgery

1.    Flexor Tendon Repair With a Knotless Barbed Suture: A Comparative Biomechanical Study. Marrero-Amadeo I,Chauhan A, Warden J, PhD, Merrell G. Journal of Hand Surgery. 2011; 36A:1204–1208.
2.    Evaluation of Primary Total Knee Arthroplasty Incision Closure with the Use of Continuous Bidirectional Barbed Suture. Stephens S, Politi J, Taylor B. Surgical Technology International XXI, Orthopaedic Surgery. #338, p. 1-5. 2011
3.    Use of a Barbed Suture in the Closure of Hip and Knee Arthroplasty Wounds. Levine B, Ting N, Della Valle C. September 2011, Volume 34, number 9.
4.    Perioperative Closure-related Complication Rates and Cost Analysis of Barbed Suture for Closure in TKA. Gililland J, Anderson L, Sun LG, Erickson J, Peters C. CORR. Sept. 28, 2011.
5.    Water-Tight Knee Arthrotomy Closure: Comparison of a Novel Single Bidirectional Barbed Self-Retaining Running Suture vs. Conventional Interrupted Sutures. Nett M, Cushner F, Avelar R. Journal of Knee Surgery, 2011 24: 55-60
6.    A Comparison of Wound Closure Techniques for Total Knee Arthroplasty. Eggers M, Fang L, Lionberger D. Journal of Arthroplasty. Dec 26(8): 1251-8.e1-4. Epub 2011 Apr 29.
7.    Knee Arthrotomy Repair with a Continuous Barbed Suture. Vakil J, O’Reilly M. et al. Journal of Arthroplasty, 2010
8.    Total Knee Arthroplasty Closure with Barbed Suture. Eickmann T, Quane E. J. of Knee Surgery, 2010;23:163- 68.
9.    The Use of Barbed Sutures During Scoliosis Fusion Wound Closure: A Quality Improvement Analysis. Alfred Mansour, MD, Ryan Ballard, PA-C, Sumeet Garg, MD, David Baulesh, BA, and Mark Erickson, MD. (Childrens Hospital of Colorado / Univ. of Colorado). Journal of Pediatric Orthopedics. Volume 33, Number 8, December, 2013
10.    Barbed Versus Standard Sutures for Closure in Total Knee Arthroplasty: A Multicenter Prospective Randomized Trial. Jeremy Gililland MD, Lucas Anderson MD, Jacob Barney BS, Hunter, L. Ross BS, Christopher E. Pelt MD, Christopher L. Peters MD (Univ. of Utah, Joint Implant Surgeons (OH), Scott & White (TX), Duke University (NC)). Journal of Arthroplasty. June, 2014. doi: 10.1016 / j.arth. 2014.01.041
11.    Barbed Versus Traditional Sutures: Closure Time, Cost, and Wound Related Outcomes in Total Joint Arthroplasty. E Smith, MD, P Shukla, MD , E Matzkin, MD (Tufts Med Center; Brigham & Womens hospital). Journal of Arthroplasty, Spring, 2014
12.    Extensor Mechanism Repair Failure With Use of Bidirectional Barbed Suture in Total Knee Arthroplasty. Russell C. Wright, BS, Craig T. Gillis, BS,y Stephan V. Yacoubian, MD,Raymond B. Raven III, MD, Yuri Falkinstein, MD,and Shahan V. Yacoubian, MD. The Journal of Arthroplasty Vol. 27 No. 7 2012
13.    Bacteria Adhere Less to Barbed Monofilament Than Braided Sutures in a Contaminated Wound Model.  John R. Fowler MD, Tiffany A. Perkins BS, Bettina A. Buttaro PhD, Allan L. Truant PhD. Clinical Orthopaedics and Related Research. DOI 10.1007/s11999-012-2593-z. 28 August 2012.


Plastic & Reconstructive Surgery

1.    A Knotless Flexor Tendon Repair Technique Using a Bidirectional Barbed Suture: An Ex-Vivo Comparison of Three Methods. McClellan T, Schessler M, Ruch D, Levin L, Goldner R. 2011. vol 128, no. 4
2.    Evaluating the Use of a Barbed Suture for Skin Closure during Autologous Breast Reconstruction. Jandali S, Nelson JA, Bergey M, Seema S, Sonnad S, Serletti J. Journal of Reconstructive Microsurgery. 2011;27:277–286.
3.    Lifting and Wound Closure with Barbed Sutures. Paul MD, Mulholland RS. Clinics in Plastic Surgery. 38 (2011) 521–535
4.    Repair of the Midline Fascial Defect in Abdominoplasty with Long-Acting Barbed and Smooth Absorbable Sutures. Rosen, A, Hatman, T. Aesthetic Surgery Journal, 2011, 31:668-673.
5.    An In Vivo Comparison of Barbed Suture Devices and Conventional Monofilament Sutures for Cosmetic Skin Closure: Biomechanical Wound Strength and Histology. Zaruby J, Gringas K, Taylor J, Maul D. Aesthetic Surgery Journal 2011 31: 232.
6.    Bidirectional Barbed Suture Migration: A Unique Complication after Intracuticular Closure. Workman M, Deschamps-Braly J, Morgan A, Sawan K. Aesthetic Plastic Surgery (2011) 35:672–673 (Letter to the Editor).
7.    A Case for the Safety and Efficacy of Lipoabdominoplasty: A Single Surgeon Retrospective Review of 173 Consecutive Cases. Weiler J, Taggart P, Khoobehi K. Aesthetic Surgery Journal. 2010. 30(5) 702 –713.
8.    L-Brachioplasty: An Adaptable Technique for Moderate to Severe Excess Skin and Fat of the Arms. Hurwitz DJ & Jerrod K. Aesthetic Surgery Journal. July 2010. 30(4):620-9.
9.    Use of Absorbable Running Barbed Suture and Progressive Tension Technique in Abdominoplasty: a Novel Approach. Rosen, AD. Plastic and Reconstructive Surgery. March 2010; 125(3): 1024-7.
10.    Bidirectional Barbed Sutures for Wound Closure: Evolution and Applications. Paul, M. Journal of the American College of Certified Wound Specialists. 2009;1(2):51-57.
11.    Reducing the Incidence of Ear Deformity in Facelift. Man D. Aesthetic Surgery Journal. 2009; 29(4): 264-271.
12.    Abdominoplasty with Progressive Tension Closure using a Barbed Suture Technique. Warner JP, Godowsky KA. Aesthetic Surgery Journal. 2009; 29(3): 221-225.
13.    Management of the Occipital Scalp Tension Wound in Hair Transplant Surgery with the Quill Suture. Pak JP, Riesman WR, Gazonas P, Zealous A. Hair Transplant Forum International. July/Aug 2008:149-150.
14.    Barbed Sutures for Aesthetic Facial Plastic Surgery: Indications and Techniques. Paul MD. Clinics in Plastic Surgery. 2008; 35:451-461.
15.    Technique and Uses for Absorbable Barbed Sutures. Ruff G. Aesthetic Surgery Journal. 2006;26:620-628.
16.    Evaluation of a Novel Technique for Wound Closure Using a Barbed Suture. Murtha AP, Kaplan AL, Paglia MJ, Mills BB, Feldstein ML, Ruff GL. Plastic and Reconstructive Surgery. 2006;117:1769-1780.
17.    Using Barbed Sutures in Open/Subperiosteal Midface Lift. Paul M. Aesthetic Surg Journal 2006; 26:725-732.
18.    Barbed sutures in Aesthetic Surgery. A. Matarasso MD (Guest Editor), J. Benito MD, K. Gutowski MD, D Hammond MD, D Hurwitz MD, A Moya MD, M Paul MD, R Pizzamiglio MD, B Reuben MD, A Rosen MD, G Ruff MD, CA Salzberg MD, M Shermak MD, HP Warner MD. Aesthetic Surgery Journal. vol 33, suppl 3, Sept 2013.
19.    Corset Trunkplasty: Novel procedure contours massive weight loss patients’ bodies safely, effectively. A Moya MD. OCTOBER 2012, Vol. 15. No. 9p. 18-22.
20.    The Corset Trunkplasty comes of Age. A Moya MD. Nov. 2012, p 16-18.
21.    A Comparison between Barbed and Non-barbed Absorbable Suture for Fascial Closure in a Porcine Model. G Oni MD, S Brown PhD, J Kenkel MD. Plastic and Reconstructive Surgery ( Oct 2012. p 535-540.


Gynecological Surgery

1.    Decreased Incidence of Vaginal Cuff Dehiscence after Laparoscopic Closure with Bidirectional Barbed  Suture. Siedhoff M, Yunker A, Steege J. Journal of Minimally Invasive Gynecology. 2011. Mar-Apr;18(2):218-23
2.    Use of Bidirectional Barbed Suture in Laparoscopic Myomectomy: Evaluation of Perioperative Outcomes, Safety, and Efficacy. Einarsson J, Chavan N, Suzuki Y, Jonsdottir G, Velinga T, Greenberg J. Journal of Minimally Invasive Gynecology. (2011) 18, 92–95.
3.    Single incision Laparoscopic Myomectomy. Jackson T, Einarsson J. Journal of Minimal Access Surgery. Jan-Mar 2011, vol 7 issue 1.
4.    The Use of Barbed Sutures in Obstetrics and Gynecology. Greenberg J. Reviews in Obstetrics and Gynecology. 2010;3(3):82-91.
5.    Bidirectional Barbed Suture: An Evaluation of Safety and Clinical Outcomes. Einarsson J, Vellinga T, Twijnstra A, Chavan N, Suzuki Y, Greenberg J. Journal of the Society of Laparoendoscopic Surgeons. (2010)14:381–385.
6.    Comparative study of a Barbed Suture, Poliglecaprone, and Stapler in Pfannenstiel Incisions Performed for Benign Gynecologic Procedures: A Randomized Trial. Naki M, Api O, Acioglu H, Ozkan S, Kars B, Unal O. Acta Obstetricia et Gynecologica. 2010.
7.    Single-Incision Laparoscopic Myomectomy. Einarsson JI. Journal of Minimally Invasive Gynecology. May 2010; 37(3): 371-3.
8.    Laparoscopic Myomectomy: 8 Pearls. Einarsson JI. OBG Management, March 2010; 22(3): 49-62.
9.    Use of a Bidirectional Barbed Suture in Robot-Assisted Sacrocolpopexy. Journal of Robotic Surgery. Ghomi A, Askari R. ePublished May 8th, 2010
10.    Total Laparoscopic Hysterectomy with Single-Port Access without Vaginal Surgery. Langebrekke A, Qvigstad E. Journal of Minimally Invasive Gynecology. 2009; 16(5): 609-11.
11.    Barbed Suture, Now in the Toolbox of Minimally Invasive Gyn Surgery. Einarsson JI, Greenberg JA. OBG Management. 2009; 21(9): 39-41.
12.    Total Laparoscopic Hysterectomy: 10 Steps Toward a Successful Procedure. Einarsson JI, Suzuki Y. Reviews in Obstetrics and Gynecology. 2009; 2(1): 57-64.
13.    Advances in Suture Material for Obstetric and Gynecologic Surgery. Greenberg JI, Clark RM. Reviews Obstetrics and Gynecology. 2009; 2(3): 146-158.
14.    The use of Bidirectional Barbed Suture in Laparoscopic Myomectomy and Total Laparoscopic Hysterectomy. Greenberg JA, Einarsson JI. Journal of Minimally Invasive Gynecology. 2008; 15:621-623.
15.    Quill™ Self-Retaining System. Greenberg, JA. Reviews in Obstetrics and Gynecology. 2008; 1(4):201-202.


Urological Surgery

1.    Biomechanical Proof of Barbed Sutures for the Efficacy of Laparoscopic Pyeloplasty. Amend B, Muller, O, Bedke J, Leichtle U, Nagele U, Kruk S, Stenzl A, Sievert K. Journal of Endourology. 2011. vol 25.
2.    Use of a Bidirectional Barbed Suture and Early Clamp Removal in Laparoscopic Partial Nephrectomy. Metcalf M, Langille G, Rendon R. Canadian Urological Assoc meeting abstract. June 29, 2010 vol 4, supp 1.
3.    Evaluation of a Novel Knotless Self-Anchoring Suture Material for Urinary Tract Reconstruction. Weld KJ, Ames CD, Hruby G, Humphrey PA, Landman. Journal of Urology 2006; 67:1133-1137.
4.    Bidirectional-Barbed Sutured Knotless Running Anastomosis vs. Classic Van Velthoven in a Model System. Moran ME, Marsh C, Perrotti M. Journal of Endourology 2007; 21:1175-1178.
5.    Knotless Closure of the Collecting System and Renal Parenchyma with a Novel Barbed Suture during Laparoscopic Porcine Partial Nephrectomy. Shikanov S, Wille M, Large, M, Lifshitz DA, Zorn KC, Shalhav AL, Eggener, SE. Journal of Endourology. 2009: 23(7):1157-60.
6.    Use of a knotless, bidirectionally-barbed suture for bladder neck reconstruction, posterior reconstruction and the vesicourethral anastomosis during robotic-assisted laparoscopic prostatectomy: Description of the technique. Rair Valero, Young Hwii Ko, Sanket Chauhan, Oscar Schatloff, Ananthakrishnan Sivaraman, Rafael F. Coelho, Kenneth J. Palmer, Hugo Davila, Vipul R. Patel. Actas Urológicas Españolas. doi:10.1016/j.acuro.2011.06.010

Animal Health

1.   Evaluation of Two Novel Self-Anchoring Barbed Sutures in a Prophylactic Laparoscopic Gastropexy Compared With Intracorporeal Tied Knots. Chad E. Spah, DVM, A. D. Elkins, DVM, Aaron Wehrenberg, DVM, Michael H. Jaffe, DVM, Debra K. Baird, DVM, James F. Naughton, DVM, and Mark E. Payton, PhD. Veterinary Surgery 42 (2013) 932–942


1.    Comparison of V-Loc™ 180 wound closure device and Quill™ PDO knotless tissue-closure device for intradermal closure in a porcine in vivo model: Evaluation of biomechanical wound strength. Zaruby J, Gringas K, Maul D. Society for Biomaterials. 2012.
2.    Suture Choice and Other Methods of Skin Closure. Hochberg J, Meyer KM, Marion M. Surgical Clinics of North America. June 2009; 89(3): 627-641.
3.    Knotless, Layered, Single-Suture Skin and Scalp Closure. Recasens J. Cosmetic Dermatology. 2008; 21:236- 237.
4.    Application of an Absorbable Barbed Bi-Directional Surgical Suture. Datillo PP, King MW, Cassill NL & Leung JC. Medical textiles: Journal of Textile Apparel, Technology and Management. 2002. 2(2): 1-5.