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ssss1 A number of clinical applications have been facilitated by barbed suture. (A) cystopexy, (B) colopexy, (C) gastropexy, (D) peritoneal‐pericardial diaphragmatic herniorraphy.

Several barbed sutures (Quill™, V‐loc™, and Stratafix™ spiral; ssss1) are all produced by cutting into a parent strand of smooth suture. This is readily apparent when closely observing the suture strand (ssss1). This manufacturing technique reduces the strength of the suture. Therefore, it is important that the surgeon understands the tensile strength of the particular suture used. Relative strength compared to the parent strand is presented in ssss1. To date, the most commonly used barbed suture in veterinary medicine is the V‐loc™ (Medtronics, Covidien, Mansfield, MA). The V‐Loc suture size is denominated in relation to strength compared to a smooth suture. Thus, a 3‐0 V‐Loc is cut from a 2‐0 parent strand, but strength corresponds to a smooth 3‐0 suture [13]. More recently, a barbed suture with a solid core has been made available (Stratafix symmetric, Ethicon Johnson & Johnson Medical Devices, Somerville, NJ) which circumvents the issue of production‐induced reduced tensile strength.