Kim SM, et al. - The authors performed a comparison of surgical outcomes and complications of 334 women who underwent total laparoscopic hysterectomy with or without the use of barbed sutures for vaginal cuff closure. In this work, vaginal cuff suture performed with barbed suture material proved a safe and well-tolerated procedure and reduced operative times. With regard to the suture material, no meaningful decrease in postoperative vaginal complications including vaginal cuff dehiscence was identified.