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Staple line reinforcement

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https://www.readbyqxmd.com/read/28540622/the-impact-of-technical-surgical-aspects-on-morbidity-of-984-patients-after-sleeve-gastrectomy-for-morbid-obesity
#1
Ohad Guetta, Amnon Ovnat, David Czeiger, Alex Vakhrushev, Gal Tsaban, Gilbert Sebbag
BACKGROUND: To evaluate early complications after LSG in regard of staple line reinforcement (SLR), bougie size, previous bariatric surgery and surgeon experience. METHODS: A retrospective cohort study of LSG patients at the Soroka University Medical Center (SUMC). Data was collected from digitalized database. RESULTS: Nine hundred eighty-four LSG cases were performed by three surgeons. Seventy-eight complications were observed (7.9%): 44 mild (4...
May 24, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28460205/cyanoacrylate-sealant-compared-to-fibrin-glue-in-staple-line-reinforcement-during-laparoscopic-sleeve-gastrectomy-pilot-prospective-observational-study
#2
G Martines, R Digennaro, M De Fazio, P Capuano
Laparoscopic Sleeve Gastrectomy (LSG) is associated with serious complications, such as staple line leaks and bleeding. This paper presents a novel approach aimed at the successful consolidation of the suture by the use of the cyanoacrylate, here compared to the use of fibrin glue. Fifty consecutive patients, recruited from October 2015 to March 2016, were submitted to laparoscopic sleeve gastrectomy by standardized surgical technique. The staple line was reinforced with cyanoacrylate or fibrin glue. There were no post-operative complications and no operative time prolongation...
January 2017: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/28437221/the-effect-of-reinforcement-methods-with-knotted-and-knotless-sutures-comparison-of-burst-pressures
#3
Alper Yavuz, Hakan Buluş
Sleeve gastrectomy operations have become popular among restrictive obesity surgeons, due to its effectiveness for losing weight and acceptable complication rates. However, leakage is a significant problem in these operations. In this ex vivo study, we tried to understand mechanisms of leakage and to examine the effects of two different types of frequently referred reinforcement techniques using sutures. The resected gastric specimens that were removed during sleeve gastrectomy operations were used in this ex vivo study...
June 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/28378080/cost-analysis-of-leak-after-sleeve-gastrectomy
#4
Marius Nedelcu, Thierry Manos, Michel Gagner, Imane Eddbali, Ahmed Ahmed, Patrick Noel
BACKGROUND: Leaks after laparoscopic sleeve gastrectomy (LSG) are serious complications of this procedure. The objective of the present study was to evaluate the costs of leaks after LSG. SETTING: Private hospital, France. METHODS: A retrospective analysis was conducted on a prospective cohort of 2012 cases of LSG between September 2005 and December 2014. Data were collected on all diagnostic and therapeutic measures necessary to manage leaks, ward, and intensive care unit (ICU) length of stay...
April 4, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28322488/surgical-glue-in-laparoscopic-sleeve-gastrectomy-an-initial-experience-and-cost-effectiveness-analysis
#5
Gregoire Mercier, Marcelo Loureiro, Vera Georgescu, El Mehdi Skalli, Marius Nedelcu, Mohamed Ramadan, Jean Michel Fabre, Patrick Lefebvre, David Nocca
RATIONALE, AIMS, AND OBJECTIVES: Laparoscopic sleeve gastrectomy (LSG) is one of the most common bariatric procedures. Gastric leaks and bleeding are the most frequent complications, associated with a high clinical and economic burden. The best method of staple line reinforcement in LSG is debated. Surgical glue is one of the options available. The aim of this study was to assess the safety, efficiency, and relative cost-effectiveness of surgical glue used to perform LSG in morbid obese adults as compared with standard stapling...
March 21, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28236013/needlescopic-sleeve-gastrectomy-pushing-the-boundaries-of-the-standard-technique
#6
Marcelo Loureiro, Abdulah Sultan, Mohannad Alhaddad, Hatem Mostafa, David Nocca, Marius Nedelcu, Walled Buhaimed
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is the most common bariatric surgery performed worldwide. Improvements in LSG have been suggested to achieve better weight loss or to lessen the complications rates. We propose a change in the standard technique to privilege the use of thinner instruments, the needlescopic sleeve gastrectomy (NSG). METHODS: A 40-year-old female, BMI 40, with no previous abdominal surgery was selected for a NSG. She was placed in a semi-sitting position with the surgeon standing between the legs...
February 24, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28218394/cross-sectional-observational-study-of-the-availability-of-evidence-supporting-novel-implantable-devices-used-in-gastrointestinal-surgery
#7
S J Chapman, B Shelton, M Maruthappu, P Singh, P McCulloch, A Bhangu
BACKGROUND: Evidence supporting the implementation of novel surgical devices is unstandardized, despite recommendations for assessing novel innovations. This study aimed to determine the proportion of novel implantable devices used in gastrointestinal surgery that are supported by evidence from RCTs. METHODS: A list of novel implantable devices placed intra-abdominally during gastrointestinal surgery was produced. Systematic searches were performed for all devices via PubMed and clinical trial registries...
May 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28138899/case-control-study-of-postoperative-blood-pressure-in-patients-with-hemorrhagic-complications-after-laparoscopic-sleeve-gastrectomy-and-matched-controls
#8
Michał Robert Janik, Tomasz Rogula, Piotr Kowalewski, Maciej Walędziak, Maciej Matłok, Jakub Brągoszewski, Andrzej Kwiatkowski, Krzysztof Paśnik
INTRODUCTION: Laparoscopic sleeve gastrectomy is associated with a moderate risk of hemorrhagic complications (HC). There is a debate regarding the relationship between HC and high blood pressure in postoperative period. AIM: The aim is to clarify whether the postoperative blood pressure is an independent risk factor for hemorrhagic complications after laparoscopic sleeve gastrectomy. METHODS: Medical records of 522 patients were reviewed...
January 30, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28089434/gastroesophageal-reflux-disease-and-barrett-s-esophagus-after-laparoscopic-sleeve-gastrectomy-a-possible-underestimated-long-term-complication
#9
Alfredo Genco, Emanuele Soricelli, Giovanni Casella, Roberta Maselli, Lidia Castagneto-Gissey, Nicola Di Lorenzo, Nicola Basso
BACKGROUND: Morbidly obese patients are affected by gastroesophageal reflux disease (GERD) and hiatal hernia (HH) more frequently than lean patients. Because of conflicting results, the indication to sleeve gastrectomy (SG) in patients with GERD is still debated. OBJECTIVES: To evaluate the incidence of GERD on the basis of clinical, endoscopic, and histologic data in patients undergoing SG. SETTINGS: University hospital, Rome, Italy. METHODS: From July 2007 to January 2010, 162 patients underwent primary SG...
April 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28054296/staple-line-reinforcement-in-laparoscopic-sleevegastrectomy-experience-in-1023-consecutive-cases
#10
Matías Sepúlveda, Cristián Astorga, Juan P Hermosilla, Munir Alamo
INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) is one of the most frequently performed bariatric procedures performed worldwide. However, staple line-related complications have become a major challenge for bariatric surgeons. The aim of this study was to evaluate the morbidity in a cohort of patients who underwent LSG with imbricated oversewing of the staple line at a single high-volume center. MATERIALS AND METHODS: We retrospectively reviewed prospectively collected data for all patients who underwent LSG to treat obesity at our institution from January 2010 to September 2016...
June 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28009728/medical-and-economic-evaluation-of-foreseal-bioabsorbable-reinforcement-sleeves-compared-with-current-standard-of-care-for-reducing-air-leakage-duration-after-lung-resection-for-malignancy-a-randomized-trial
#11
RANDOMIZED CONTROLLED TRIAL
Marco Alifano, Christophe Jayle, François Bertin, Pierre Magdeleinat, Yves Castier, Olivier Tiffet, Alain Bernard, François Tronc, Pierre-Yves Brichon, Pascal Dumont, Gilles Grosdidier, Antoine Dujon, Abel Grine, Helena Pereira, Anais Le Jeannic, Marie Amélie Vinet, Hassani MaOulida, Isabelle Durand-Zaleski, Marc Riquet, Gilles Chatellier, Jean-François Regnard
OBJECTIVE: The objective of this study was to determine the efficacy of alginate staple-line reinforcement of fissure openings as compared with stapling alone, with or without tissue sealant or glue, in reducing the incidence and duration of air leakage after pulmonary lobectomy for malignancy. SUMMARY BACKGROUND DATA: No randomized trial evaluating alginate staple-line reinforcement has been performed to date. METHODS: The Staple-line Reinforcement for Prevention of Pulmonary Air Leakage study was a multicenter randomized trial, with blinded evaluation of endpoints...
January 2017: Annals of Surgery
https://www.readbyqxmd.com/read/27991838/evaluation-of-a-powered-stapler-system-with-gripping-surface-technology-on-surgical-interventions-required-during-laparoscopic-sleeve-gastrectomy
#12
Elliott Fegelman, Susan Knippenberg, Michael Schwiers, Dimitrios Stefanidis, Keith S Gersin, John D Scott, Adolfo Z Fernandez
BACKGROUND: Transection of gastric tissue during laparoscopic sleeve gastrectomy (LSG) can be challenging. Reinforcing the staple line may decrease the incidence of issues requiring intervention. METHODS: The objective of this study was to compare the number of intraoperative surgical interventions for a surgical stapler and reload system with Gripping Surface Technology (GST) to standard reloads in patients who underwent LSG. Patients who underwent elective LSG were enrolled...
May 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27829937/the-effect-of-oversewing-the-staple-line-in-laparoscopic-sleeve-gastrectomy-randomized-control-trial
#13
Andrzej Kwiatkowski, Michał R Janik, Krzysztof Paśnik, Edward Stanowski
INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) is one of the most popular bariatric procedures. The procedure is associated with serious staple-line complications such as bleeding, leaks, and stenosis. AIM: To determine whether oversewing the staple line, compared with clipping, in LSG reduces the incidence of postoperative bleeding. MATERIAL AND METHODS: We conducted a parallel-group, prospective, randomized controlled trial (RCT) of 100 patients who underwent LSG for obesity at a single institution between May 2014 and August 2015...
2016: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/27822722/completely-thoracoscopic-diaphragmatic-plication
#14
Gregor J Kocher, Adrian Zehnder, Ralph A Schmid
BACKGROUND: Thoracoscopic diaphragmatic plication for diaphragmatic paralysis with consecutive eventration and respiratory compromise is a desirable alternative to standard thoracotomy. Since minimally invasive techniques usually involve suturing of the diaphragm, most surgeons use a video-assisted approach with a minithoracotomy. Herein we describe our completely thoracoscopic technique for diaphragmatic plication including outcome. METHODS: We present our technique and experience for completely thoracoscopic diaphragmatic plication for the treatment of symptomatic diaphragmatic paralysis in six consecutive patients...
November 7, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27730461/prediction-model-for-hemorrhagic-complications-after-laparoscopic-sleeve-gastrectomy-development-of-sleeve-bleed-calculator
#15
Michal R Janik, Maciej Walędziak, Jakub Brągoszewski, Andrzej Kwiatkowski, Krzysztof Paśnik
INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) is one of the most frequently performed bariatric procedures. Hemorrhagic complications (HC) after surgery are common and require surgical revision. Accurate estimation of the risk of postoperative HC can improve surgical decision-making process and minimize the risk of reoperation. The aim of the present study was to develop a predictive model for HC after LSG. MATERIAL AND METHODS: The retrospective analysis of 522 patients after primary LSG was performed...
April 2017: Obesity Surgery
https://www.readbyqxmd.com/read/27705088/thoracoscopic-lobectomy-in-infants-and-children-utilizing-a-5%C3%A2-mm-stapling-device
#16
Steven Rothenberg
PURPOSE: Thoracoscopic lobectomy for congenital cystic lung disease has become an accepted and in many institutions the preferred technique. However, the technical challenges are many. Previous endoscopic staplers (12 mm) used commonly in adults are too large for use in infants This study evaluates the safety and efficacy of using a 5 mm stapling device to seal and divide major pulmonary structures. METHODS: From July 2014 to March 2016, 26 patients of age 6 weeks to 13 months underwent thoracoscopic lobectomy for CPAM or sequestration...
December 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27610019/application-of-stapling-devices-in-liver-surgery-current-status-and-future-prospects
#17
REVIEW
Dian-Bo Yao, Shuo-Dong Wu
The liver is a vascular-rich solid organ. Safe and effective dissection of the vessels and liver parenchyma, and control of intraoperative bleeding are the main concerns when performing liver resection. Several studies have confirmed that intraoperative blood loss and postoperative transfusion are predictors of postoperative morbidity and mortality in liver surgery. Various methods and instruments have been developed during hepatectomy. Stapling devices are crucial for safe and rapid anastomosis. They are used to divide hepatic veins and portal branches, and to transect liver parenchyma in open liver resection...
August 21, 2016: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/27604365/effects-and-results-of-fibrin-sealant-use-in-1000-laparoscopic-sleeve-gastrectomy-cases
#18
Halil Coskun, Erkan Yardimci
BACKGROUND: Staple-line leakage and bleeding are worrisome and feared postoperative complications after laparoscopic sleeve gastrectomy (LSG) in morbidly obese patients. The purpose of this study was to review clinical evidence following the use of fibrin sealant in standard LSG. METHODS: Morbidly obese patients who underwent standard technique of LSG with using fibrin sealant were included in the study. Demographics variables [age, gender, body mass index (kg/m(2)), and comorbid conditions], the re-admission rate, and postoperative early complications, such as bleeding, staple-line leak, twist and stricture, were evaluated at the follow-up during the postoperative first month...
September 7, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27594992/laparoscopic-sleeve-gastrectomy-using-a-synthetic-bioabsorbable-staple-line-reinforcement-material-post-operative-complications-and-6-year-outcomes
#19
Mahdi Saleh, Manikandar S Cheruvu, Krishna Moorthy, Ahmed R Ahmed
BACKGROUND: Gastric leak after laparoscopic sleeve gastrectomy (LSG) is a serious complication. Currently, the literature lacks long-term outcomes in LSG and leak rates after reinforcement of the staple line. The aims are two-fold: to present leak rates from using staple line reinforcement and six year outcomes of LSG in relation to resolution of obesity-related comorbidities and long-term weight loss. MATERIALS AND METHODS: This is a single-institution, retrospectively reviewed study of 204 patient case files...
September 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27491782/safety-and-efficacy-of-a-novel-linear-staple-device-with-bioabsorbable-polyglicolic-acid-felt-in-laparoscopic-colorectal-surgery
#20
Masanori Naito, Takahiro Yamanashi, Takatoshi Nakamura, Hirohisa Miura, Atsuko Tsutsui, Takeo Sato, Masahiko Watanabe
INTRODUCTION: Laparoscopic surgery is widely used for the treatment of colorectal cancer, but it is often associated with postoperative anastomotic complications. Generally, gastrointestinal anastomosis for colorectal surgery is performed using mechanical anastomosis with a double stapling technique. Using the automatic suture device with bioabsorbable polyglycolic acid (PGA) felt is expected to adequately reinforce staple lines on fragile tissue, helping to prevent anastomotic complications, including leakage...
February 2017: Asian Journal of Endoscopic Surgery
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