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Staple line reinforcement

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https://www.readbyqxmd.com/read/27829937/the-effect-of-oversewing-the-staple-line-in-laparoscopic-sleeve-gastrectomy-randomized-control-trial
#1
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
#2
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
#3
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...
October 11, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27705088/thoracoscopic-lobectomy-in-infants-and-children-utilizing-a-5%C3%A2-mm-stapling-device
#4
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...
October 5, 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
#5
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
#6
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
#7
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
#8
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...
August 5, 2016: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/27462959/use-of-5-mm-laparoscopic-stapler-to-perform-open-small-bowel-anastomosis-in-a-neonatal-animal-model
#9
Ian C Glenn, Nicholas E Bruns, Todd A Ponsky
PURPOSE: While adult bowel anastomoses are typically performed with staplers, neonatal small bowel anastomoses have traditionally been performed in a hand-sewn manner due to the large size of surgical staplers. The purpose of this study was to compare stapled anastomosis using a newly available, 5-mm laparoscopic stapler to a hand-sewn anastomosis in an open animal model. METHODS: Twenty anastomoses were performed by two general surgery residents (10 stapled and 10 hand-sewn) in an adult New Zealand white rabbit...
October 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27438177/staple-line-reinforcement-of-the-duodenal-stump-with-intracorporeal-lembert-s-sutures-in-laparoscopic-distal-gastrectomy-with-roux-en-y-reconstruction-for-gastric-cancer
#10
Kentaro Inoue, Taku Michiura, Junichi Fukui, Hiromi Mukaide, Takashi Ozaki, Hirokazu Miki, Toshinori Kobayashi, Masaharu Oishi, Ryo Inada, Tomoko Matsumoto, Masanori Yamada, Hiroaki Yanagimoto, Songtae Kim, Sohei Satoi, Masaki Kaibori, Masanori Kon, Madoka Hamada
PURPOSE: We report a duodenal stump reinforcement procedure in laparoscopic distal gastrectomy with Roux-en-Y reconstruction. METHODS: We retrospectively reviewed the data of 223 patients who underwent laparoscopic distal gastrectomy with Roux-en-Y reconstruction for gastric cancer. We compared 2 groups: group NR (not reinforced, n=102, June 2009 to December 2011) when we did not perform reinforcement of the duodenal stump, and group R (reinforced, n=121, January 2012 to July 2014) when we did the reinforcement...
August 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/27433904/the-impact-of-different-surgical-techniques-on-outcomes-in-laparoscopic-sleeve-gastrectomies-the-first-report-from-the-metabolic-and-bariatric-surgery-accreditation-and-quality-improvement-program-mbsaqip
#11
Elizabeth R Berger, Ronald H Clements, John M Morton, Kristopher M Huffman, Bruce M Wolfe, Ninh T Nguyen, Clifford Y Ko, Matthew M Hutter
OBJECTIVE: Questions remain regarding best surgical techniques to use for a laparoscopic sleeve gastrectomy (LSG) including the use of staple line reinforcement (SLR), bougie size (BS), and distance from the pylorus (DP) where the staple line is initiated. Our objectives were to assess the impact of these techniques on 30-day outcomes and to evaluate the impact of these techniques on weight loss and comorbidities at 1 year. METHODS: Using the MBSAQIP data registry, univariate analyses and hierarchical logistical regression models were developed to analyze outcomes for techniques of LSG at patient and surgeon-level...
September 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27301373/leaks-after-laparoscopic-sleeve-gastrectomy-overview-of-pathogenesis-and-risk-factors
#12
REVIEW
Angelo Iossa, Mohamed Abdelgawad, Brad Michael Watkins, Gianfranco Silecchia
BACKGROUND: Leak is the second most common cause of death after bariatric surgery. The leak rate after laparoscopic sleeve gastrectomy (LSG) ranges between 1.1 and 5.3 %. The aim of the paper is to provide an overview of the current pathogenic and promoting factors of leakage after LSG on the basis of recent literature review and to report the evidence based preventive measures. METHODS: Risk factors and pathogenesis of leakage after LSG were examined based on an extensive review of literature and evidence based analysis of the most recent published studies using Oxford centre for evidence-based medicine, 2011, levels of evidence...
September 2016: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/27277092/postoperative-bleeding-and-leakage-after-sleeve-gastrectomy-a-single-center-experience
#13
Mousa Khoursheed, Ibtisam Al-Bader, Ali Mouzannar, Aqeel Ashraf, Yousef Bahzad, Abdulla Al-Haddad, Ali Sayed, Abe Fingerhut
BACKGROUND: Sleeve gastrectomy is being performed increasingly, mainly due to its low morbidity and mortality, but complications do occur. The aim of this study was to evaluate bleeding and leakage rates of primary and revisional sleeve gastrectomy in a personal series of 664 consecutive patients. METHODS: Medical charts of all patients undergoing a primary or revisional sleeve gastrectomy between August 2008 and December 2014 were reviewed retrospectively. Subgroup analysis compared bleeding in patients after reduced port versus multiport technique and primary versus revisional sleeve gastrectomy...
June 8, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27158487/use-of-bioabsorbable-staple-reinforcement-material-in-side-to-side-anastomoses-suture-line-reinforcement-of-the-weak-point-of-the-anastomosis
#14
Masahiro Kimura, Yukio Terashita
BACKGROUND: Few studies have been designed regarding optimal reinforcement of the crotch of a side-to-side anastomosis. The purpose of this study was to clarify the weak point of the side-to-side anastomosis and to evaluate the effect of bioabsorbable reinforcement material. METHODS: Fresh pig small bowel was used for all experiments. A side-to-side anastomosis was performed using a linear stapler, and the burst pressure of the anastomosis was measured. Three separate experiments were done...
March 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27113616/-staple-line-presenting-as-a-suspicious-pulmonary-nodule
#15
A C Agrafiotis, M Prieto, J Siat, G Grosdidier
The case reported herein concerns a 47-year-old female patient with a right apical pulmonary nodule, which was hypermetabolic on positron emission tomography scan. Eighteen years ago, she underwent a right axillary thoracotomy with apical blebectomy and pleurectomy for a recurrent primary spontaneous pneumothorax. Percutaneous transthoracic needle biopsy was unsuccessful. Surgical exploration revealed that the lesion was in fact the reinforcement material of the staple line that was used in the previous operation...
May 2016: Revue de Pneumologie Clinique
https://www.readbyqxmd.com/read/27094877/a-narrative-of-intraoperative-staple-line-leaks-and-bleeds-during-bariatric-surgery
#16
REVIEW
Sudip K Ghosh, Sanjoy Roy, Ed Chekan, Elliott J Fegelman
The primary objective of this review was to assess the incidence of intraoperative staple line leaks and bleeds during laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB). A literature search of MEDLINE®, EMBASE™, and Biosis from January 2010 to November 2014, plus secondary citations extending to 2008, identified 16 relevant articles. For LSG, the incidence of intraoperative leaks and bleeds was as high as 3.93 and 4.07 %, respectively. For LRYGB, leaks occurred in up to 8...
July 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27091938/thoracoscopic-modified-pleural-tent-for-spontaneous-pneumothorax
#17
Riken Kawachi, Rie Matsuwaki, Keisei Tachibana, Shin Karita, Yoko Nakazato, Ryota Tanaka, Yasushi Nagashima, Hidefumi Takei, Haruhiko Kondo
OBJECTIVES: We developed a modified pleural tent (m-tent) procedure and used it in our hospital in almost 30 consecutive patients with spontaneous pneumothorax. The objective of this study was to clarify the feasibility and effectiveness of a thoracoscopic m-tent for the treatment of spontaneous pneumothorax. METHODS: From July 2013 to November 2014, 107 patients with spontaneous pneumothorax were treated in our institution. Eighty-nine of these patients were analysed retrospectively...
August 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/26954900/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
#18
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...
March 4, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/26805360/-safety-and-feasibility-of-the-bioabsorbable-staple-line-reinforcement-in-distal-pancreatic-resections
#19
Toru Aoyama, Masaaki Murakawa, Koichiro Yamaoku, Amane Kanazawa, Akio Higuchi, Manabu Shiozawa, Manabu Morimoto, Naoto Yamamoto, Takashi Oshima, Norio Yukawa, Takaki Yoshikawa, Yasushi Rino, Munetaka Masuda, Soichiro Morinaga
PURPOSE: The aim of this study was to evaluate the safety and feasibility of the bioabsorbable staple line reinforcement in distal pancreatic resection. PATIENTS & METHODS: Thirteen patients underwent distal pancreatic resection using the bioabsorbable staple line reinforcement between May 2014 and December 2014. Surgical complications were evaluated by Clavien-Dindo classification. RESULT: Median age was 64 years. Median operation time was 219 minutes and median blood loss was 490 mL...
November 2015: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/26712495/impact-of-the-surgical-experience-on-leak-rate-after-laparoscopic-sleeve-gastrectomy
#20
Patrick Noel, Marius Nedelcu, Michel Gagner
INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) has become one of the most commonly performed bariatric procedures, largely due to several advantages it carries over more complex bariatric procedures. LSG is generally considered a straightforward procedure, but one of the major concerns is a staple line leak. OBJECTIVE: The objectives of this study are to evaluate the correlation between surgeon's experience and leak rate and to assess the different risk factors for developing a gastric leak after LSG...
August 2016: Obesity Surgery
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