dc.contributor.author | Ozgen, Gorkem | |
dc.contributor.author | Yerdel, Mehmet Ali | |
dc.contributor.author | Acunas, Bulent | |
dc.contributor.author | Calikoglu, Ismail | |
dc.date.accessioned | 2021-12-10T09:59:36Z | |
dc.date.available | 2021-12-10T09:59:36Z | |
dc.identifier.citation | Ozgen G., Calikoglu I., Acunas B., Yerdel M. A. , "Staple-line reinforcement using barbed sutures in 1008 sleeve gastrectomies", LANGENBECKS ARCHIVES OF SURGERY, 2021 | |
dc.identifier.issn | 1435-2443 | |
dc.identifier.other | vv_1032021 | |
dc.identifier.other | av_209ee88a-8c32-4f1f-9ef2-8619c94205fc | |
dc.identifier.uri | http://hdl.handle.net/20.500.12627/168939 | |
dc.identifier.uri | https://doi.org/10.1007/s00423-021-02161-5 | |
dc.description.abstract | Purpose Among various staple-line reinforcement methods applied during sleeve gastrectomy (SG), although data on full-thickness-continuous-suturing (FTCS) is nearly nil, it has been considered as potentially harmful. The safety/efficacy profile of FTCS is assessed. Methods All consecutive SGs completing 3-month follow-up were studied. Data on peri-operative parameters, complications, and follow-up were prospectively recorded. All reinforcements were completed by FTCS utilizing barbed suture. Super-super obese, secondary SGs, SGs performed in patients with prior anti-reflux surgery, and SGs performed with additional concomitant procedures were evaluated as "technically demanding" SGs. Student's t/chi-square tests were used as appropriate. Results Between January 2012 and July 2020, 1008 SGs (941 "primary-standard," 67 "technically demanding") were performed without mortality/venous event. Single leak occurred in a patient with sleeve obstruction (0.1%). Thirteen bleedings, 4 requiring re-surgery (0.4%), and 17 stenoses (1.7%) were encountered. Four stenoses were treated with gastric bypass (1 emergency), 6 by dilatation(s), and one required parenteral nutrition. Six patients with stenosis chose not to have any treatment. No statistically significant difference was observed in postoperative complications between "primary-standard" and "technically demanding" SGs (p > 0.05). The median follow-up was 44 months. The excess weight loss % at 5th year was 80.1%. Suturing added 28.4 +/- 6 minutes to the SG, 3 or fewer sutures were used to complete the reinforcement in > 95%. No mishap/complication occurred related to suturing. Conclusion FTCS produced excellent result in terms of leakage/hemorrhage with an acceptable stenosis rate at a low cost with half-an-hour increase in the operating time. In contrast to previous allegations, no harm attributable to stitching itself occurred. | |
dc.language.iso | eng | |
dc.subject | Sağlık Bilimleri | |
dc.subject | Cerrahi Tıp Bilimleri | |
dc.subject | Surgery | |
dc.subject | Klinik Tıp | |
dc.subject | Health Sciences | |
dc.subject | CERRAHİ | |
dc.subject | Klinik Tıp (MED) | |
dc.subject | Tıp | |
dc.title | Staple-line reinforcement using barbed sutures in 1008 sleeve gastrectomies | |
dc.type | Makale | |
dc.relation.journal | LANGENBECKS ARCHIVES OF SURGERY | |
dc.contributor.department | Obes & Adv Laparoscopy Ctr , , | |
dc.contributor.firstauthorID | 2629975 | |