Optical Trocar to Create the Pneumoperitoneum in Bariatric Patients

University of Foggia

Status: Completed

Conditions: Surgery-Complications; Bariatric Surgery Candidate; Obesity, Morbid

Treatments: Procedure: optical trocar to create the pneumoperitoneum for bariatric surgery

Study type: Observational

Funder types: Other

Identifiers

NCT06207357

9

Details and patient eligibility

About

Laparoscopic bariatric surgery are becoming the most used procedure to treat the obesity. To facilitate safe initial access to the abdominal cavity, we insert an optical viewing trocar at the left hypocondrium. The aim of this study is to systematically evaluate all published data existing in the literature to analyze the safety of optical trocars in patients undergoing bariatric surgery and to compare these data with our experiences.

Full description

In this study we analyze data existing in the literature about the use of the optical trocars in patients undergoing bariatric surgery and we compare these data with our experiences.

Establishing pneumoperitoneum is classically performed using a Veress needle or the open Hasson technique, but obesity presents its own challenges when using these techniques, including thickened abdominal wall, variable anatomical landmarks, difficult and time-consuming dissection, air leak, inadequate pneumoperitoneum, subcutaneous emphysema, and difficulty with fascial closure

Enrollment: 403 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

BMI>40 kg/m2 BMI>35 kg/m2with at least one associated major comorbidity

Exclusion criteria

secondary obesity due to endocrine and psychological disorders

Trial design