Reinforcement Method in Laparoscopic Sleeve Gastrectomy

Fatih Sultan Mehmet Training and Research Hospital

Status: Completed

Conditions: Laparoscopic Sleeve Gastrectomy

Treatments: Other: observation

Study type: Observational

Funder types: Other

Identifiers

NCT03051919

FSMTRH

Details and patient eligibility

About

Laparoscopic sleeve gastrectomy is a technically simple popular bariatric operation with acceptable results. Leaks can occur in long staple lines; therefore, variable reinforcement methods are used.

Full description

The investigator compared non-reinforced stapling with three staple line reinforcement methods (suturing, absorbable buttressing material and fibrin glue) in laparoscopic sleeve gastrectomy.

The resected stomach specimens were treated in the same manner of reinforcement as used in the surgeries of the corresponding patients and then insufflated until a burst occurred. The burst pressures of the resected stomach specimens and postoperative events of the patients were recorded.

Enrollment: 118 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• body mass index >40 kg/m2

Exclusion criteria

• disruption of the resected stomach during extraction from the abdomen.

Trial design

118 participants in 4 patient groups

no reinforcement

Description:

Group I: 25 patients; no reinforcement (NoR) Observation : Patients would be followed up for any signs of leaks. If any, treatment would be offered appropriataly but the results of treatment are not affiliated as a part in the study.

Treatment:

Other: observation

fibrin glue

Description:

Group II: 26 patients; fibrin glue (FG) Observation : Patients would be followed up for any signs of leaks. If any, treatment would be offered appropriataly but the results of treatment are not affiliated as a part in the study.

Treatment:

Other: observation

suture reinforcement

Description:

Group III: 44 patients; suture reinforcement with 2-0 polypropylene suture (S) Observation : Patients would be followed up for any signs of leaks. If any, treatment would be offered appropriataly but the results of treatment are not affiliated as a part in the study.

Treatment:

Other: observation

biological buttressing materaia

Description:

Group IV: 14 patients; biological buttressing material Observation : Patients would be followed up for any signs of leaks. If any, treatment would be offered appropriataly but the results of treatment are not affiliated as a part in the study.

Treatment:

Other: observation