14- Omentopexy withGlubran® 2 for reducing complications after laparoscopicsleeve gastrectomy: results of a randomized controlledstudy.
Title:
Omentopexy withGlubran® 2 for reducing complications after laparoscopicsleeve gastrectomy: results of a randomized controlledstudy.
Authors:
Pilone V, Tramontano S, Renzulli M, et al. BMC Surg. 2019;19(Suppl 1):56. Published 2019 Nov 5.doi:10.1186/s12893-019-0507
Abstract:
Background
Gastric fistulas, bleeding, and strictures are commonly reported after laparoscopic sleeve gastrectomy (LSG), that increase morbidity and hospital stay and may put the patient’s life at risk. We report our prospective evaluation of application of synthetic sealant, a modified cyanoacrylate (Glubran®2), on suture rime, associated with omentopexy, to identify results on LSG-related complications.
Methods
Patients were enrolled for LSG by two Bariatric Centers, with high-level activity volume. Intraoperative recorded parameters were: operative time, estimated intraoperative bleeding, conversion rate. We prospectively evaluated the presence of early complications after LSG during the follow up period. Overall complications were analyzed. Perioperative data and weight loss were also evaluated. A control group was identified for the study.
Results
Group A (treated with omentopexy with Glubran®2) included 96 cases. Control group included 90 consecutive patients. There were no differences among group in terms of age, sex and Body Mass Index (BMI). No patient was lost to follow-up for both groups. Overall complication rate was significantly reduced in Group A. Mean operative time and estimated bleeding did not differ from control group. We observed three postoperative leaks in Group B, while no case in Group A (not statistical significancy). We did not observe any mortality, neither reoperation. Weight loss of the cohort was similar among groups. In our series, no leaks occurred applying omentopexy with Glubran®2.
Conclusiona
Our experience of omentopexy with a modified cyanoacrylate sealant may lead to a standardized and reproducible approach that can be safeguard for long LSG-suture rime.
Trial registration
Retrospective registration on clinicaltrials.gov PRS, with TRN NCT03833232 (14/02/2019).
در صورتی که قادر به دریافت فایل مقاله از روی لینک نیستید اطلاعات زیر را تکمیل کنید تا بلافاصله فایل مقاله برای شما ایمیل شود. (لطفا فولدرهای اسپم و پروموشن ایمیل خود را نیز بررسی کنید)
ثبت ديدگاه