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211047

The Outcome of Staple-Line Oversewing Using V-Loc Suture During Laparoscopic Sleeve Gastrectomy

Article

Last updated: 24 Dec 2024

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Tags

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Abstract

Background: Laparoscopic sleeve gastrectomy (LSG) is a simple procedure; however, postprocedural hemorrhage and/or leak remain the most troublesome outcomes. To prevent these serious complications, some surgeons have recommended the necessity to support the staple-line (SL). The target of the existing work was to estimate the occurrence rate of SL leak or hemorrhage after LSG with using and without using V-Loc running sutures to support the SL. Patients and methods: This work was carried out in the General Surgery Department, Al-Hussein Hospital, Faculty of Medicine, Al-Azhar University between January 2017 and January 2020. A sum of forty cases suffering from morbid obesity prepared for LSG.Patients were separated randomly into 2 groups; Group-I; 20 cases; prepared for LSG without suturing of SL, and Group-II; 20 cases; prepared for LSG with suturing of the SL by v-lock suture. Results: The average procedure duration in Group-I was 75 min and in Group-II was 92 min. The duration of hospital admission was around 3 days in group-I and 2 in group-II.  Postoperative hemorrhage was more in Group-I; 4 patients (20%) versus one patient (5%) in Group-II. The postoperative leak was more in Group-I; 2 patients (10%) while in Group-II; no patients (0%) had it. Conclusion: Strengthening the SL is a simple technique to prevent postoperative hemorrhage and/or leak. Although sewing the complete SL is time-consuming together with additional cost, but it decreases the procedure complications rate.    

DOI

10.21608/ejhm.2022.211047

Keywords

Laparoscopy, sleeve gastrectomy, Staple-line oversewing

Authors

First Name

Mahmoud

Last Name

Nagaty

MiddleName

Elsayed

Affiliation

General Surgery Department, Al-Hussein hospital, Faculty of Medicine, Cairo, Al-Azhar University

Email

dr_nagaty84@yahoo.com

City

Zagazig

Orcid

0000-0001-8096-3111

Volume

86

Article Issue

1

Related Issue

29518

Issue Date

2022-01-01

Receive Date

2021-12-28

Publish Date

2022-01-01

Page Start

194

Page End

198

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_211047.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=211047

Order

32

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Outcome of Staple-Line Oversewing Using V-Loc Suture During Laparoscopic Sleeve Gastrectomy

Details

Type

Article

Created At

22 Jan 2023