Minimizing Hemorrhagic Complications in Laparoscopic Sleeve Gastrectomy—a Randomized Controlled Trial

Abstract

In this randomized trial, routine elevation of systolic blood pressure to 140 mmHg and over suture of the staple line in LSG minimized HC, with reasonable prolongation of the procedure.

Results of Laparoscopic Sleeve Gastrectomy in 541 Consecutive Patients with Low Baseline Body Mass Index (30–35 kg/m2)

“…Several studies have shown that LSG allows a reduction in the preoperative BMI of nearly 7 to 10 points [1,11,[17][18][19]. This is in concordance with our results in which the preoperative BMI was reduced by 7.9 points and dropped to the optimal BMI category of (20.0-24.9 kg/m 2 ) whereas none of the patients suffered from excessive weight loss and malnutrition at the nadir point of weight loss [20].…”

“…Laparoscopic sleeve gastrectomy (LSG) exponentially grew worldwide over the recent 3 years and is the leading weight loss procedure today in many countries, representing more than 70 % of all bariatric procedures [1,2].…”

Clinical and Economic Evaluation of Absorbable Staple Line Buttressing in Sleeve Gastrectomy in High-Risk Patients

“…The literature is still ambiguous regarding the real advantage of staple line reinforcement (SLR). Glue coverage, oversuture, or reinforcement materials have been used, but none of them clearly stands out [8,[14][15][16][17].…”

Buttressing the Stapler Line in Laparoscopic Sleeve Gastrectomy; Is It Really Necessary?

“…Sroka ve ark. 'nın çalışmasında, stapler hattı-nın fibrin yapıştırıcı ve sütür ile güçlendirildiği iki grup kontrol grubu ile karşılaştırılmış 16 . Sütür grubunda hiç kanama saptanmazken, fibrin yapıştırıcı grubunda %4, kontrol grubunda ise %10 oranında Hb değerlerinde >2 gr/dL düşüş saptanmış.…”