Randomized controlled trial of monopolar cautery versus clips for staple line bleeding control in Roux-en-Y gastric bypass

Gündoğan, Ersin; Kayaalp, Cüneyt; Aktaş, Aydın; Sağlam, Kutay; Şansal, Müfit; Uylaş, Ufuk; Gökler, Cihan; Çiçek, Egemen; Sümer, Fatih

doi:10.1016/j.ijsu.2018.09.007

Cited by 4 publications

(5 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Suturing the stapler line is a long process, although it also depends on technical skill. In another study comparing monopolar cautery and clip application in RYGB, no difference was found between the two methods in terms of operation time, and it was thought that the smoke caused by cauterization prolongs the operation time 2 .…”

Section: Discussionmentioning

confidence: 99%

“…Control of staple line bleeding with bipolar cautery is a known method 3,4 . However, the number of studies on the use of monopolar cautery is very few 2,5 . To the best of our knowledge, there is no other study comparing monopolar cautery with continuous invaginating hand-sew suturing for SLBC after LSG.…”

Section: Discussionmentioning

confidence: 99%

“…The most important complications of LSG are staple line leakage and bleeding. Their incidence varies between 0.5-5% and 1.7-13.7%, respectively 1,2 . Surgeons have tried a variety of staple line reinforcement (SLR) techniques to minimize complications.…”

Section: Introductionmentioning

confidence: 99%

“…Stapler line cauterization is not a new technique for staple line bleeding control (SLBC). The use of bipolar cautery on the stapler line is widely known 3,4 , but there are limited articles on the use of monopolar cautery 2,5 . To the best of our knowledge, there is no other study comparing the effect of monopolar cautery and another SLR method on bleeding and leakage for SLBC in LSG.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Manejo del sangrado de la línea de grapas en la gastrectomía en manga laparoscópica: cauterio monopolar versus sobrecostura

Okut¹,

Turgut²,

Kaplan³

et al. 2022

CIRU

Self Cite

View full text Add to dashboard Cite

Objective: Staple line bleeding control (SLBC) after laparoscopic sleeve gastrectomy (LSG) is a serious problem. Cauterization alone is generally not preferred because of concerns about weakening the staple line. The aim of this study was to compare the suturing and monopolar cauterization methods for SLBC in LSG. Methods: 212 patients were divided into two groups as cautery and suture groups. Demographic characteristics, intraoperative, and post-operative results were analyzed. Results: Post-operative complications were seen in seven patients, four of them staple line bleeding (three patients were in the cautery group and one patient was in the suture group), and three of them leakage (all patients were in the suture group) from the staple line. There was no significant difference between the groups in terms of staple line bleeding (p = 0.35), staple line leakage (p = 0.09), blood loss (p = 0.12), intraoperative complications (p = 0.16), post-operative hemoglobin decrease (p = 0.63), and length of hospital stay (p = 0.35), but the operation time was longer in the suture group. Conclusion: This is the first study in literature comparing monopolar cauterization with another technique. Monopolar cauterization can be used for SLBC in LSG. It is a safe and efficient method as well as inexpensive.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Manejo del sangrado de la línea de grapas en la gastrectomía en manga laparoscópica: cauterio monopolar versus sobrecostura

Okut¹,

Turgut²,

Kaplan³

et al. 2022

CIRU

Self Cite

View full text Add to dashboard Cite

show abstract

“…As for SLB control, monopolar cautery is not always recommended because it may weaken the staple line, although it is a simple and rapid method for reaching hemostasis. However, Gundogan et al recently investigated the e cacy of monopolar cautery versus clips for SLB control in RYGB [13]. Sağlam et al used only monopolar cautery for SLB control in 187 patients undergoing SG [14].…”

Section: Discussionmentioning

confidence: 99%

A Practical Strategy of Controlled Monopolar Cautery With/Without Oversewing for Staple Line Bleeding in Bariatric Surgery: A Single Center Experience

Hsu

Pan

et al. 2021

Preprint

View full text Add to dashboard Cite

Introduction In laparoscopic bariatric surgery, stapling devices are essential for creating a gastric tube or gastric pouch. Staple line bleeding (SLB) is an important issue, but the effect of monopolar cautery for SLB control is unclear. This study aimed to evaluate the outcomes of controlled monopolar cautery with/without oversewing for SLB control during bariatric surgery. Materials and Methods From January 2019 to May 2021, 66 patients underwent bariatric surgery with controlled monopolar cautery with/without oversewing for SLB control. Patient demographics and intraoperative and postoperative outcomes were analyzed. Results This study enrolled 35 women and 31 men (mean age: 38.1 years; mean body mass index: 39.8 kg/m2). All patients had varying degrees of SLB. Controlled monopolar cautery was applied to 63 patients with ≤6 bleeding sites. Only two patients needed further partial oversewing of the bleeding sites after controlled monopolar cautery failed to achieve hemostasis. Initially, three patients had more than six bleeding sites, and thus complete oversewing was performed to achieve successful hemostasis. There was no intraabdominal or gastrointestinal bleeding. There were one gastric stricture, one anastomotic leakage, and one staple line leakage. Conclusions The strategy of controlled monopolar cautery with/without oversewing is a simple, practical, inexpensive, and safe method for SLB control during bariatric surgery.

show abstract

Inclusion of a Clip Inside the Cartridge and Failure of the Stapler When Performing a Laparoscopic Sleeve Gastrectomy

Molina¹,

Aguayo²,

Rojas³

2020

OBES SURG

View full text Add to dashboard Cite

Randomized controlled trial of monopolar cautery versus clips for staple line bleeding control in Roux-en-Y gastric bypass

Abstract: In laparoscopic Roux-en-Y gastric bypass, monopolar cauterization for SLBC can be used instead of clipping. It appears that monopolar cautery is a safe and effective approach for SLBC in laparoscopic Roux-en-Y gastric bypass.

Cited by 4 publications

References 20 publications

Manejo del sangrado de la línea de grapas en la gastrectomía en manga laparoscópica: cauterio monopolar versus sobrecostura

Manejo del sangrado de la línea de grapas en la gastrectomía en manga laparoscópica: cauterio monopolar versus sobrecostura

A Practical Strategy of Controlled Monopolar Cautery With/Without Oversewing for Staple Line Bleeding in Bariatric Surgery: A Single Center Experience

Inclusion of a Clip Inside the Cartridge and Failure of the Stapler When Performing a Laparoscopic Sleeve Gastrectomy

Contact Info

Product

Resources

About