Prospective and Randomized Comparison of Two Techniques of Staple Line Reinforcement During Open Roux-en-Y Gastric Bypass: Oversewing and Bioabsorbable Seamguard®
| العنوان: | Prospective and Randomized Comparison of Two Techniques of Staple Line Reinforcement During Open Roux-en-Y Gastric Bypass: Oversewing and Bioabsorbable Seamguard® |
|---|---|
| المؤلفون: | Guilherme Vianna Rosa, Wilson Salgado, Carla Barbosa Nonino-Borges, Reginaldo Ceneviva |
| المصدر: | Journal of Laparoendoscopic & Advanced Surgical Techniques. 21:579-582 |
| بيانات النشر: | Mary Ann Liebert Inc, 2011. |
| سنة النشر: | 2011 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Gastric Bypass, Fibrin Tissue Adhesive, Anastomosis, Dehiscence, law.invention, Suture (anatomy), Randomized controlled trial, law, Absorbable Implants, Surgical Stapling, Humans, Medicine, Prospective Studies, Surgical staple, Prospective cohort study, Fibrin glue, business.industry, Roux-en-Y anastomosis, Surgery, Female, Tissue Adhesives, business |
| الوصف: | Surgical staple line dehiscence usually leads to severe complications. Several techniques and materials have been used to reinforce this stapling and thus reduce the related complications. The objective was to compare safety of two types of anastomotic reinforcement in open gastric bypass.A prospective, randomized study comparing an extraluminal suture, fibrin glue, and a nonpermanent buttressing material, Seamguard®, for staple line reinforcement. Fibrin glue was excluded from the study and analysis after two leaks, requiring surgical reintervention, antibiotic therapy, and prolonged patient hospitalization.Twenty patients were assigned to the suture and Seamguard reinforcement groups. The groups were similar in terms of preoperative characteristics. No staple line dehiscence occurred in the two groups, whereas two cases of dehiscence occurred in the fibrin glue group. No mortality occurred and surgical time was statistically similar for both techniques. Seamguard made the surgery more expensive.In our service, staple line reinforcement in open bariatric surgery with oversewing or Seamguard was considered to be safe. Seamguard application was considered to be easier than oversewing, but more expensive. |
| تدمد: | 1557-9034 1092-6429 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::05b62fc00e0cccf96041baa67a30b032Test https://doi.org/10.1089/lap.2010.0469Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....05b62fc00e0cccf96041baa67a30b032 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15579034 10926429 |
|---|