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ISSN 2063-5346
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Comparison of Staple Line Reinforcement versus No Reinforcement to Minimize the Risk of Leakage and Bleeding after Laparoscopic Sleeve Gastrectomy; a Randomized Controlled Trials

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Mohamed Mahmoud Eltaweel1*, ABDULHAMED HIFNY MOHAMADAIN1,4, Ahmed Abd El Aal Sultan1, Yasser Hussain Hassan Metwally1, Ayman Helmy Ibrahim1, Saed Abdelmonem Elgohary1, Walid Rafat Abdelaty Abdelfattah1, Mohamed Ibrahim Shalamesh, Hamada Rashad Mohammed Abdelkader1,2,3, Hamdy Abdel alim Mohamed Farag
» doi: 10.48047/ecb/2023.12.si10.00117

Abstract

Introduction: Staple line leakage and bleeding are major complications that occur after sleeve gastrectomy. There was no agreement on whether a reinforcement approach should be routinely performed. Aim: The goal of this randomized controlled experiment was to examine the performance of staple line reinforcement, using V-Lock suture for the prevention of surgical complications after LSG. Patients and Methods: 90 cases who qualified for laparoscopic sleeve gastrectomy participated in this prospective, randomized, double-blind, controlled clinical research. Cases were divided randomly into two equal groups receiving staple line oversewing using V-Lock suture, compared to no staple line reinforcement. The incidence of complications following surgery was measured and contrasted among the 2 groups. Results: Postoperative bleeding was significantly more prevalent in the non-reinforced group contrasted with the V-Lock suture group (11 vs. 2 %, p=0.029). Moderate to severe bleeding was reported in one case in the non-reinforced group, which required urgent exploration. This study reported a statistically significant higher prevalence in the non-reinforced versus the V-Lock reinforced group (4.4 Vs 0 %, p= 0.001). Discussion and Conclusion: The findings of our investigation revealed that staple line oversewing through a V-Lock suture can considerably minimize postoperative staple line leakage and bleeding. Total time spent in the hospital was more prolonged in the no reinforcement group. Additional high-quality, large-sample RCTs are required to validate the study's future findings.

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