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Direct visual insertion of primary trocar and avoidance of fascial closure with laparoscopic Roux-en-Y gastric bypass
- Source :
- Surgical Endoscopy. 21:124-128
- Publication Year :
- 2006
- Publisher :
- Springer Science and Business Media LLC, 2006.
-
Abstract
- Laparoscopic Roux-en-Y gastric bypass (RYGBP) has been used increasingly more often in the past 10 years. The authors summarize their experience and safety/complications data based on 849 laparoscopic RYGBP procedures. They also evaluate the use of the Endopath trocar in terms of trocar-site hernias, bowel obstruction, and elimination of time-consuming fascial closure. From July 2000 to December 2003, 849 laparoscopic RYGBP procedures were performed using a bladeless, 12-mm, visual entry trocar. The patients’ average body mass index (BMI) was 53.2 kg/m2. The trocar ports (n = 3,744) were not closed. Perioperative and postoperative assessments were performed. In this study, 74% of the patients were retained for follow-up evaluation (mean, 10 months). Among these patients, no intraoperative bowel or vascular injuries, no mortality, and two trocar-site hernias (0.2%) were found. At 1 year, the mean excess weight loss was 73.4%. The Endopath trocar system shows a trend toward reducing trocar-site hernias, decreasing bowel obstruction, and eliminating the need for time-consuming fascial closure, although further studies are needed to confirm these findings.
- Subjects :
- Adult
Male
Laparoscopic surgery
medicine.medical_specialty
Hernia
medicine.medical_treatment
Gastric Bypass
Humans
Medicine
Fascia
Laparoscopy
Aged
Aged, 80 and over
Wound Healing
medicine.diagnostic_test
business.industry
Incidence
General surgery
Equipment Design
Perioperative
Middle Aged
Surgical Instruments
medicine.disease
Roux-en-Y anastomosis
Obesity, Morbid
Surgery
Endoscopy
Bowel obstruction
medicine.anatomical_structure
Female
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 14322218 and 09302794
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- Surgical Endoscopy
- Accession number :
- edsair.doi.dedup.....3e0a0827422d1f04fcb44530e3f3f98f