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- Title
The Hand-sewn Anastomosis with an Absorbable Bidirectional Monofilament Barbed Suture Stratafix® During Laparoscopic One Anastomosis Loop Gastric Bypass. Retrospective Study in 50 Patients.
- Authors
Blanc, Pierre; Lointier, Patrice; Breton, Christophe; Debs, Tarek; Kassir, Radwan
- Abstract
Background: Laparoscopic One Anastomosis Gastric Bypass (LOAGB) is one of the main bariatric procedures that require a safe and reproducible gastrojejunal anastomosis. Barbed suture has been widely used for surgery in recent years; however, few studies have reported their use for gastro-intestinal anastomosis. We proposed their use for totally hand-sewn anastomosis during LOAGB. Objectives: The objective of this study is to evaluate the risk of leaks and stenosis after a hand-sewn anastomosis using an absorbable bidirectional monofilament barbed suture: Stratafix®. Setting: The study was done in a private practice setting. Methods: Between April and November 2014, 50 consecutive patients undergoing a hand-sewn antecolic, antegastric gastrojejunal anastomosis (GJA) using Stratafix®. Pre, intra, and postoperative parameters were assessed for these patients. Results: No fistulas or anastomotic stenosis had occurred up to 6 months after surgery. All procedures were completed laparoscopically, and no intraoperative complications occurred. The mean length of hospital stay was 3 days. Conclusion: The use of an absorbable bidirectional monofilament barbed suture for the GJA was safe. Further prospective studies with a higher number of patients are needed to address the safety and efficacy of the absorbable bidirectional monofilament barbed suture in bariatric surgery.
- Subjects
SUTURES; GASTRIC bypass; BARIATRIC surgery; LAPAROSCOPY; SURGICAL anastomosis; STENOSIS
- Publication
Obesity Surgery, 2015, Vol 25, Issue 12, p2457
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-015-1921-2