Management of the staple line bleeding in laparoscopic sleeve gastrectomy: monopolar cautery versus oversewing

dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authoridTurgut, Emre/0000-0001-8196-1871
dc.authoridKarahan, Op. Dr Mehmet/0000-0003-2385-938X
dc.authoridOkut, Gokalp/0000-0002-3641-5625
dc.authorwosidSumer, Fatih/F-8042-2017
dc.authorwosidTurgut, Emre/GRF-4462-2022
dc.authorwosidKarahan, Op. Dr Mehmet/KLZ-4426-2024
dc.contributor.authorOkut, Gokalp
dc.contributor.authorTurgut, Emre
dc.contributor.authorKaplan, Kuntay
dc.contributor.authorKarahan, Mehmet
dc.contributor.authorBag, Yusuf M.
dc.contributor.authorSumer, Fatih
dc.contributor.authorKayaalp, Cuneyt
dc.date.accessioned2024-08-04T20:52:14Z
dc.date.available2024-08-04T20:52:14Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: 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.en_US
dc.identifier.doi10.24875/CIRU.21000835
dc.identifier.endpage120en_US
dc.identifier.issn0009-7411
dc.identifier.pmid35944113en_US
dc.identifier.scopus2-s2.0-85135728968en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage115en_US
dc.identifier.urihttps://doi.org/10.24875/CIRU.21000835
dc.identifier.urihttps://hdl.handle.net/11616/100835
dc.identifier.volume90en_US
dc.identifier.wosWOS:000879230200015en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMexican Acad Surgeryen_US
dc.relation.ispartofCirugia Y Cirujanosen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLaparoscopyen_US
dc.subjectSleeve gastrectomyen_US
dc.subjectMonopolar cauteryen_US
dc.subjectStaple lineen_US
dc.subjectHemostasisen_US
dc.titleManagement of the staple line bleeding in laparoscopic sleeve gastrectomy: monopolar cautery versus oversewingen_US
dc.typeArticleen_US

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