Randomized controlled trial of monopolar cautery versus clips for staple line bleeding control in Roux-en-Y gastric bypass

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dc.authoridSumer, Fatih/0000-0002-0557-1369
dc.authoridSaglam, Kutay/0000-0002-0919-8370
dc.authoridAktas, Aydin/0000-0003-3407-0210
dc.authoridUylas, Ufuk/0000-0003-4195-5498
dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidSumer, Fatih/F-8042-2017
dc.authorwosidSaglam, Kutay/ACN-1173-2022
dc.authorwosidCicek, Egemen/ABH-3190-2020
dc.authorwosidAktas, Aydin/AAC-3425-2021
dc.authorwosidGundogan, Ersin/AFE-0184-2022
dc.authorwosidcicek, egemen/HJY-0590-2023
dc.authorwosidşansal, müfit/AAA-4529-2020
dc.contributor.authorGundogan, Ersin
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorAktas, Aydin
dc.contributor.authorSaglam, Kutay
dc.contributor.authorSansal, Mufit
dc.contributor.authorUylas, Ufuk
dc.contributor.authorGokler, Cihan
dc.date.accessioned2024-08-04T20:45:26Z
dc.date.available2024-08-04T20:45:26Z
dc.date.issued2018
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: Bleeding from the staple line is a rare but serious problem following bariatric surgery. Staple line bleeding control (SLBC) can be achieved in different ways such as the application of sutures, clips, glue or buttressing materials over the staple line. Cauterization alone is generally not preferred due to concerns about debilitating the staple line. Objectives: The aim of this study was to compare the clip and monopolar cauterization methods for SLBC in laparoscopic Roux-en-Y gastric bypass. Setting: University hospital. Methods: A total of 70 morbidly obese patients were randomized into two groups. Patients with previous upper gastrointestinal surgery, re-do procedures and open surgeries were excluded. Their demographic characteristics, intraoperative and postoperative outcomes were examined. Results: A total of 489 SLBC interventions (274 clips and 215 cauterizations) were performed after 280 stapling applications. SLBC intervention number and location, additional trocar requirement, blood loss and operation time were not different between the groups. In the clip group, two patients required monopolar cauterization when clipping failed. No intraabdominal bleeding or gastrointestinal leakage was seen in any group. Postoperative gastrointestinal hemorrhage was seen in three patients, two in the clip group and one in the cautery group. There was no difference between the groups in terms of postoperative pain score, abdominal drainage amount, hemoglobin level alteration, morbidity or length of stay. Conclusions: In laparoscopic Roux-en-Y gastric bypass, monopolar cauterization for SLBC can be used instead of clipping. It appears that monopolar cautery is a safe and effective approach for SLBC in laparoscopic Roux-en-Y gastric bypass.en_US
dc.identifier.doi10.1016/j.ijsu.2018.09.007
dc.identifier.endpage56en_US
dc.identifier.issn1743-9191
dc.identifier.issn1743-9159
dc.identifier.pmid30240771en_US
dc.identifier.scopus2-s2.0-85053807979en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage52en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijsu.2018.09.007
dc.identifier.urihttps://hdl.handle.net/11616/98476
dc.identifier.volume58en_US
dc.identifier.wosWOS:000446891500010en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Bven_US
dc.relation.ispartofInternational Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectObesityen_US
dc.subjectLaparoscopyen_US
dc.subjectStaplingen_US
dc.subjectHemostasisen_US
dc.subjectBovieen_US
dc.titleRandomized controlled trial of monopolar cautery versus clips for staple line bleeding control in Roux-en-Y gastric bypassen_US
dc.typeArticleen_US

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