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Management of the Crura During Laparoscopic Sleeve Gastrectomy.
Tobin, Edward C; Knotts, Chelsea; Tsai, Jonathon; Austin, Jeffrey; Thompson, Stephanie; Attia, Christina G; Richmond, Bryan K; Monnett, Shane.
Afiliación
  • Tobin EC; 20205Charleston Area Medical Center, Charleston, WV, USA.
  • Knotts C; 20205Charleston Area Medical Center, Charleston, WV, USA.
  • Tsai J; 20205Charleston Area Medical Center, Charleston, WV, USA.
  • Austin J; 20205Charleston Area Medical Center, Charleston, WV, USA.
  • Thompson S; Institute for Academic Medicine, Charleston Area Medical Center, Charleston, WV, USA.
  • Attia CG; 12355West Virginia University/Charleston Division, Charleston, WV, USA.
  • Richmond BK; Department of Surgery, 37297West Virginia University/Charleston Division, Charleston, WV, USA.
  • Monnett S; Department of Surgery, 37297West Virginia University/Charleston Division, Charleston, WV, USA.
Am Surg ; 88(4): 704-709, 2022 Apr.
Article en En | MEDLINE | ID: mdl-34772283
METHODS: This is a retrospective cohort study that evaluated patients undergoing LSG performed by a single surgeon in a 7-year period. Data were collected via chart review. The primary endpoint was hiatal hernia presence at 5 years post-operatively. Secondary endpoints included post-procedural complications (nausea, vomiting, dysphagia, or reflux) at 30 days post-operatively. RESULTS: A total of 361 patients were included in the analysis: 154 without crural closure, 164 primary crural closure, and 43 primary crural closure with mesh reinforcement. Rates of hiatal hernia occurrence at 5 years were 9.7% (no closure), 14.0% (primary closure), and 16.3% (closure with mesh reinforcement), respectively, and did not differ significantly among the 3 cohorts (P = .37). Overall rates of 30-day complications were 11.5%, 21.5%, and 28.6%, respectively (P = .015). CONCLUSION: Rates of hiatal hernia after sleeve gastrectomy do not differ, regardless of management of the crura. In addition, and perhaps more significantly, avoidance of crural closure was associated with fewer 30-day complications. In fact, the highest rate of 30-day complications was seen in the group that received closure with mesh reinforcement. These data suggest that crural closure during LSG should be avoided. Further prospective study of these findings is warranted.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Hernia Hiatal Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Am Surg Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Hernia Hiatal Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Am Surg Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos