Morbid Obesity
Conditions
Brief summary
Bariatric surgery has been established as the best treatment for morbid obesity, compared with diet or medical treatment. Laparoscopic approach have improved the results of this surgery in terms of postoperative pain, reduction in the number of complications and hospital stay, as well as better cosmetic results. Conventional laparoscopic technique requires five to seven abdominal incisions to facilitate placement of the multiple trocars. New Single Incision Laparoscopic Surgery (SILS)has been developed as a new technique where only one incision is needed for the introduction of all trocars. Altough this technique can be performed with conventional laparoscopic instruments, new devides have been developed for facilitate this operations by SILS. The investigators think that reducing the number of incision would decrease the postoperative pain and improve cosmetic results in our patients, being a safe and technically feasible intervention supported by these special devices.
Interventions
Convetional laparoscopic sleeve gastrectomy using 5 ports (incisions) in the abdominal wall
Single incision Sleeve gastrectomy using only one port (incision) on the abdominal wall assisted by an special Traction Device for single port surgery (Endograb)
Sponsors
Study design
Eligibility
Inclusion criteria
* Body Mass Index \> 40 * Body Mass Index \> 35 with 2 mayor comorbidities
Exclusion criteria
* Severe gastroesophageal reflux * Esophagitis grade B or higher * Midline periumbilical incision * Umbilical hernia \>4cms.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Pain | 3 days | Postoperative pain is assessed using a visual analog scale (VAS)on the first 3 postoperative days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cosmestic results | 1,3 and 6 months | Cosmetic results will be assess using visual analog scale (VAS)at 1,3 and 6 months after surgery |
| Operative time | Surgery | operative time will be compared between two thechniques |
Other
| Measure | Time frame | Description |
|---|---|---|
| Perioperative complications | 1 month | Appearence of intraoperative and postoperative complications derived from the technique will be recorded an compared with the two techniques. |
Countries
Spain