Severe Obesity
Conditions
Keywords
Adhesion barrier system, Bariatric surgery
Brief summary
The application of SprayShield during a laparoscopic band removal (first surgical step) will be evaluated to see if the postoperative adhesions between the stomach, the left liver and the diaphragm are not severe, facilitating the surgical surgical step of a gastric bypass or a sleeve gastrectomy.
Detailed description
Monocenter and observational study on 20 obese patients, requiring removal of the gastric band for poor results (weight regain or insufficient weight-loss) or mechanical complications of the band ( slippage, esophageal dilation) and schedule for a second step surgery of gastric bypass or sleeve gastrectomy 2 months later.
Interventions
Applied to the operating zone during an ablation of gastric died ring at obese patients programmed for the second bariatric surgery to type of bypass gastric or of gastrectomie in wing
Sponsors
Study design
Eligibility
Inclusion criteria
* Obese male or female who would benefit from a gastric band removal and for whom a second surgical step with conversion to sleeve gastrectomy or bypass is scheduled
Exclusion criteria
* The patients having an ablation of ring motivated for an infectious complication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| During the second surgical step the intensity of the adhesions in the operative field will be determined by the adhesion surface area and the adhesion intensity using | intra operative | During Conversion in Bypass or Sleeve Gastrectomy the intensity of the adhesions in the operative field will be determined by the adhesion surface area and the adhesion intensity using a 4-point : scale 0 (no adhesion), 1 (fine and esily detachable adhesions), 2 (thick vascularize adhesion), 3 (intense adhesion preventing the identification of cleavable plane between organs) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of surgery | 30 day surgical mortility | Duration of surgery 30 day surgical mortility |
Countries
France