Upper GIT Surgery
Conditions
Brief summary
The falciform ligament is hanging down in the upper abdomen and usually impede the work during laparoscopic upper GIT surgery, especially in obese patient, so the aim of this study is to evaluate the impact of routine suspension of falciform ligament during mini gastric bypass, which is advanced laparoscopic procedure, by comparing the outcomes in 2 groups of patient in the fist group the investigators will routinely suspend the falciform ligament and the other group the investigators will working without suspension
Detailed description
The falciform ligament is hanging down in the upper abdomen and usually impede the work during laparoscopic upper GIT surgery, especially in obese patient, so the aim of this study is to evaluate the impact of routine suspension of falciform ligament during mini gastric bypass, which is advanced laparoscopic procedure, by comparing the outcomes in 2 groups of patient in the fist group the investigators will routinely suspend the falciform ligament and the other group the investigators will working without suspension
Interventions
PROCEDUREFalciform ligament suspension
routine of falciform ligament suspension during Mini gastric bypass
PROCEDUREno suspension
working without of falciform ligament suspension during Mini gastric bypass
Sponsors
Minia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Morbidly obese patient with BMI more than 40 with or without co-morbidity * Morbidly obese patient with BMI more than 35 with co-morbidity
Exclusion criteria
* Unfit patients for laparoscopic sleeve gastrectomy * Patients refuse to share in the study * Patients that already on PPI due to any indications * Revisional surgery for obesity * Previous upper abdominal surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the difficulty of working during mini gastric bypass | 5 hours | difficulty of working during mini gastric bypass assessed by many parameters like number of clashing of instruments per one operations and operative time |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| operative time | 6 hours | duration of the operation from skin to skin |
Countries
Egypt
Outcome results
None listed