Obesity, Morbid
Conditions
Brief summary
the left lobe of the liver in obese patient usually fatty and enlarged and may cause difficulty during bariatric surgery. the aim of this study is to test the impact of routine preoperative ultrasound to evaluate the size of left lobe of the liver as a preoperative predictor for difficulty
Detailed description
the left lobe of the liver in obese patient usually fatty and enlarged and may cause difficulty during bariatric surgery. the aim of this study is to test the impact of routine preoperative ultrasound to evaluate the size of left lobe of the liver as a preoperative predictor for difficulty. two equal groups of patients are operated by laparoscopic sleeve gastrectomy with loop bipartition, in one group routine abdominal ultrasound is done, in the other group ultrasound not routinely done.
Interventions
OTHERRoutine measurement of left lobe
Routine preoperative measurement of left lobe
OTHERcontrol group
no routine preoperative measurement of left lobe
Sponsors
Minia University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 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 laparoscopy * patients refuse to share in the study * revisional surgery for obesity * previous upper abdominal surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| intraoperative maximum diameter of left lobe of the liver | 4 hours | intraoperative maximum diameter of left lobe of the liver in centimeter using intraoperative tape |
| score of difficulty | 6 hours | score of difficulty from:exposure of the hiatus, retraction of the liver and operative time |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| operative time | 6 hours | operative time from skin to skin |
| incidence of intraoperative complications | 3 days | incidence of intraoperative complications like bleeding,or injury to intra-abdominal organ |
| early postoperative complications | 2 weeks | early postoperative complications like leak or vomiting |
Countries
Egypt
Outcome results
None listed