Bariatric Surgery Candidate, Obesity, Morbid, Surgery-Complications
Conditions
Brief summary
Laparoscopic bariatric surgery are becoming the most used procedure to treat the obesity. To facilitate safe initial access to the abdominal cavity, we insert an optical viewing trocar at the left hypocondrium. The aim of this study is to systematically evaluate all published data existing in the literature to analyze the safety of optical trocars in patients undergoing bariatric surgery and to compare these data with our experiences.
Detailed description
In this study we analyze data existing in the literature about the use of the optical trocars in patients undergoing bariatric surgery and we compare these data with our experiences. Establishing pneumoperitoneum is classically performed using a Veress needle or the open Hasson technique, but obesity presents its own challenges when using these techniques, including thickened abdominal wall, variable anatomical landmarks, difficult and time-consuming dissection, air leak, inadequate pneumoperitoneum, subcutaneous emphysema, and difficulty with fascial closure
Interventions
PROCEDUREoptical trocar to create the pneumoperitoneum for bariatric surgery
The technique involves the use of 4 12 mm trocars. Pneumoperitoneum is induced by a 0° optical trocar and maintained at 15 mmHg. The first trocar is usually inserted along the left mid-clavicular line approximately 2 fingers from the costal arch, another trocar along the left axillary line, a third trocar 1 cm to the right of the midline, and the fourth trocar along the right mid-clavicular line. A 10 mm, 30 ° laparoscope is used.
Sponsors
University of Foggia
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
BMI\>40 kg/m2 BMI\>35 kg/m2with at least one associated major comorbidity
Exclusion criteria
secondary obesity due to endocrine and psychological disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| optical trocar to induce the pneumoperitoneum | 5 years | the use of optical trocar to facilitate the creation of the pneumoperitoneum in obese patients underwent bariatric surgery |
| complication rate using optical trocar to create the pneumopritoneum in laparoscopic surgery | 5 years | in literature we observe a low complication rate which include bowel and vessel injuries |
Countries
Italy
Outcome results
None listed