Trocar site hernia Trocar site hernia Fascial closure Bariatric surgery
Conditions
Interventions
In the fascial-closure group, VersaOne Fascial Closure System will be used to close the 15-mm and 12-mm ports in patients undergoing laparoscopic sleeve gastrectomy. The 5-mm port site defects will no
Experimental Procedure/Surgery,No Intervention Procedure/Surgery
The fascial closure group ,The non-fascial closure group
Sponsors
Faculty of Medicine, Prince of Songkla University
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: Morbid obese patients, who are undergoing laparoscopic sleeve gastrectomy at Songklanagarind Hospital, Thailand with a: - Body mass index (BMI) equal or more than 37.5 kg/m2 - BMI equal or more than 32.5 kg/m2 with obesity-related co-morbidity
Exclusion criteria
Exclusion criteria: - Previous upper abdominal surgery - Recent diagnosis of ventral hernia - Patient with any cause that may increase intraabdominal pressure such as ascites, COPD or chronic cough etc. - Contraindications for Bariatric surgery: 1. Pregnant patients. 2. Patients who are unable to comply to continuous medical follow-ups as required. 3. Patients with non-stabilized psychotic disorders, severe depression, or personality and eating disorders; specifically advised by psychiatrist/psychologist. 4. Patients with reversible endocrine disorder that can cause obesity. 5. Patients with alcohol abuse and/or drug dependencies. 6. Patients with diseases threatening their life in the short term (ASA-4). 7. Patients who are unable to care for themselves, and have no long-term family or social support to provide such care.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Trocar site hernia 1, 3 and 5 years after surgery Compare the incidence of trocar site hernia of the 12-mm and 15-mm trocar site between the fascial closure group and non-fascial closure group | — |
Secondary
| Measure | Time frame |
|---|---|
| Trocar site hernia 1, 3 and 5 years after surgery number and percentage,risk factors of trocar site hernia 1, 3 and 5 years after surgery regression models,post-operative pain within 72 hours after surgery Compare the Numerical rating scale (NRS) ,the complications of the fascial closure procedure intraoperative period and within 30 days after surgery number and percentage | — |
Countries
Thailand
Contacts
Public ContactKamthorn Yolsuriyanwong
Faculty of Medicine, Prince of Songkla University
Outcome results
None listed