Seamguard Buttressing of the Staple Line During Laparoscopic Sleeve Gastrectomy Appears to Decrease the Incidence of Postoperative Bleeding, Leaks, and Reoperations. A Systematic Review and Meta-Analysis of Non-Randomized Comparative Studies

Leaks and bleeding are major acute postoperative complications following laparoscopic sleeve gastrectomy (LSG). Various staple line reinforcement (SLR) methods have been invented such as oversewing/suturing (OS/S), omentopexy/gastropexy (OP/GP), gluing, and buttressing. However, many surgeons do not...

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Bibliographic Details
Published in:Obesity surgery 2023-07, Vol.33 (7), p.2237-2245
Main Authors: Diab, Abdul-Rahman F., Alfieri, Sarah, Doyle, William, Koussayer, Bilal, Docimo, Salvatore, Sujka, Joseph A., DuCoin, Christopher G.
Format: Article
Language:English
Subjects:
Bias
Comparative studies
Confidence intervals
Gastrectomy - adverse effects
Gastrectomy - methods
Gastrointestinal surgery
Humans
Incidence
Laparoscopy
Laparoscopy - methods
Literature reviews
Medicine
Medicine & Public Health
Meta-analysis
Obesity
Obesity, Morbid - surgery
Polyglycolic acid
Polylactic acid
Postoperative Hemorrhage - epidemiology
Postoperative Hemorrhage - etiology
Postoperative Hemorrhage - prevention & control
Postoperative period
Reoperation - adverse effects
Review
Surgeons
Surgery
Surgical Stapling - adverse effects
Sutures
Systematic review
Weight control
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Summary:Leaks and bleeding are major acute postoperative complications following laparoscopic sleeve gastrectomy (LSG). Various staple line reinforcement (SLR) methods have been invented such as oversewing/suturing (OS/S), omentopexy/gastropexy (OP/GP), gluing, and buttressing. However, many surgeons do not use any type of reinforcement. On the other hand, surgeons who use a reinforcement method are often confused of what kind of reinforcement they should use. No robust and high-quality data supports the use of one reinforcement over the other or even supports the use of reinforcement over no-reinforcement. Therefore, SLR is a controversial topic that is worth our focus. The aim of this study is to compare the outcomes of LSG with versus without Seamguard buttressing of the staple line during LSG.
ISSN:0960-8923
1708-0428
1708-0428
DOI:10.1007/s11695-023-06649-5