Comparison of early postoperative outcomes of omentopexy and clips along the staple line during laparoscopic sleeve gastrectomy: a randomized study

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dc.contributor.authorDemirpolat, Muhammed Taha
dc.contributor.authorİslam, Mehmet Muzaffer
dc.contributor.authorBacaksız, Mehmet Erman
dc.contributor.authorErtekin, Süleyman Çağlar
dc.contributor.authorŞişik, Abdullah
dc.date.accessioned2025-07-23T06:05:06Z
dc.date.available2025-07-23T06:05:06Z
dc.date.issued2024
dc.departmentFakülteler, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü
dc.description.abstractBackground We aimed to compare the omentopexy and clipping reinforcement methods performed along the staple line during laparoscopic sleeve gastrectomy (LSG) in terms of the effectiveness on postoperative bleeding. Methods In this prospective randomized controlled study, patients were divided into two groups: clips group (CG) and omentopexy group (OG). The groups were compared in terms of postoperative bleeding, duration of surgery, length of hospital stay, hospital readmissions in the postoperative first 30-days. Results A total of 148 patients were included in the study. Postoperative bleeding was observed in 11 patients (14.9%) of CG and 2 patients (2.7%) of the OG, and the difference between the groups was found to be significant (p = 0.009). Similarly, the number of patients with bleeding that did not require intervention was 9 (12.2%) in CG and 2 (2.7%) in OG, and the difference between the groups was also significant (p = 0.028). The duration of surgery in the CG was 30 (27 to 36) minutes, whereas in the OG, it was 43 (39 to 45) minutes, with a significant difference noted (p < 0.001). Additionally, the rate of patients readmitted to the hospital within the first 30 days was 16 (21.6%) in the CG and 7 (9.5%) in the OG, with a significant difference observed (p = 0.041). Conclusion In terms of bleeding requiring intervention, there was no difference between omentopexy and clipping techniques. In addition, omentopexy showed more satisfactory results than clipping in terms of non-interventional bleeding, but its clinical significance is unclear.
dc.identifier.doi10.1007/s11695-024-07543-4
dc.identifier.endpage4124
dc.identifier.issn0960-8923
dc.identifier.issn1708-0428
dc.identifier.issue11
dc.identifier.pmid39395146
dc.identifier.scopus2-s2.0-85206600596
dc.identifier.scopusqualityQ1
dc.identifier.startpage4116
dc.identifier.urihttps://doi.org/10.1007/s11695-024-07543-4
dc.identifier.urihttps://hdl.handle.net/11501/2267
dc.identifier.volume34
dc.identifier.wosWOS:001336397900003
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthorŞişik, Abdullah
dc.institutionauthorid0000-0002-7500-8651
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofObesity Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectLaparoscopic Sleeve Gastrectomy
dc.subjectClipping
dc.subjectOmentopexy
dc.subjectBleeding
dc.titleComparison of early postoperative outcomes of omentopexy and clips along the staple line during laparoscopic sleeve gastrectomy: a randomized study
dc.typeArticle

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