Bruinsma, Floris (2020) Closure of mesenteric defects in two planes seems to result in a smaller chance on internal herniation after laparoscopic Roux-en-Y gastric bypass surgery. thesis, Medicine.
Full text available on request.Abstract
Background Internal herniation (IH) is a common problem after laparoscopic Roux-en-Y gastric bypass surgery (RYGB). Recently it has been shown that routine closure of the mesenteric defects (MD’s) reduces the risk on IH. Only very few articles are to be found on how to best prevent this complication and what material and technique to use. There is no consensus yet on the best closing manner. Methods All performed RYGB surgeries in Flevoziekenhuis that were recorded and of which the MD’s were closed with staples were included. Quality of the closure was scored in the categories poor, sub-optimal and optimal, to see if the quality of the closure would predict chance on re-opening of the MD’s and therefore chance on IH. During any form of new abdominal surgery after RYGB, the conditions of the MD’s were stated. Findings and conclusion A tendency can be seen towards greater risk on IH when closure of the MD’s is not optimal. Closure with two rows of staples seems to reduce the risk on re-opening of the MD’s in comparison to closure in one row. Therefore our recommendation for all surgeons would be to pay sufficient attention to the quality of the MD closures after RYGB surgery and to close the MD’s in two planes.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Smeets, MD PhD, Stef |
| Faculty: | Medical Sciences |
| Date Deposited: | 06 Sep 2023 11:07 |
| Last Modified: | 06 Sep 2023 11:07 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3672 |
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