Omentopexy versus non-omentopexy in laparoscopic sleeve gastrectomy

• Published in: The Egyptian journal of surgery : official organ of the Egyptian Society of Surgeons = Majallat al-jirāhah al-Misrīyah Vol. 42; no. 3; pp. 692 - 696
• Main Authors: Abdelrahman, Emad, Abdelaal, Mohamed, Kharoub, Mohamed, El-Shaer, Mohamed
• Format: Journal Article
• Language: English
• Published: Wolters Kluwer India Pvt. Ltd 01.07.2023; Medknow Publications and Media Pvt. Ltd
• Subjects: Laparoscopic surgery; Laparoscopy; Medical research; Medicine, Experimental; Methylene blue; Type 2 diabetes; omentopexy; bleeding; sleeve gastrectomy; leakage
• ISSN: 1110-1121; 1687-7624
• DOI: 10.4103/ejs.ejs_141_23

Background Laparoscopic sleeve gastrectomy (LSG) is a commonly performed bariatric operation nowadays all over the world. The most serious complications from this operation are postoperative bleeding and leakage. This study aimed to evaluate the effect of omentopexy in reducing the incidence of these complications. Patients and methods The current retrospective study included 82 patients who were eligible for sleeve gastrectomy and underwent one of the two procedures. Group A (n=41) underwent conventional sleeve gastrectomy without omentopexy and group B (n=41) underwent sleeve gastrectomy with omentopexy. Follow-up was designed for one month postoperatively for leakage or bleeding. Results The mean age of the eligible patients was 34.64±5.7 and 35. 32±5.42 years in group A and group B, respectively. No significant difference was reported as regards the sociodemographic data or patient comorbidities between the two groups. The mean operative time increased significantly in group B than in group A (P<0.001). There was no significant difference between both groups as regards postoperative leakage and bleeding. Conclusion According to the current results: omentopexy has no additional benefit in reducing the incidence of postoperative bleeding or leakage. However, it results in an additional increase in the operative time.