How Does Oversewing/Suturing (OS/S) Compare to Other Staple Line Reinforcement Methods? A Systematic Review and Meta-Analysis

Various staple line reinforcement (SLR) techniques in sleeve gastrectomy, including oversewing/suturing (OS/S), gluing, and buttressing, have emerged to mitigate postoperative complications such as bleeding and leaks. A meta-analysis of randomized controlled trials has demonstrated OS/S as an effica...

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Published inObesity surgery Vol. 34; no. 3; pp. 985 - 996
Main Authors Diab, Abdul-Rahman F., Malaussena, Zachary, Ahmed, Abrahim, West, William, Docimo, Salvatore, Sujka, Joseph A., DuCoin, Christopher G.
Format Journal Article
LanguageEnglish
Published New York Springer US 01.03.2024
Springer Nature B.V
Subjects
Bias
Clinical trials
Comparative studies
Costs
Gastrectomy - methods
Gastrointestinal surgery
Hemoglobin
Humans
Laparoscopy - methods
Literature reviews
Medicine
Medicine & Public Health
Meta-analysis
Metabolism
Obesity
Obesity, Morbid - surgery
Postoperative Complications - prevention & control
Postoperative Complications - surgery
Postoperative period
Review
Statistical analysis
Surgery
Surgical Stapling - methods
Sutures
Systematic review
Treatment Outcome
Suturing
Sealant
Glue
Buttressing
Oversewing
Staple line reinforcement
Sleeve gastrectomy
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Summary:Various staple line reinforcement (SLR) techniques in sleeve gastrectomy, including oversewing/suturing (OS/S), gluing, and buttressing, have emerged to mitigate postoperative complications such as bleeding and leaks. A meta-analysis of randomized controlled trials has demonstrated OS/S as an efficacious strategy for preventing postoperative complications, encompassing leaks, bleeding, and reoperations. Given that OS/S is the sole SLR technique not incurring additional costs during surgery, our study aimed to compare postoperative outcomes associated with OS/S versus alternative SLR methods. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we reviewed the literature and conducted fifteen pairwise meta-analyses of comparative studies, each evaluating an outcome between OS/S and another SLR technique. Thirteen of these analyses showed no statistically significant differences, whereas two revealed notable distinctions.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Undefined-1
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ISSN:0960-8923
1708-0428
1708-0428
DOI:10.1007/s11695-024-07069-9