Staple Line Bleeding Control with Monopolar Cautery in Laparoscopic Sleeve Gastrectomy

OpenAlex İngilizce

Introduction: During a sleeve gastrectomy, cauterization of the staple line for bleeding control is not recommended due to the worry of weakening the staple line.This study is an evaluation of sleeve gastrectomy outcomes in a cohort where all staple line bleeding control was achieved using monopolar cautery. Materials and Methods:Between July 2014 and February 2019, monopolar cautery was used as the only method of staple line bleeding control following 187 sleeve gastrectomies.The rate of staple line leaks as well as intra-abdominal and intraluminal (gastrointestinal) bleeding was examined.Results: A total of 144 women and 43 men were enrolled in this study (mean age: 34.1 years; mean body mass index: 43.6 kg/m 2 ).There were 5 leaks from the staple line (2.6%) and 7 cases of gastrointestinal bleeding (3.7%).There was no instance of mortality.Conclusion: Staple line bleeding control with monopolar cautery during sleeve gastrectomy is a feasible, simple, inexpensive, and relatively safe method.Randomized trials are needed to compare monopolar cautery with other staple line bleeding control methods.