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003 EG-GiCUC
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008 180303s2017 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.14.M.Sc.2017.Am.E
100 0 _aAmro Reyad Diab Alamassi
245 1 4 _aThe effecacy of staple line reinforcement in laparoscopic sleeve gastrectomy /
_cAmro Reyad Diab Alamassi ; Supervised Nader Makram Milad , Mahmoud Abdelmoneem Amen
246 1 5 _aفاعلية تدعيم خط التدبيس فى عملية تكميم المعدة بالمنظار الجراحى
260 _aCairo :
_bAmro Reyad Diab Alamassi ,
_c2017
300 _a55 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of General Surgery
520 _aBackground: Obesity rates have reached epidemic levels with over 300 million obese individuals worldwide. Laparoscopic sleeve gastrectomy (LSG) as a primarily restrictive bariatric surgical procedure has been shown to be effective in producing marked weight loss. However, LSG-associated postoperative gastric leakage and intra and postoperative hemorrhages remain the most important challenges. Staple line reinforcement by inverting sutures has been suggested to reduce these perioperative complications. Our objective was to assess staple line reinforcement by vicryl 2.0 in LSG, focusing on intra and post-operative complications. Methods: Between June 2015 and April 2017, an interventional descriptive case control study was conducted in the Bariatric surgery department of Kasr Alainy hospital, Cairo university. One hundred patients were included in this study. Group A (Control group), fifty patients who had sleeve gastrectomy without reinforcement. Group B (Reinforcement group), fifty patients who had sleeve gastrectomy with reinforcement. Results: The demographic parameters were comparable in the two groups. The overall leak rate was 6% and bleeding rate was 8%. Three cases of gastric leak occurred in Group A and non in Group B. There was three cases of staple line bleeding in Group A that were managed conservatively. The reinforcement operations mean time was 89.96 minute, while it was 57.7 minute in the control group
530 _aIssued also as CD
653 4 _aObesity complications
653 4 _aSleeve gastrectomy
653 4 _aStaple line leaks
700 0 _aMahmoud Abdelmoneem Amen ,
_eSupervisor
700 0 _aNader Makram Milad ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aSamia
_eCataloger
942 _2ddc
_cTH
999 _c65211
_d65211