Remodifying Omentopexy Technique Used With Laparoscopic Sleeve Gastrectomy: Does It Change Any Outcome?

Abstract

Background: Gastric obstructions (LSG) leaks and staple line bleeding are reported after laparoscopic sleeve gastrectomy. There is no ideal method or technique to avoid these mishaps. modified omentopexy (OP) added to LSG to determine if there is any effect on gastric leaks and other complications. The aim of this study was the assessment of safety & feasibility of the omentopexy technique in Laparoscopic sleeve gastrectomy.
Objective: This study aimed to assess the safety & feasibility of the omentopexy technique in Laparoscopic sleeve gastrectomy.
Patients and Methods: This prospective randomized controlled clinical trial study was conducted in the Zagazig University hospital including 32 patients with morbid obesity who were admitted to the General Surgery Department, for intervention surgery with laparoscopic sleeve gastrectomy during the period from July 2020 to July 2021. Patients underwent a standardized preoperative assessment, including a complete history, physical examination, and psychological evaluation.
Results: There was a highly statistically significant decrease in mean weight and BMI at six months postoperative compared to pre-operative Laparoscopic sleeve gastrectomy with and without omental fixation group.
Conclusion: Omentopexy may not change the outcome for a laparoscopic sleeve gastrectomy in terms of gastrointestinal symptoms or weight loss results although it is associated with longer operative time. However, it may serve as an extra guard against leakage, bleeding, vomiting, and gastroesophageal reflux disease, manifested by the decreased incidence of these complications with that technique. Laparoscopic sleeve gastrectomy with omentopexy can be a feasible procedure for decreasing morbidity and gastric leak rate.