TROCAR SITE HERNIA AFTER LSG

NCT04849403 | Completed

• 1 other identifier: DR.ANIL ERGIN
• Study Type: interventional
• Target: 61
• Locations: 1 country
• Sites: 1

Brief Summary

Today, laparoscopic sleeve gastrectomy (LSG) has become the most frequently performed bariatric surgical method. One of the complications seen after LSG is trocar site hernia (TSH). There is no clear information about the rate of TSH detected radiologically after LSG. Thick abdominal wall and failure to adequately expose the facial defect related to this, mobility limitations due to excessive subcutaneous fatty tissue are the reasons accused for increased incidence of TSH. Demographic characteristics and postoperative weight loss of patients who underwent LSG procedure in our clinic between January 2015 and June 2017 and whose facial defects in the trocar region were repaired with the Carter-Thomason Suture Passer (CTSP) were evaluated. TSH evaluation was made both by physical examination and superficial USG by a general surgeon who had radiological training on concurrent superficial abdominal ultrasonography (USG). Detected TSHs were divided into two groups as symptomatic and asymptomatic.

Conditions

Obesity, Morbid; Hernia Incisional

Keywords

Laparoscopic Sleeve Gastrectomy; Morbid obesity; Trocar site hernia; Carter Thomasson Suture Passer

Outcome Measures

Primary Outcomes (1)

• incidence of incisional hernia

  Superficial abdominal Ultrasound for the incisional hernia to trocar sites.

  2-4 years

Study Arms (1)

The group USG was applied

OTHER

USG was applied to the patients who underwent Laparoscopic sleeve gastrectomy for research trocar site hernia after 2-4 years from the surgery. Carter Thomasson suture passer was used to close fascial defect in all patients.

Procedure: CTSP

Interventions

CTSP PROCEDURE

In all patients Carter Thomasson Suture Passer (CTSP) were used for closing fascial defect peroperatively

The group USG was applied

Eligibility Criteria

• Age: 16 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• The patients above 18 years old.
• The patient who went Laparoscopic Sleeve Gastrectomy (LSG) procedure for morbid obesity.

You may not qualify if:

• The patients who needed to have additional surgery after the LSG in their follow up.
• The patients who could not reached and did not attend to the Ultrasound examination.
• The patient who did not approve the participate to the study.

Sponsors & Collaborators

• Fatih Sultan Mehmet Training and Research Hospital: lead

Study Sites (1)

Anıl Ergin

Istanbul, 34734, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Obesity, Morbid; Incisional Hernia

Condition Hierarchy (Ancestors)

Obesity; Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Hernia; Pathological Conditions, Anatomical; Postoperative Complications; Pathologic Processes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD. Anil Ergin

Model Details: 61 patients who underwent Laparoscopic Sleeve Gastrectomy are included. USG was performed (Figure I,II) by a clinician who had previously received superficial USG evaluation training for trocar site hernia and abdominal incision sites were investigated for the presence of hernias.

Study Record Dates

• First Submitted: April 10, 2021
• First Posted: April 19, 2021
• Study Start: January 1, 2015
• Primary Completion: June 1, 2017
• Study Completion: June 1, 2018
• Last Updated: April 19, 2021

Record last verified: 2021-04

Locations

TU (1)