Laparoscopic total gastric vertical plication for the treatment of morbid obesity. Descriprion of the technique and results .
EAES Academy. Koulas S. 07/05/22; 362960; P003
Dr. Spyridon Koulas
Contributions
Contributions
Abstract
Background:
Laparoscopic total gastric vertical plication (LTGVP), seems to be an effective and safe alternative procedure for the treatment of morbid obesity.
The aim of this study is to present our experience of LTGVP, as a restrictive operation, alternative to other bariatric procedures. It seemed to be an effective procedure due to the fact that it has the same results of weight loss compared to other surgical procedures with minimal risk of complications and of course with very low cost.
Methodoly: This technique was used by one surgeon, during the last two years in the General Hospital of Ioannina, in the Northwestern of Greece. The patient was placed in supine position with a 30-degree reverse Trendelenburg position. Four trockars were placed in the typical sites, based on an ergonomic assessment (two of 11mm and two of 5mm). After the release of the great curvature and the dissection of short gastric vessels, interrupted sutures were used with 2-0 or 3-0 Ethibond from the angle of His to 4-7cm of the pylorus. A vertical plication of the great curvature was performed in two layers. Two cm is the distance from the stitches and the lesser curvature and also 2 cm is the distance between each stitch. All of them getting extramucosal in order to achieve mild tension on the sutures.
Results:
LTGVP was performed in 5 patients during the last 18 months (mean age 44 years old). They were 3 female and 2 male with average body mass index of 45(40-55). The mean weight loss in our patients was 45% approximately after 6 months, 60% after 12 months. Average time of follow-up was 12 months. Mean time of operation was 180(130-210) minutes and all patients were discharged from the hospital 2-3 days later. They were no postoperative complications .
Conclusion:
LTGVP is an effective and safe technique, comparable to other restrictive methods. Early postoperative complications of the method are minimal, without any important late complications. We must take in consideration that LTGVP is a very low cost procedure but is time consuming and a long term follow-up is advised.
Keywords: Laparoscopic total gastric vertical plication, laparoscopic surgery
References:
1.Talebpour M, Amoli BS. Laparoscopic total gastric vertical plication in morbid obesity. Journal of Laparoendosc Adv SurgTech A. 2007
Laparoscopic total gastric vertical plication (LTGVP), seems to be an effective and safe alternative procedure for the treatment of morbid obesity.
The aim of this study is to present our experience of LTGVP, as a restrictive operation, alternative to other bariatric procedures. It seemed to be an effective procedure due to the fact that it has the same results of weight loss compared to other surgical procedures with minimal risk of complications and of course with very low cost.
Methodoly: This technique was used by one surgeon, during the last two years in the General Hospital of Ioannina, in the Northwestern of Greece. The patient was placed in supine position with a 30-degree reverse Trendelenburg position. Four trockars were placed in the typical sites, based on an ergonomic assessment (two of 11mm and two of 5mm). After the release of the great curvature and the dissection of short gastric vessels, interrupted sutures were used with 2-0 or 3-0 Ethibond from the angle of His to 4-7cm of the pylorus. A vertical plication of the great curvature was performed in two layers. Two cm is the distance from the stitches and the lesser curvature and also 2 cm is the distance between each stitch. All of them getting extramucosal in order to achieve mild tension on the sutures.
Results:
LTGVP was performed in 5 patients during the last 18 months (mean age 44 years old). They were 3 female and 2 male with average body mass index of 45(40-55). The mean weight loss in our patients was 45% approximately after 6 months, 60% after 12 months. Average time of follow-up was 12 months. Mean time of operation was 180(130-210) minutes and all patients were discharged from the hospital 2-3 days later. They were no postoperative complications .
Conclusion:
LTGVP is an effective and safe technique, comparable to other restrictive methods. Early postoperative complications of the method are minimal, without any important late complications. We must take in consideration that LTGVP is a very low cost procedure but is time consuming and a long term follow-up is advised.
Keywords: Laparoscopic total gastric vertical plication, laparoscopic surgery
References:
1.Talebpour M, Amoli BS. Laparoscopic total gastric vertical plication in morbid obesity. Journal of Laparoendosc Adv SurgTech A. 2007
Background:
Laparoscopic total gastric vertical plication (LTGVP), seems to be an effective and safe alternative procedure for the treatment of morbid obesity.
The aim of this study is to present our experience of LTGVP, as a restrictive operation, alternative to other bariatric procedures. It seemed to be an effective procedure due to the fact that it has the same results of weight loss compared to other surgical procedures with minimal risk of complications and of course with very low cost.
Methodoly: This technique was used by one surgeon, during the last two years in the General Hospital of Ioannina, in the Northwestern of Greece. The patient was placed in supine position with a 30-degree reverse Trendelenburg position. Four trockars were placed in the typical sites, based on an ergonomic assessment (two of 11mm and two of 5mm). After the release of the great curvature and the dissection of short gastric vessels, interrupted sutures were used with 2-0 or 3-0 Ethibond from the angle of His to 4-7cm of the pylorus. A vertical plication of the great curvature was performed in two layers. Two cm is the distance from the stitches and the lesser curvature and also 2 cm is the distance between each stitch. All of them getting extramucosal in order to achieve mild tension on the sutures.
Results:
LTGVP was performed in 5 patients during the last 18 months (mean age 44 years old). They were 3 female and 2 male with average body mass index of 45(40-55). The mean weight loss in our patients was 45% approximately after 6 months, 60% after 12 months. Average time of follow-up was 12 months. Mean time of operation was 180(130-210) minutes and all patients were discharged from the hospital 2-3 days later. They were no postoperative complications .
Conclusion:
LTGVP is an effective and safe technique, comparable to other restrictive methods. Early postoperative complications of the method are minimal, without any important late complications. We must take in consideration that LTGVP is a very low cost procedure but is time consuming and a long term follow-up is advised.
Keywords: Laparoscopic total gastric vertical plication, laparoscopic surgery
References:
1.Talebpour M, Amoli BS. Laparoscopic total gastric vertical plication in morbid obesity. Journal of Laparoendosc Adv SurgTech A. 2007
Laparoscopic total gastric vertical plication (LTGVP), seems to be an effective and safe alternative procedure for the treatment of morbid obesity.
The aim of this study is to present our experience of LTGVP, as a restrictive operation, alternative to other bariatric procedures. It seemed to be an effective procedure due to the fact that it has the same results of weight loss compared to other surgical procedures with minimal risk of complications and of course with very low cost.
Methodoly: This technique was used by one surgeon, during the last two years in the General Hospital of Ioannina, in the Northwestern of Greece. The patient was placed in supine position with a 30-degree reverse Trendelenburg position. Four trockars were placed in the typical sites, based on an ergonomic assessment (two of 11mm and two of 5mm). After the release of the great curvature and the dissection of short gastric vessels, interrupted sutures were used with 2-0 or 3-0 Ethibond from the angle of His to 4-7cm of the pylorus. A vertical plication of the great curvature was performed in two layers. Two cm is the distance from the stitches and the lesser curvature and also 2 cm is the distance between each stitch. All of them getting extramucosal in order to achieve mild tension on the sutures.
Results:
LTGVP was performed in 5 patients during the last 18 months (mean age 44 years old). They were 3 female and 2 male with average body mass index of 45(40-55). The mean weight loss in our patients was 45% approximately after 6 months, 60% after 12 months. Average time of follow-up was 12 months. Mean time of operation was 180(130-210) minutes and all patients were discharged from the hospital 2-3 days later. They were no postoperative complications .
Conclusion:
LTGVP is an effective and safe technique, comparable to other restrictive methods. Early postoperative complications of the method are minimal, without any important late complications. We must take in consideration that LTGVP is a very low cost procedure but is time consuming and a long term follow-up is advised.
Keywords: Laparoscopic total gastric vertical plication, laparoscopic surgery
References:
1.Talebpour M, Amoli BS. Laparoscopic total gastric vertical plication in morbid obesity. Journal of Laparoendosc Adv SurgTech A. 2007
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