Decreasing the Risk of Postoperative Complications

From the desk of Dr. Abkin, President Of Advanced Laparoscopic Surgeons of Morris, LLC

I FREQUENTLY get patients ask me a question about my practice of decreasing the risk of postoperative complications, such as leak, bleeding, nausea, vomiting. Some of the patients do research online , some come from other surgeons, and seek a second opinion. Often they (patients) are being told that oversewing the staple line is safer/better. Well- I used to do that 8-10 years ago, when sleeve gastrectomy was a new procedure. But science evolved and so did our technique. And now there is plenty of evidence to support what we have been doing for the past decade!

If you’ve used over-sewing — consider this alternative.

One of recent  studies presents evidence that using Endo GIA™ reinforced reloads reduces vomiting and nausea in subjects after laparoscopic sleeve gastrectomy (LSG) compared with over-sewing.

• They found that the mean operative time was significantly longer for over-sewing procedures compared to reinforced reloads.
• The study also shows that 12 % of the subjects who were exposed to reinforced reload and 28% of those who had over-sewing performed, had experienced at least three vomits post-surgery.
• Nausea occurred at a significantly higher frequency in over-sewing procedures (36%) than reinforced reloads. The duration of nausea was also significantly longer with over-sewing compared with reinforced reloads.
• The PONV intensity score at 6 hours was significantly higher with over-sewing compared with reinforced reload. The PONV intensity score was also significantly higher at 24 hours with over-sewing than with reinforced reload.

Maybe there is a reason that I have been named Top Doctor by New Jersey Monthly Magazine 15 years in a row 2007-2021)!

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