Efficacy of liposomal bupivacaine versus bupivacaine in port site injections on postoperative pain within enhanced recovery after bariatric surgery program; A Randomized Clinical Trial

Use of liposomal bupivacaine in surgery is reported with decreased postoperative opioid requirements. The efficacy of liposomal bupivacaine versus standard bupivacaine injections at laparoscopic port sites during bariatric surgery is unknown.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research

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ConclusionSG leaks can add long-term morbidity. Stent can be used successfully to treat SG leak if used judiciously. There should be low threshold for investigating patients with EWL of>  100% for anatomical complications like stricture, fistula or kink in the gastric sleeve. We wanted to make the bariatric fraternity aware of a rare late (>  12 weeks) complication of gastro-colic fistula after successfully treated SG leak. Limited literature is published about this rare complication and its management which ranges from conservative management to stent placement to surgical intervention (Asian Jour...
Source: Obesity Surgery - Category: Surgery Source Type: research
AbstractBackgroundDexmedetomidine is an α2 receptor agonist with sedative and analgesic properties. During bariatric surgery, its use may reduce postoperative opioid requirements, reduce their side effects, and improve quality of recovery.The aim of this prospective randomized controlled trial was to compare the effect of dexmedetomidine bolus and infusion versus morphine bolus given prior to the end of laparoscopic bariatric surgery.MethodsSixty morbidly obese patients (BMI  >  40 kg m−2) aged 18 to 60  years, undergoing laparoscopic sleeve gastrectomy, received morphine sulfate...
Source: Obesity Surgery - Category: Surgery Source Type: research
Conclusionclinicians should be aware of such condition in patients with history of bariatric surgery who present with long-standing, intermittent abdominal pain.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
The objective of the present study was to compare a standard suture passer versus the neoClose® device for port site fascial closure in patients with obesity undergoing laparoscopic bariatric surgery.MethodsThis is a randomized, controlled trial with two parallel arms. Thirty five patients with BMI  ≥ 35 kg/m2 and undergoing laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass were randomized to each group. Port site fascial closure for trocars  ≥ 10 mm was performed with the neoClose® device in the study group and the standard suture passer in the control group. P...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
CONCLUSIONS: We found no significant differences between the 2 anesthetic regimens regarding postoperative nausea and pain, awakening time, peritoneal stretch, or the use of perioperative muscle relaxants. PMID: 31227317 [PubMed - as supplied by publisher]
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - Category: Surgery Authors: Tags: Surg Obes Relat Dis Source Type: research
The most commonly performed bariatric procedure in the world is the Roux-en-Y gastric bypass (RYGB) [1]. Reported complication rates after RYGB have ranged from 7% to 15% [2], and approximately 2.7% of patients have a major complication (as defined by the Clavien-Dindo scoring system) [3]. A subset of RYGB patients go on to develop complications that may necessitate reversal of the RYGB to original or normal anatomy. Some of these reported indications include malnutrition or excessive weight loss, neuroglycopenia, massive small bowel loss due to internal hernia, need for surveillance gastric endoscopy, and chronic nausea, ...
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Video case report Source Type: research
A recent study concluded that a "first-of-its-kind" magnetic surgical system allows a safe, reproducible, incision-less technique for port-less intraabdominal mobilization. The Magnetic Surgical System, developed by Levita Magnetics, is so unlike current technologies that FDA had to create a whole new category for it when approving it for use, according to Alberto Rodriguez-Navarro, MD, CEO and founder of Levita Magnetics, in an interview with MD+DI. The system consists of an external magnet placed on the skin that controls a shaftless detachable grasper. It enables surgeons to move instruments without the constr...
Source: MDDI - Category: Medical Devices Authors: Tags: Business Source Type: news
CONCLUSIONS: Abdominal pain after gastric bypass is a frequent cause of admission to the emergency department. Besides the more serious complications, internal hernia is often withheld as possible diagnosis in the differential diagnosis of late onset, postprandial epigastric pain. This case report highlights another possibility. At initial surgery, a candy cane shaped blind loop should be avoided both at the gastro-jejunal as well as the entero-enteric anastomosis. PMID: 30900521 [PubMed - as supplied by publisher]
Source: Acta Chirurgica Belgica - Category: Surgery Tags: Acta Chir Belg Source Type: research
ConclusionsOpioids are overprescribed following most common surgical procedures, but only one study has evaluated patterns after bariatric surgery. Our survey-based tool examines prescribing, utilization and satisfaction following common minimally invasive bariatric procedures. Opioid prescriptions were variable, and excessive for most patients. We now recommend prescribing no more than 15 pills after these operations.
Source: Obesity Surgery - Category: Surgery Source Type: research
AbstractBackgroundBased on the promising results of transversus abdominis plane (TAP) block in various abdominal procedures, this study aimed to investigate its effect on postoperative pain and early outcome after laparoscopic bariatric procedures.MethodsPatients with morbid obesity were randomly assigned to one of two equal groups; group I had US-guided TAP block upon completion of the bariatric procedure and before recovery from general anesthesia and group II did not have TAP block. All procedures were performed laparoscopically with a standardized five-trocar technique.ResultsNinety-two patients of a mean age of 34.7 &...
Source: Obesity Surgery - Category: Surgery Source Type: research
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