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The use of Tisseel® in Bariatric Surgery SICOB Cagliari, 2013 The use of Tisseel ® in Bariatric Surgery Bariatric and Metabolic Unit Desenzano del Garda.

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Presentation on theme: "The use of Tisseel® in Bariatric Surgery SICOB Cagliari, 2013 The use of Tisseel ® in Bariatric Surgery Bariatric and Metabolic Unit Desenzano del Garda."— Presentation transcript:

1 The use of Tisseel® in Bariatric Surgery SICOB Cagliari, 2013 The use of Tisseel ® in Bariatric Surgery Bariatric and Metabolic Unit Desenzano del Garda Fabrizio Bellini Bariatric and Metabolic Unit Desenzano del Garda Fabrizio Bellini

2 The use of Tisseel® in Bariatric Surgery SICOB Cagliari, 2013 of fibrin glue (Tisseel ® ): AIM To asses the effectivenes and the safety - around the anastomoses in LRYGBP in the prevention of anastomotic leaks - sprayed on the abdominoplsty to prevent seromy

3 The use of Tisseel® in Bariatric Surgery “Gastro-jejunal leak” (range %) (range %) LRYGBP LRYGBP Major Complication Major Complication The efficacy of fibrin sealant in preventing leaks after LRYGBP has been reported in :   NON RANDOMIZED trials - Nguyen et al, Sapala et al (2004), ) - Liu et al (2004), Carbajo & Garcia-Caballero (2005 )  RANDOMIZED trials - Silecchia et al (2008)

4 The use of Tisseel® in Bariatric Surgery SICOB Cagliari, 2013

5 The use of Tisseel® in Bariatric Surgery SICOB Cagliari, 2013 January 2004 al December LRYGBP ( 177 e 113 ) “Simplified tecnique”.  Antecolic  Antegastric  Linear stapler for gastro-jejunostomy  Side to side stapled jejuno-jejunostomy  No closure of the defects

6 The use of Tisseel® in Bariatric Surgery BILIOPANCREATIC LIMB 60 cm ALIMENTARY LIMB 200 cm SIMPLIFIED LAPAROSCOPIC GASTRIC BYPASS

7 The use of Tisseel® in Bariatric Surgery 4 mini leaks “gastro-jejunal ” conservative 1 early “jejunal leak” on surgical intraoperative manipulation lesion Early Complications 5 major ( 1,72%) 290 LRYGBP

8 The use of Tisseel® in Bariatric Surgery SICOB Cagliari, 2013  41 no Tisseel®  84 with Tisseel® 125 Abdominoplasty From January 2004 to December il 2012  1 Postoperative bleeding  1Hematoma  2 long lasting seroma  30% serum production

9 The use of Tisseel® in Bariatric Surgery SICOB Cagliari, 2013

10 The use of Tisseel® in Bariatric Surgery

11 SICOB Cagliari, 2013

12 The use of Tisseel® in Bariatric Surgery SICOB Cagliari, 2013 CONCLUSIONCONCLUSION Effective in the reduction of anastomotic leak Lower % (0%) of leaks compared to international data (4,3%) No prolongation of operative time and p.o. course Reduction of seromy in abdominoplasty Fibrin glue seems:

13 Thank You.


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