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Obesity Surgery
Published in: Obesity Surgery 7/2009

01-07-2009 | Modern Surgery: Technical Innovation

The “Tip-Stitch”: A Time-Saving Technique for Specimen Extraction in Sleeve Gastrectomy

Authors: Joshua B. Alley, Stephen J. Fenton, Richard M. Peterson

Published in: Obesity Surgery | Issue 7/2009

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Abstract

Background

Laparoscopic sleeve gastrectomy has gained popularity as another tool available to weight loss surgeons, with published excess weight loss results similar or superior to laparoscopic adjustable gastric banding. The gastrectomy specimen consists of a hollow “bag” of fundus, which is typically extracted through an enlarged port site. Extraction can be a challenging and time-consuming portion of the operation.

Methods

The “Tip-Stitch” is a low-technology method of orienting the gastric specimen for easy retrieval. A suture through the distal tip of the specimen allows for extraction without enlarging a 15-mm trocar site.

Results

We report a small series of sleeve gastrectomy using this specimen extraction technique. No wound infections were seen, and enlargement of the fascial incision was done only once, early in our experience.

Conclusions

Our technique describes a reliable method of intact specimen retrieval, typically without enlarging a 15-mm trocar incision.
Literature
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Johnston D, Sue-Ling HM. Surgical treatment of morbid obesity. In: Cuschieri A, Moosa AR, Giles GR, editors. Essential surgical practice. London: Butterworth-Heinemann; 1995. p. 1036–44.
2.
Regan JP, Inabnet WB, Gagner M, et al. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super–super obese patient. Obes Surg 2003;13:861–4.CrossRef
3.
Almogy G, Crookes PF, Anthone GJ. Longitudinal gastrectomy as a treatment for the high-risk super-obese patient. Obes Surg 2004;14:492–7.CrossRef
4.
Mahmood A, Silbergleit A. The utilization of a morcellator during laparoscopic sleeve gastrectomy. Technol Health Care 2006;14:537–9.PubMed
Metadata
Title
The “Tip-Stitch”: A Time-Saving Technique for Specimen Extraction in Sleeve Gastrectomy
Authors
Joshua B. Alley
Stephen J. Fenton
Richard M. Peterson
Publication date
01-07-2009
Publisher
Springer New York
Published in
Obesity Surgery / Issue 7/2009
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-009-9810-1

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