Modified open technique for laparoscopic gastrostomy tube placement results in more leakage post operatively than Seldinger technique - 26/09/19
, Barrie S. Rich b, Naomi-Liza Denning b, Michelle P. Kallis b, Aaron M. Lipskar bAbstract |
Background |
Laparoscopic gastrostomy tube (GT) placement is a common procedure and frequent cause of morbidity. Some surgeons perform a Seldinger technique (ST), while others perform a modified open technique (MOT). We hypothesized that the modified open technique would result in more complications.
Methods |
A prospective study of primary GT placed 12/2016-06/2018, ensuring at least 6 months follow up. We assessed any episode of granulation tissue, troublesome leaking, tube dislodgment, and infection requiring antibiotic or drainage.
Results |
92 GT were placed, with 56 were placed as modified open (60.9%). 34 children (37.0%) developed granulation tissue, 18 children (19.6%) experienced tube dislodgment, and 6 children (6.5%) developed a site infection, with no difference depending on technique (P = 0.56, 0.29, and 0.76, respectively). Following ST, 2 children developed leakage (5.6%), whereas 15 children (26.8%) had leakage following the MOT (P = 0.01).
Conclusion |
MOT resulted in significantly more leaks. Other complications were similar between groups. Surgeons choosing MOT should be mindful of the size of gastrotomy at time of surgery, as this may result in increased complications.
Il testo completo di questo articolo è disponibile in PDF.Highlights |
• | Modified open and Seldinger techniques have similar rates of most complications. |
• | Gastrostomy tube by modified open technique results in more leakage post operatively. |
• | Leakage following gastrostomy tube can result in multiple outpatient visits. |
Keywords : Laparoscopic gastrostomy, Pediatrics, Hypergranulation tissue, Suture technique, Temporary suture, Complications
Mappa
Vol 218 - N° 4
P. 722-725 - ottobre 2019 Ritorno al numero
Articolo precedente
- Suspected appendicitis pathway continues to lower CT rates in children two years after implementation
- Lori A. Gurien, Samuel D. Smith, Melvin S. Dassinger, Jeffrey M. Burford, Joseph J. Tepas, Marie Crandall
- Laparoscopic inguinal hernia repair in women: Trends, disparities, and postoperative outcomes
- Nicole Ilonzo, Jeanie Gribben, Sean Neifert, Erica Pettke, I. Michael Leitman
Benvenuto su EM|consulte, il riferimento dei professionisti della salute.
L'accesso al testo integrale di questo articolo richiede un abbonamento.
Già abbonato a @@106933@@ rivista ?