BACKGROUND: Incidence of obesity and related diseases are increasing in the world. Visceral surgeons are more often confronted with laparoscopic surgery in obese patients. Besides validated surgery procedures, such as cholecystectomy and gastroesophageal reflux surgery, bariatric procedures are increasingly performed. In obese patients, the thickness of adipose panicle makes open laparoscopy hazardous. METHODS: In our department, we use systematically a technique of open laparoscopy in obese patients for supramesocolic surgery, which is safe, reproducible, and permits good closure of the abdominal wall. RESULTS: The surgical technique consists of opening the abdominal wall through the rectus abdominis. Helped by specific retractors called Descottes (Medtronic Laboratory), both fascias are charged by sutures separately. Incision in the fascias is made safely by pooling on sutures. Introduction of port-site is made under view control. At the end of laparoscopy, closure of both fascias is easily done. CONCLUSIONS: We present a technique of open laparoscopy in obese patients, systematically used, for supramesocolic surgery. This technique is safe, reproducible, and permits an efficient closure of the abdominal wall.
BACKGROUND: Incidence of obesity and related diseases are increasing in the world. Visceral surgeons are more often confronted with laparoscopic surgery in obesepatients. Besides validated surgery procedures, such as cholecystectomy and gastroesophageal reflux surgery, bariatric procedures are increasingly performed. In obesepatients, the thickness of adipose panicle makes open laparoscopy hazardous. METHODS: In our department, we use systematically a technique of open laparoscopy in obesepatients for supramesocolic surgery, which is safe, reproducible, and permits good closure of the abdominal wall. RESULTS: The surgical technique consists of opening the abdominal wall through the rectus abdominis. Helped by specific retractors called Descottes (Medtronic Laboratory), both fascias are charged by sutures separately. Incision in the fascias is made safely by pooling on sutures. Introduction of port-site is made under view control. At the end of laparoscopy, closure of both fascias is easily done. CONCLUSIONS: We present a technique of open laparoscopy in obesepatients, systematically used, for supramesocolic surgery. This technique is safe, reproducible, and permits an efficient closure of the abdominal wall.
Authors: David Fuks; Pierre Verhaeghe; Olivier Brehant; Charles Sabbagh; Frederic Dumont; Michel Riboulot; Richard Delcenserie; Jean-Marc Regimbeau Journal: Surgery Date: 2008-09-30 Impact factor: 3.982
Authors: J Dembinski; D Aranovich; V Banz; T Ehmann; I Klein; M Malago; N Richter; A A Schnitzbauer; W Staszewicz; H-M Tautenhahn; J Capel; J-M Regimbeau Journal: Langenbecks Arch Surg Date: 2020-01-08 Impact factor: 3.445
Authors: A Pequignot; D Fuks; P Verhaeghe; A Dhahri; O Brehant; E Bartoli; R Delcenserie; T Yzet; J-M Regimbeau Journal: Obes Surg Date: 2012-05 Impact factor: 4.129