Two-year follow-up of wound complications associated with laparoendoscopic single-site adjustable gastric banding
journal contributionposted on 10.09.2014 by Subhashini M. Ayloo, Mario A. Masrur, Gianmarco Contino, Mohamed El Zaeedi, Pier C. Giulianotti
Any type of content formally published in an academic journal, usually following a peer-review process.
Background: In an effort to provide better cosmesis for patients, there has been a surge recently in the use of laparoendoscopic single-site adjustable gastric banding. There is little data, however, on the long-term wound complications resulting from this technique. Objective: The authors conducted a retrospective review of patients to identify the extent of wound complications found during a minimum follow-up period of 2 years after the laparoendoscopic single-site adjustable gastric banding procedure. Complications evaluated included infection, hernia rates, and port and tubing complications. Setting: All the laparoendoscopic single-site adjustable gastric banding cases were performed at University of Illinois Medical Center by a single surgeon. Methods: Twenty five patients underwent single-site laparoscopic adjustable gastric banding between March 2009 and January 2010 and were reviewed retrospectively. The single incision was made with multi-fascial trocar placement using conventional laparoscopic instruments. Patients were followed up during band adjustments, clinic visits, and via telephone interviews. Results: Six months after the surgery, one patient required port removal due to port site infection with internalization of the tubing. A second patient experienced a foul smelling clear discharge and was treated with antibiotics, with no additional consequences. No incisional hernias or flipped ports were noted. Conclusions: In our experience, laparoendoscopic single-site adjustable gastric banding produced a low rate of port and wound site complications in patients during a minimum follow-up period of 2 years. The authors believe this is a valid alternative to the standard procedure, providing cosmetic advantages and a low wound complication rate in morbidly obese patients.