Waiting for Stapler Firing in Laparoscopic Sleeve Gastrectomy

NCT ID: NCT05703035

Last Updated: 2024-04-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-01

Study Completion Date

2023-04-20

Brief Summary

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Complications will be evaluated by waiting 30 seconds after firing 30 seconds during stapler compression while performing sleeve gastrectomy.

Detailed Description

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Those with a BMI between 35.0 and 39.90 and those with an obesity-related comorbidity, and all morbid obesity patients with a BMI of 40.0 and above, were previously adequate for at least 6 (six) months with non-surgical (diet, medication, exercise, etc.) methods. Patients with morbid obesity who could not lose weight and who were unsuccessful will be included in the study by signing an informed consent form for the operation and study, after being evaluated by the "obesity council" consisting of endocrinology, psychiatry, anesthesiology, dietitian and general surgery, and approved for bariatric surgery. Waiting will be made for patients whose patient file number has an odd number in the last digit, and no waiting will be made for patients whose last digit is an even number. At the time of the operation, the patients will be put on thromboembolic stockings and the reverse trendelenburg position will be given and the operation will be started with the laparoscopic method. After the stomach is mobilized from the adjacent organs and structures, the 38F gastric tube will be advanced to the stomach, the tissue will be closed with a 60 mm laparoscopic stapler, waited for 30 seconds, and then ignition will be performed. After the stapler is fired, a waiting period of 30 seconds will be waited and it will be removed from the tissue. In this first case, whether there is bleeding or not, at how many points, whether additional intervention is required or not will be recorded. At the end of the operation, the gastric tube will be withdrawn, and the stomach will be filled with 120 cc saline colored with methylene blue to check if there is any leakage. If there is no leakage, a gastric drainage drain will be placed and the operation will be completed. Postoperative 24 - 48 . After discharge, the patient will be called for routine control on the 1st week, 15th day and 30th day after discharge.

Conditions

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Staple Misfire

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Two equal groups with equal comorbid conditions will be compared
Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors
Computer-assisted 4-block-based randomization via random.org

Study Groups

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waiting group during staple firing

In this group, the amount of bleeding, bleeding points, postoperative drain amount and laboratory values will be monitored during the operation.

Group Type ACTIVE_COMPARATOR

standby while firing staple

Intervention Type PROCEDURE

VOLUNTEER PATIENTS WHO ACCEPT THE SURGERY WILL HAVE TISSUE CLOSURE AND CUTTING WITH STAPLER IN AVERAGE 30 MINUTES DURING THE SURGERY AND THE PATIENT WILL BE FOLLOWED FOR 30 DAYS.

staple firing group without waiting for a certain time

In this group, no further intervention will be made, and the same treatment will be given as the 1st group and comparison will be made.

Group Type ACTIVE_COMPARATOR

standby while firing staple

Intervention Type PROCEDURE

VOLUNTEER PATIENTS WHO ACCEPT THE SURGERY WILL HAVE TISSUE CLOSURE AND CUTTING WITH STAPLER IN AVERAGE 30 MINUTES DURING THE SURGERY AND THE PATIENT WILL BE FOLLOWED FOR 30 DAYS.

Interventions

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standby while firing staple

VOLUNTEER PATIENTS WHO ACCEPT THE SURGERY WILL HAVE TISSUE CLOSURE AND CUTTING WITH STAPLER IN AVERAGE 30 MINUTES DURING THE SURGERY AND THE PATIENT WILL BE FOLLOWED FOR 30 DAYS.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Among the patients between the ages of 18-65 who will undergo morbid obesity operation;

1. Body mass index (BMI): 35.0-39.9 and those with at least one obesity-related comorbidity
2. Patients with BMI: 40.0-49.9

Exclusion Criteria

* a-Applicants for revision surgery, b- Patients with a history of thromboembolism, c- Patients with known coagulation disorders
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Medeni Şermet

OTHER

Sponsor Role lead

Responsible Party

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Medeni Şermet

specialist general surgery

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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medeni sermet, 1

Role: STUDY_DIRECTOR

goztepe prof. dr. suleyman yacin city hospital

Locations

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Medeni Sermet

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Sermet M. Compression pre-stapler firing and post-ignition wait during sleeve gastrectomy: a prospective randomized trial. Sao Paulo Med J. 2023 Dec 15;142(3):e2023163. doi: 10.1590/1516-3180.2023.0163.140823. eCollection 2023.

Reference Type DERIVED
PMID: 38126605 (View on PubMed)

Other Identifiers

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2021/0530

Identifier Type: -

Identifier Source: org_study_id

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