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  • Title: Stapler division of the omentum and small bowel mesentery in morbidly obese patients undergoing gastric bypass surgery.
    Author: Sapala JA, Wood MH, Sapala MA, Mason DS.
    Journal: Obes Surg; 1997 Jun; 7(3):207-10. PubMed ID: 9730550.
    Abstract:
    BACKGROUND: Roux-en-Y gastric bypass (RYGB) procedures can be technically demanding because of anatomical factors including fat distribution, organ fixation, and wound depth. We developed a technique using the Multifire Endo GIA 60 2.5 disposable surgical stapler which allows greater mobilization, less blood loss, and decreased operating time. METHODS: A disposable stapler designed for laparoscopic surgery was used to transect the gastro-colic omentum and small bowel mesentery in 67 morbidly obese patients undergoing RYGB. Generally, five to six stapler cartridges were needed for the transections. RESULTS: Stapler division of the gastro-colic omentum and small bowel mesentery decreased operating time by an average of 25 minutes. CONCLUSIONS: Applying principles of laparoscopic surgery to RYGB resulted in more efficient mobilization of the stomach and the small bowel mesentery, as well as decreased blood loss and operating time.
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