Which incision reduction strategies are used in bariatric surgery?

Updated: May 28, 2019
  • Author: Alan A Saber, MD, MS, FACS, FASMBS; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Answer

There has been a growing trend in bariatric surgery toward reduction of abdominal incisions, a change offering much-improved cosmetic outcomes and, potentially, shorter patient hospital stays. (See the image below.)

Progression of surgical techniques, with open surg Progression of surgical techniques, with open surgery in first image and single-incision transumbilical laparoscopic surgery in third illustration.

Such minimally invasive surgery also provides, as a result of decreased abdominal trauma, reductions in pain, scarring, and tissue injury. Saber et al developed a single-incision transumbilical laparoscopic approach for sleeve gastrectomies, in which the procedure is performed mainly through the umbilicus; the sleeve is extracted through the umbilicus without extending the incision. [30, 38]

In addition, Saber et al developed a single-incision transumbilical laparoscopic technique for the placement of an adjustable gastric band; in addition to offering the aforementioned benefits of such an approach, this technique facilitates later outpatient adjustment of the band. [39, 40]


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