Modified Omentopexy in Laparoscopic Sleeve Gastrectomy: Does It Reduce the Risk of Postoperative Complications

Abstract

Background: Serious postoperative complications such as leakage, bleeding, or gastric obstruction may occur in laparoscopic sleeve gastrectomy (LSG). There is no ideal method or technique to avoid these mishaps. The purpose of this study was to evaluate the effectiveness of modified omentopexy (MOP) added to LSG in reducing postoperative complications. Materials and Methods: This study included retrospective analysis of medical charts of 567 morbid obesity patients who underwent LSG. The patients were divided into two groups: group A of 180 LSG patients with MOP, and group B of 387 LSG patients where no omentopexy (OP) was done. Results: Leakage was detected in one (0.2%) patient in group B. Symptomatic stenosis requiring surgical intervention was detected in four (0.7%) patients, who were all in group A. Sleeve stricture was detected in one (0.2%) patient and gastric twist in three (0.5%) patients. It was found that LSG with MOP significantly increased the risk of gastric twist (p < 0.05). Conclusions: OP, which we created with our own technical modification in LSG, did not reduce the risk of postoperative complications.