A New Method for Laparoscopic Stamm Gastrostomy

Kaya, Mete; Sancar, Serpil; Ozcakir, Esra

doi:10.1089/lap.2017.0447

Cited by 7 publications

(7 citation statements)

References 13 publications

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“…Thus, the results of our study can be used as a benchmark for further attempts in improving the postoperative results after LAG tube placement. This can be implemented by using some of the suggestions for improvement already found in the literature 20 22 23 27 28 29 30 31 32 or by new interventions.…”

Section: Discussionmentioning

confidence: 99%

Wound Infection after Laparoscopic-Assisted Gastrostomy in Infants

Burman

Díaz

Viktorsdóttir

et al. 2019

Surg J

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Background Gastrostomy placement in children is one of the most frequently performed pediatric surgical procedures and laparoscopic-assisted gastrostomy (LAG) is the preferred technique. Wound infection after LAG has become a significant concern due to the emergence of antibiotic resistance. The aim of this study was to describe the frequency of wound infection after LAG in children younger than 2 years of age and to identify the associated risk factors and the bacterial species involved. Methods Information about wound infection, results from bacterial cultures, and type of antibiotic treatment used within 30 postoperative days after LAG were compiled for infants who underwent LAG from 2010 to 2017. A retrospective chart review was performed. Data was compiled from charts and from an electronic database containing prospectively collected data. A multivariate logistic analysis was used to explore potential risk factors. Preoperative antibiotic prophylaxis and postoperative local wound care were conducted according to standard procedures. Results The 141 included infants underwent surgery at a median age of 10 months (range: 1–24). Thirty-eight (27%) patients had a clinically determined wound infection, bacteria were cultured from 26/38 (69%), and 30/38 (79%) received antibiotic treatment. The median interval from surgery to detection of a clinical wound infection was 14 days (range: 4–30). The most common microbes discovered were skin bacteria Staphylococcus aureus or Streptococcus pyogenes, but respiratory and intestinal bacteria were also found. Multivariate logistic regression analysis revealed no independent risk factors for infection such as age, gender, or underlying diagnosis. Conclusion Infants have a high rate of postoperative clinical wound infection after LAG despite the use of preoperative antibiotic prophylaxis and intense local wound care. Gender, age at operation, and previous diagnoses were not found to be independent risk factors for wound infection.

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Section: Discussionmentioning

confidence: 99%

Wound Infection after Laparoscopic-Assisted Gastrostomy in Infants

Burman

Díaz

Viktorsdóttir

et al. 2019

Surg J

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“…Since the 1990s, laparoscopic equipment and techniques have advanced, enabling gastrostomy to be performed using minimally invasive approaches, and many modified techniques have been reported. [10][11][12][13] Here, we introduce a new laparoscopic technique for GT insertion that uses only two trocars and smaller incisions than common laparoscopic approaches.…”

Section: Introductionmentioning

confidence: 99%

“…This technique uses four ports, including a 3.5-mm port in upper left abdomen to provide better access to the greater curvature of the stomach. 13 With a purse-string suture, a loop is made and passed into the abdominal cavity through the upper left port three times, and then a hook cautery is inserted through the port to create a hole. Initially, the purse-string suture and loop thread are tied separately outside the abdomen.…”

Section: Kaya Et Al Introduced a New Laparoscopic Technique Formentioning

confidence: 99%

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Minimally invasive technique for gastrostomy tube insertion: A novel laparoscopic approach

Shahraki

Berjis

Bighamian

et al. 2020

Asian J Endoscop Surgery

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Introduction: Percutaneous endoscopic gastrostomy (PEG) is the most common way of inserting a gastrostomy tube. If PEG is not appropriate for a patient, then the laparoscopic or open technique should be used. Here, we introduce a new laparoscopic technique for inserting a gastrostomy tube. Material and Surgical Technique: We used this new laparoscopic approach in 21 patients for whom PEG was not suitable. After marking on the abdominal skin and inserting the trocars, two 2-0 silk sutures were passed. Two stitches were placed 2 cm apart in the stomach with one hand. Each suture was pulled out with the fascia closure, the stomach was pulled out with a Babcock, and a purse-string suture using a round 2-0 silk suture was placed outside the stomach, creating a mushroom-retained gastrostomy. Conclusion: This new laparoscopic technique is minimally invasive. It provides full control through only two trocars and required smaller incisions than common laparoscopic approaches. This method can be used to insert a gastrostomy tube in indicated patients when PEG placement is not suitable.

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“…On the other hand, the reporting of serious complications associated with the PEG technique in children led to new searches in pediatric patients and laparoscopic gastrostomy (LG) application gained popularity in the 1990s with the increasing usage of laparoscopy and other video-assisted techniques (5). Since the first time it was applied, LG has undergone different modifications in order to reduce complication rates and facilitate the operation technique (6). Minimally invasive surgery (MIS) has developed rapidly in recent years and has become the gold standard for the correction of many surgical pathologies.…”

Section: Introductionmentioning

confidence: 99%

Çocuklarda Tek Kesi Laparoskopik ve Açık Yaklaşım Gastrostomi Yöntemlerinin Karşılaştırılması

Kabaklıoğlu

Kaya

2020

Düzce Tıp Fakültesi Dergisi

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Aim: The aim of this study was to compare single incision laparoscopic gastrostomy (SILG) with open surgery in children. Material and Methods: Children who underwent laparoscopic and open gastrostomy surgeries between January 2016 and March 2020 were retrospectively evaluated. The data were arranged according to the patient's demographics, duration of surgery and anesthesia, time to start enteral feeding, and complications. For Stamm procedure, the abdomen was explored with an upper midline incision and a gastric tube was passed through a second incision. In the SILG method, only one incision was made. After inserting a camera was placed into a trocar, then a grasper was placed just next to the trocar. A part of stomach was removed through the incision. A foley catheter was placed visually into the lumen. Results: There was no statistically significant difference between operation times for both surgical groups (p=0.844); the same was true for anesthesia times (p=0.919). The time taken to initiate and reach full enteral nutrition differed significantly between two groups (p=0.005). In general, when all complications were evaluated, more complications were found in the open surgery group (p=0.077). A remarkable number of maintenance problems (65.6%) were observed in both groups. Conclusion: SILG is a technique that is not technically demanding and can be performed by any pediatric surgeon with experience in laparoscopy. Primary laparoscopic gastrostomy at the trocar insertion site can be performed easily and safely in all children with malnutrition due to low postoperative complication rates and applicable for all ages of children.

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A New Method for Laparoscopic Stamm Gastrostomy

Abstract: Our method is a feasible approach for GT placement by the purse-string suturing and the fixation of the stomach to the abdominal wall without extending the port incision.

Cited by 7 publications

References 13 publications

Wound Infection after Laparoscopic-Assisted Gastrostomy in Infants

Wound Infection after Laparoscopic-Assisted Gastrostomy in Infants

Minimally invasive technique for gastrostomy tube insertion: A novel laparoscopic approach

Çocuklarda Tek Kesi Laparoskopik ve Açık Yaklaşım Gastrostomi Yöntemlerinin Karşılaştırılması

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