Langenbecks Arch Surg (2017) 402:1255–1262 https://doi.org/10.1007/s00423-017-1632-3 ORIGINAL ARTICLE Planned secondary wound closure at the circular stapler insertion site after laparoscopic gastric bypass reduces postoperative morbidity, costs, and hospital stay 1 1 1 1 Diana Vetter & Dimitri Aristotle Raptis & Mira Giama & Hanna Hosa & 2 3 4 5 1 Markus K. Muller & Antonio Nocito & Marc Schiesser & Rudolf Moos & Marco Bueter Received: 2 July 2017 /Accepted: 6 October 2017 /Published online: 18 October 2017 Springer-Verlag GmbH Germany 2017 Abstract reduced postoperative morbidity (mean 90-day Purpose The aims of the present study were to assess whether Comprehensive Complication Index (CCI) 7.4 (SD14.0) planned secondary wound closure at the insertion site of the vs. 5.1 (SD11.1) p = 0.008) when compared to primary circular stapler reduces wound infection rate and postopera- wound closure. Primary wound closure, dyslipidemia, tive morbidity after laparoscopic Roux-en-Y gastric bypass and preoperative gastritis were independent predictive (RYGB) and to identify independent predictive factors in- risk factors for developing wound infections both in the creasing the risk for wound infections after RYGB. univariate (p <0.001; p = 0.048; p = 0.003) and multi- Methods This paper is a retrospective single-center analysis variable analysis
Langenbeck's Archives of Surgery – Springer Journals
Published: Oct 18, 2017
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