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Open Versus Laparoscopic Vertical Banded Gastroplasty

Laparoscopic Gastroplasty Better For Analgesic Requirements, Respiratory Function, Postoperative Recovery, and Cosmetic Results

Bariatric Surgery - Bariatric Research Studies

Open Versus Laparoscopic Vertical Banded Gastroplasty:
a randomized controlled double blind trial

Vertical banded gastroplasty (VBG) is a frequently used surgical procedure for the treatment of morbid obesity. It can be done open (OVBG) or laparoscopically (LVBG). The aim of this double-blind randomized clinical trial was to compare the postoperative outcome and 1-year follow-up of 2 cohorts of patients who underwent either open or laparoscopic vertical banded gastroplasty.

Method

30 patients with morbid obesity were randomized into 2 groups (14 OVBG and 16 LVBG). Pain intensity, analgesic requirements, respiratory function, and physical activity were blindly analyzed during the first 3 postoperative days. Complications, weight loss, and cosmetic results after 1 year follow-up were evaluated.

Results

Both groups were highly comparable before surgery. Surgical time was longer in the laparoscopic procedure. Patients in this group required less analgesics during the first postoperative day. There was an earlier recovery in the expiratory and inspiratory forces, as well as faster recovery of physical activities in patients who underwent Laparoscope-assisted vertical banded gastroplasty. Postoperative complications were more frequent in the open group. Excess body weight loss after 1 year was similar in both groups. Cosmetic results were significantly better in the laparoscopic group.

Conclusion

Laparoscopic vertical banded gastroplasty had advantages over the open procedure in terms of analgesic requirements, respiratory function, postoperative recovery, and cosmetic results.

Source:
Davila-Cervantes A, Borunda D, Dominguez-Cherit G, Gamino R, Vargas-Vorackova F, Gonzalez-Barranco J, Herrera MF.
Department of Surgery, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Vasco de Quiroga 15, Tlalpan 14000 Mexico City, Mexico DF.

Source:
National Library of Medicine 2003

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources