Effect of Routine Stapler Line Omentopexy on the Outcome of Early Postoperative Complication of Laparoscopic Sleeve Gastrectomy

Background: Sleeve gastrectomy is a highly effective and generally low-risk surgical treatment for treating severe obesity. Surgeons must possess knowledge of the complications linked to laparoscopic sleeve gastrectomy (LSG) and a strategy for managing them. Immediate postoperative problems that require prompt identification after undergoing LSG include hemorrhage and staple line leakage. Objective: To assess the efficacy of omental repair with full-thickness sutures throughout laparoscopic sleeve gastrectomy in reducing the occurrence of postoperative bleeding and leaking. Methods: A prospective study conducted by the general surgery department of Azhar Assuit University Hospital from October 2020 to October 2022 involved 100 cases total, split into two groups of 50 cases each (LSG). Results: The two studied groups showed no significant difference in terms of sex, age, BMI, and operative time. Presentation postoperative with perigastric localized collection, when comparing the two groups, there was no statistically significant difference in leakage or drain color. Conclusion: Our research revealed a slight drop in bleeding after surgery, accomplished by omental fixation to the sleeved stomach using full-thickness stitches. This will reduce patient morbidity and mortality and the likelihood of a hospital stay and blood transfusion. Still, there will be no discernible improvement in lowering the risk of leakage.