Open AccessClosure of mesenteric defects during Roux-en-Y gastric bypass for obesity: A systematic review and meta-analysis protocol
Author(s) -
Rhys Thomas,
Torsten Olbers,
Jonathan Barry,
Andrew J. Beamish
Publication year - 2019
Publication title -
international journal of surgery protocols
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.291
H-Index - 4
ISSN - 2468-3574
DOI - 10.1016/j.isjp.2019.02.003
Subject(s) - medicine , meta analysis , surgery , anastomosis , systematic review , roux en y anastomosis , medline , bowel obstruction , cochrane library , closure (psychology) , randomized controlled trial , general surgery , gastric bypass , weight loss , obesity , market economy , political science , economics , law
Closure of mesenteric defects during laparoscopic Roux-en-Y gastric bypass surgery (RYGB) has not been fully established as standard operative practice. However, in recent years a body of evidence has emerged suggesting that non-closure of defects leads to increased rates of internal herniation and its potential consequences, including the need for reoperation, along with an associated morbidity and mortality risk. Within the emerging literature there has also been some evidence of a greater risk of 30-day complications in closure groups. This systematic review and meta-analysis aims to look at the existing evidence and provide guidance on whether closure of mesenteric defects should be standard operative practice.