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How to Manage Sleeve Complications: Hemorrhage

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Laparoscopic Sleeve Gastrectomy

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Abstract

The most significant operative complications of LSG are staple line leak and bleeding, with reported total complication incidence of up to 13.7%. However, hemorrhage, both intra-abdominal and intra-peritoneal, can be more challenging not only because of their rare occurrence, but also because of their life-threatening postoperative complication impact following bariatric surgery. Multiple attempts to reduce the incidence of these complications have been done by staple line reinforcement (SLR) with synthetic or biologic material or suturing, but the evidence is equivocal; hence, there is no consensus with respect to the best method for SLR or its necessity. In this chapter we will look into the bleeding cascade, patient and surgeon factors that may contribute to it, surgical stapler technology used to control and prevent hemorrhage, management and prevention techniques, including buttressing and oversewing and hemostats.

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Authors and Affiliations

  1. Diakonissen Private Hospital, Salzburg, Austria

    Karl A. Miller

  2. Kings College Hospital London, Dubai, UAE

    Karl A. Miller

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  1. Karl A. Miller
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Correspondence to Karl A. Miller .

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Editors and Affiliations

  1. Faculty Of Medicine, Kuwait University, Safat, Kuwait

    Salman Al-Sabah

  2. Cleveland Clinic, Cleveland, OH, USA

    Ali Aminian

  3. University of Naples Federico II, Napoli, Italy

    Luigi Angrisani

  4. Columbia University Medical Center, New York, NY, USA

    Eliana Al Haddad

  5. Flinders University, Adelaide, Australia

    Lilian Kow

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Miller, K.A. (2021). How to Manage Sleeve Complications: Hemorrhage. In: Al-Sabah, S., Aminian, A., Angrisani, L., Al Haddad, E., Kow, L. (eds) Laparoscopic Sleeve Gastrectomy. Springer, Cham. https://doi.org/10.1007/978-3-030-57373-7_42

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