Unreported rare but serious complication: Major vascular injuries during bariatric surgery

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dc.authoridVartanoglu Aktokmakyan, Talar/0000-0003-0583-6440
dc.authorwosidVartanoglu Aktokmakyan, Talar/AFI-3036-2022
dc.contributor.authorAktokmakyan, Talar Vartanoglu
dc.contributor.authorPeksen, Caghan
dc.contributor.authorSavas, Osman Anal
dc.contributor.authorSumer, Aziz
dc.date.accessioned2024-05-19T14:39:16Z
dc.date.available2024-05-19T14:39:16Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractBACKGROUND: The aim of this study was to investigate the incidence, risk factors, clinical presentation, and management of major vascular injuries during bariatric surgery, with a specific focus on the role of different access methods in abdominal cavity entry. METHODS: A nationwide survey was conducted among bariatric surgeons to assess the prevalence of major vascular injuries. A questionnaire was distributed to 365 surgeons through WhatsApp groups of two national bariatric surgery societies, with 76 surgeons completing the survey. The study population included general surgeons practicing bariatric surgery, and the questionnaire consisted of 12 questions. RESULTS: Among the participants, 16.9% reported experiencing a major vascular injury during bariatric surgery. The majority of injuries (75%) occurred at the trocar entrance, with the remaining cases during the dissection phase. Notably, 66.7% of surgeons used optical trocars for access, while 27.8% employed the Veress needle technique. Early detection varied, with 45% identifying the injury immediately and 30% recognizing it within three minutes. Most injuries (52.4%) were repaired laparoscopically, and only three surgeons sought assistance from cardiovascular surgeons. CONCLUSION: Vascular injuries are infrequent but potentially serious complications in laparoscopic bariatric surgery. Understanding their incidence, timely recognition, and proper management are crucial to minimize adverse effects. The findings of this study shed light on the patterns of vascular injuries and the potential role of specific access methods, providing valuable insights for enhancing patient safety in bariatric surgery.en_US
dc.identifier.doi10.14744/tjtes.2023.71829
dc.identifier.endpage1260en_US
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue11en_US
dc.identifier.pmid37889033en_US
dc.identifier.scopus2-s2.0-85175277286en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1255en_US
dc.identifier.urihttps://doi.org10.14744/tjtes.2023.71829
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4742
dc.identifier.volume29en_US
dc.identifier.wosWOS:001096720400007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Trauma Emergency Surgeryen_US
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectBariatric Surgeryen_US
dc.subjectMajor Vascular Injuryen_US
dc.subjectObesity.en_US
dc.titleUnreported rare but serious complication: Major vascular injuries during bariatric surgeryen_US
dc.typeArticleen_US

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