Jackson-Pratt Drain

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Moshe Rubin - One of the best experts on this subject based on the ideXlab platform.

  • Technical Aspects of Laparoscopic Sleeve Gastrectomy in 25 Morbidly Obese Patients
    Obesity surgery, 2007
    Co-Authors: Osnat Givon-madhala, Rona Spector, Nir Wasserberg, Nahum Beglaibter, Hagit Lustigman, Michael Stein, Nazik Arar, Moshe Rubin
    Abstract:

    Laparoscopic sleeve gastrectomy (LSG) has recently come to be performed as a sole bariatric operation. The postoperative morbidity and mortality are cause for concern, and possibly are related to non-standardized surgical technique. The following is the surgical LSG technique used in 25 morbidly obese patients. Five trocars are used. Division of the vascular supply of the greater gastric curvature is begun at 6–7 cm proximal to the pylorus, proceeding to the angle of His. A 50-Fr calibrating bougie is positioned against the lesser curvature. The LSG is created using a linear staplercutter device with one 4.1-mm green load for the antrum, followed by five to seven sequential 3.5-mm blue loads for the remaining gastric corpus and fundus. The staple-line is inverted by placing a seroserosal continuous absorbable suture over the bougie from the angle of His .The resected stomach is removed through the 12-mm trocar, and a Jackson-Pratt Drain is left along the suture-line. The mean operative time was 120 minutes, and length of hospital stay was 4 ± 2 days.There were no conversions to open procedures. There were no postoperative complications (no hemorrhage from the staple-line, no anastomotic leakage, no stricture) and no mortality. In 1 patient, cholecystectomy was also done, and in 4, a gastric band was removed. During a median follow-up of 4 months, BMI decreased from 43 ± 5 kg/m2 to 34 ± 6 kg/m2, and the % excess BMI loss was 49 ± 25%. The proposed surgical technique appears to be a safe and effective procedure for morbid obesity.

  • Technical Aspects of Laparoscopic Sleeve Gastrectomy in 25 Morbidly Obese Patients
    Obesity Surgery, 2007
    Co-Authors: Osnat Givon-madhala, Rona Spector, Nir Wasserberg, Nahum Beglaibter, Hagit Lustigman, Michael Stein, Nazik Arar, Moshe Rubin
    Abstract:

    Background Laparoscopic sleeve gastrectomy (LSG) has recently come to be performed as a sole bariatric operation. The postoperative morbidity and mortality are cause for concern, and possibly are related to non-standardized surgical technique. Methods The following is the surgical LSG technique used in 25 morbidly obese patients. Five trocars are used. Division of the vascular supply of the greater gastric curvature is begun at 6–7 cm proximal to the pylorus, proceeding to the angle of His. A 50-Fr calibrating bougie is positioned against the lesser curvature. The LSG is created using a linear staplercutter device with one 4.1-mm green load for the antrum, followed by five to seven sequential 3.5-mm blue loads for the remaining gastric corpus and fundus. The staple-line is inverted by placing a seroserosal continuous absorbable suture over the bougie from the angle of His .The resected stomach is removed through the 12-mm trocar, and a Jackson-Pratt Drain is left along the suture-line. Results The mean operative time was 120 minutes, and length of hospital stay was 4 ± 2 days.There were no conversions to open procedures. There were no postoperative complications (no hemorrhage from the staple-line, no anastomotic leakage, no stricture) and no mortality. In 1 patient, cholecystectomy was also done, and in 4, a gastric band was removed. During a median follow-up of 4 months, BMI decreased from 43 ± 5 kg/m^2 to 34 ± 6 kg/m^2, and the % excess BMI loss was 49 ± 25%. Conclusions The proposed surgical technique appears to be a safe and effective procedure for morbid obesity.

Stuart M Diamond - One of the best experts on this subject based on the ideXlab platform.

  • Endoscopic retrieval of retained Jackson-Pratt Drain
    Urology, 2001
    Co-Authors: Victor H Hartanto, Ken-ryu Han, Murali K Ankem, Stuart M Diamond
    Abstract:

    Jackson-Pratt (JP) Drains are commonly used after urologic surgery. One of the complications associated with the use of JP Drains occurs when the Drain breaks, leaving the distal fenestrated part at the time of attempted removal. We describe the endoscopic retrieval of a retained JP Drain, which was safely performed with local anesthesia and minimal risk.

Osnat Givon-madhala - One of the best experts on this subject based on the ideXlab platform.

  • Technical Aspects of Laparoscopic Sleeve Gastrectomy in 25 Morbidly Obese Patients
    Obesity surgery, 2007
    Co-Authors: Osnat Givon-madhala, Rona Spector, Nir Wasserberg, Nahum Beglaibter, Hagit Lustigman, Michael Stein, Nazik Arar, Moshe Rubin
    Abstract:

    Laparoscopic sleeve gastrectomy (LSG) has recently come to be performed as a sole bariatric operation. The postoperative morbidity and mortality are cause for concern, and possibly are related to non-standardized surgical technique. The following is the surgical LSG technique used in 25 morbidly obese patients. Five trocars are used. Division of the vascular supply of the greater gastric curvature is begun at 6–7 cm proximal to the pylorus, proceeding to the angle of His. A 50-Fr calibrating bougie is positioned against the lesser curvature. The LSG is created using a linear staplercutter device with one 4.1-mm green load for the antrum, followed by five to seven sequential 3.5-mm blue loads for the remaining gastric corpus and fundus. The staple-line is inverted by placing a seroserosal continuous absorbable suture over the bougie from the angle of His .The resected stomach is removed through the 12-mm trocar, and a Jackson-Pratt Drain is left along the suture-line. The mean operative time was 120 minutes, and length of hospital stay was 4 ± 2 days.There were no conversions to open procedures. There were no postoperative complications (no hemorrhage from the staple-line, no anastomotic leakage, no stricture) and no mortality. In 1 patient, cholecystectomy was also done, and in 4, a gastric band was removed. During a median follow-up of 4 months, BMI decreased from 43 ± 5 kg/m2 to 34 ± 6 kg/m2, and the % excess BMI loss was 49 ± 25%. The proposed surgical technique appears to be a safe and effective procedure for morbid obesity.

  • Technical Aspects of Laparoscopic Sleeve Gastrectomy in 25 Morbidly Obese Patients
    Obesity Surgery, 2007
    Co-Authors: Osnat Givon-madhala, Rona Spector, Nir Wasserberg, Nahum Beglaibter, Hagit Lustigman, Michael Stein, Nazik Arar, Moshe Rubin
    Abstract:

    Background Laparoscopic sleeve gastrectomy (LSG) has recently come to be performed as a sole bariatric operation. The postoperative morbidity and mortality are cause for concern, and possibly are related to non-standardized surgical technique. Methods The following is the surgical LSG technique used in 25 morbidly obese patients. Five trocars are used. Division of the vascular supply of the greater gastric curvature is begun at 6–7 cm proximal to the pylorus, proceeding to the angle of His. A 50-Fr calibrating bougie is positioned against the lesser curvature. The LSG is created using a linear staplercutter device with one 4.1-mm green load for the antrum, followed by five to seven sequential 3.5-mm blue loads for the remaining gastric corpus and fundus. The staple-line is inverted by placing a seroserosal continuous absorbable suture over the bougie from the angle of His .The resected stomach is removed through the 12-mm trocar, and a Jackson-Pratt Drain is left along the suture-line. Results The mean operative time was 120 minutes, and length of hospital stay was 4 ± 2 days.There were no conversions to open procedures. There were no postoperative complications (no hemorrhage from the staple-line, no anastomotic leakage, no stricture) and no mortality. In 1 patient, cholecystectomy was also done, and in 4, a gastric band was removed. During a median follow-up of 4 months, BMI decreased from 43 ± 5 kg/m^2 to 34 ± 6 kg/m^2, and the % excess BMI loss was 49 ± 25%. Conclusions The proposed surgical technique appears to be a safe and effective procedure for morbid obesity.

Alan J. Greenfield - One of the best experts on this subject based on the ideXlab platform.

Victor H Hartanto - One of the best experts on this subject based on the ideXlab platform.

  • Endoscopic retrieval of retained Jackson-Pratt Drain
    Urology, 2001
    Co-Authors: Victor H Hartanto, Ken-ryu Han, Murali K Ankem, Stuart M Diamond
    Abstract:

    Jackson-Pratt (JP) Drains are commonly used after urologic surgery. One of the complications associated with the use of JP Drains occurs when the Drain breaks, leaving the distal fenestrated part at the time of attempted removal. We describe the endoscopic retrieval of a retained JP Drain, which was safely performed with local anesthesia and minimal risk.