TY  - BOOK
AU  - Alimi, Yewande
AU  - Lofthus, Alexander
AU  - Merle, Chamilka
AU  - Metchik, Ariana
AU  - Pardo, Ivanesa
AU  - Shope, Timothy R
TI  - Decreased Leak Rate and Need for Reintervention with Use of Closed Suction Calibration System: a Bariatric Surgery Quality Improvement Project
SN  - 0960-8923
PY  - 2021///
KW  - *Bariatric Surgery
KW  - *Laparoscopy
KW  - *Obesity, Morbid
KW  - Bariatric Surgery/mt [Methods]
KW  - Calibration
KW  - Gastrectomy/mt [Methods]
KW  - Humans
KW  - Laparoscopy/mt [Methods]
KW  - Obesity, Morbid/su [Surgery]
KW  - Quality Improvement
KW  - Retrospective Studies
KW  - Suction
KW  - Treatment Outcome
KW  - MedStar Washington Hospital Center
KW  - MedStar General Surgery Residency
KW  - Surgery/Advanced Laparoscopic and Bariatric Surgery
KW  - Surgery/General Surgery
KW  - Journal Article
N1  - Available online from MWHC library: 1997 - present
N2  - BACKGROUND: Laparoscopic sleeve gastrectomy (SG) continues to grow in popularity as a primary bariatric procedure. The purpose of this study is to determine if leak rates and need for subsequent interventions are changed by the standardized use of a closed suction calibration system (CSCS) at a high-volume urban hospital; CONCLUSION: The use of a standardized closed suction calibration system resulted in overall decreased leak rates, which was associated with a clinically significant decrease in additional interventions. Copyright (c) 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature; METHODS: A retrospective review was conducted between January 1, 2016, and December 31, 2018, on SG patients. All cases performed in 2018 were completed with a closed suction calibration system. Patient demographics, comorbidities, operative variables, and outcomes were collected. Descriptive statistics and chi-squared test were used to compare the two groups. Logistic regression models were adjusted for patient- and procedure-specific factors; RESULTS: Four hundred ninety cases were performed before and 195 after institution of the CSCS. Groups were similar in most characteristics, including median body mass index (BMI) (46.4 vs 45.8 kg/m2, p = 0.79). Those in the closed suction cohort were more likely to have OSA requiring therapy (32.4% vs 46.6%, p < 0.01) and to have their cases performed robotically (55.4% vs 39.6%, p = 0.02). Post introduction of the CSCS, the overall leak rate was 0% (1.4% vs 0%, p = 0.09); overall need for postoperative interventions decreased (9.6% vs 2.6%, p = 0.009). After adjustment, a 69% decrease was observed in need for related additional intervention [aOR 0.31 (0.12-0.81), p = 0.017]
UR  - https://dx.doi.org/10.1007/s11695-021-05682-6
ER  -