Decreased Leak Rate and Need for Reintervention with Use of Closed Suction Calibration System: a Bariatric Surgery Quality Improvement Project.
Decreased Leak Rate and Need for Reintervention with Use of Closed Suction Calibration System: a Bariatric Surgery Quality Improvement Project.
- 2021
Available online from MWHC library: 1997 - present
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].
English
0960-8923
10.1007/s11695-021-05682-6 [doi] 10.1007/s11695-021-05682-6 [pii]
*Bariatric Surgery
*Laparoscopy
*Obesity, Morbid
Bariatric Surgery/mt [Methods]
Calibration
Gastrectomy/mt [Methods]
Humans
Laparoscopy/mt [Methods]
Obesity, Morbid/su [Surgery]
Quality Improvement
Retrospective Studies
Suction
Treatment Outcome
MedStar Washington Hospital Center
MedStar General Surgery Residency
Surgery/Advanced Laparoscopic and Bariatric Surgery
Surgery/General Surgery
Journal Article
Available online from MWHC library: 1997 - present
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].
English
0960-8923
10.1007/s11695-021-05682-6 [doi] 10.1007/s11695-021-05682-6 [pii]
*Bariatric Surgery
*Laparoscopy
*Obesity, Morbid
Bariatric Surgery/mt [Methods]
Calibration
Gastrectomy/mt [Methods]
Humans
Laparoscopy/mt [Methods]
Obesity, Morbid/su [Surgery]
Quality Improvement
Retrospective Studies
Suction
Treatment Outcome
MedStar Washington Hospital Center
MedStar General Surgery Residency
Surgery/Advanced Laparoscopic and Bariatric Surgery
Surgery/General Surgery
Journal Article