Laparoscopic Sleeve Gastrectomy, with or without Staple Line Reinforcement


  • Subhi A. Shihan
  • Issam Salih AL-Janabi



Laparoscopic sleeve gastrectomy; Leak; Bleeding; staple line reinforcement.


Background: Overweight and obesity are defined as abnormal or excessive fat accumulation that presents
a risk to health. A crude population measure of obesity is the body mass index. The surgical treatment
of morbid obesity is termed bariatric surgery, Laparoscopic sleeve gastrectomy first described by Gagner.
Specific complications have been reported, including staple-line bleeding and staple-line leaks, Staple line
reinforcement is extensively debated and highly recommended by most surgeons in an attempt to reduce
postoperative complication.
Aim of the Study: To compare the early complication of sleeve gastrectomy with or without staple line
reinforcement by over-sewing.
Patients and Method: Prospective study from 1st January 2013 to 31st January 2015, four or five ports used
according to surgeon preference but all of them used graduated cartridge size, some of them used to reinforce the staple line by Prolin or Vicryl and others did not. The patient was follow up for one month after
surgery by direct contact with the surgical team.
Conclusion: there was no statistically difference in the incidence of leak or bleeding in cases of sleeve
gastrectomy with or without staple–line reinforcement by over sewing.

Author Biographies

Subhi A. Shihan

General Surgery Specialist, Ramadi Teaching Hospital, Baghdad-Iraq

Issam Salih AL-Janabi

Consultant Surgeon, Baghdad Teaching Hospital Medical City, Baghdad-Iraq



How to Cite

Subhi A. Shihan, & Issam Salih AL-Janabi. (2021). Laparoscopic Sleeve Gastrectomy, with or without Staple Line Reinforcement. Medico Legal Update, 21(2), 1359-1365.