Port Site Closure versus Non-Closure in Morbidly Obese Patients who Underwent Laparoscopic Bariatric Surgery.

Document Type : Original Article

Authors

Department of General Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt

Abstract

Introduction: Laparoscopic bariatric surgery (LBS) has established itself as the premier method for handling
morbid obesity, but optimal management of port sites remains debated. This study aimed to compare
outcomes between port site closure and non-closure approaches in morbidly obese people undergoing LBS.
Patients and methods: One hundred individuals aged 18-65 years who had LBS were included in this retrospective
analysis. Patients were divided into two equal groups: Group C (port site closure using absorbable sutures) and
group N (only skin closure).
Results: Operative time and average pain scores in 1st 24 hours were significantly higher in Group C (89.4±20.69
vs 80.7±19.06 minutes, p=0.031 and median 3 vs 2, p<0.001, respectively). Wound healing and recovery time
were significantly faster in Group C (1.44±0.5 vs 2.02±0.94 weeks, p<0.001 and 3.06±0.79 vs 3.54±1.13 weeks,
p=0.061, respectively). Complications were comparable between groups, with no conversions in either group.
Conclusion: Port site closure in morbidly obese people undergoing LBS increases operative time and immediate
postoperative pain but significantly enhances wound healing and accelerates recovery without raising complication
rates.

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