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Obesity Surgery

, Volume 19, Issue 7, pp 926–927 | Cite as

The “Tip-Stitch”: A Time-Saving Technique for Specimen Extraction in Sleeve Gastrectomy

  • Joshua B. AlleyEmail author
  • Stephen J. Fenton
  • Richard M. Peterson
Modern Surgery: Technical Innovation

Abstract

Background

Laparoscopic sleeve gastrectomy has gained popularity as another tool available to weight loss surgeons, with published excess weight loss results similar or superior to laparoscopic adjustable gastric banding. The gastrectomy specimen consists of a hollow “bag” of fundus, which is typically extracted through an enlarged port site. Extraction can be a challenging and time-consuming portion of the operation.

Methods

The “Tip-Stitch” is a low-technology method of orienting the gastric specimen for easy retrieval. A suture through the distal tip of the specimen allows for extraction without enlarging a 15-mm trocar site.

Results

We report a small series of sleeve gastrectomy using this specimen extraction technique. No wound infections were seen, and enlargement of the fascial incision was done only once, early in our experience.

Conclusions

Our technique describes a reliable method of intact specimen retrieval, typically without enlarging a 15-mm trocar incision.

Keywords

Sleeve gastrectomy Bariatric surgery Morbid obesity 

References

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    Almogy G, Crookes PF, Anthone GJ. Longitudinal gastrectomy as a treatment for the high-risk super-obese patient. Obes Surg 2004;14:492–7.CrossRefGoogle Scholar
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    Mahmood A, Silbergleit A. The utilization of a morcellator during laparoscopic sleeve gastrectomy. Technol Health Care 2006;14:537–9.PubMedGoogle Scholar

Copyright information

© US Government 2009

Authors and Affiliations

  • Joshua B. Alley
    • 1
    Email author
  • Stephen J. Fenton
    • 1
  • Richard M. Peterson
    • 1
  1. 1.Department of SurgeryWilford Hall USAF Medical CenterSan AntonioUSA

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