Five-year Outcomes of Sleeve Gastrectomy: A Prospective Multicenter Study.

Background: Sleeve gastrectomy (SG) is the most frequently performed bariatric procedure in the world. Our purpose was to evaluate the percentage of excess weight loss (%EWL), resolution of obesity-related comorbidities after SG, and identify predictive factors of weight loss failure.

Methods: A prospective cohort study of adults who underwent SG during 2014 in 7 Belgian-French centers.

Laparoscopic sleeve gastrectomy for morbid obesity in a Belgian-French prospective multicenter study: outcomes and predictors weight loss failure.

Introduction: Laparoscopic sleeve gastrectomy (LSG) became the most frequently performed bariatric procedure worldwide, gaining rapidly popularity thanks to its technical simplicity and the relatively good results. The aim of this Belgian-French study was to evaluate postoperative complications, weight loss, and resolution of obesity-related comorbidities after LSG, and identify predictive factors of weight loss failure.

Patients And Methods: A prospective multicenter study was conducted on all LSG performed during 2014 in 7 centers.

Ventral hernia repair by totally extraperitoneal approach (VTEP): technique description and feasibility study.

Background: The repair of ventral hernias by intra-peritoneal patch (IPOM) involves a risk of pain due to stapling as well as intestinal adhesions. Extraperitoneal placement of the patch without fixation can prevent these drawbacks. Techniques of endoscopic preperitoneal repair were previously described by others.

Medico-legal claims in bariatric surgery in France between 2010 and 2015.

Purpose Of The Study: The practice of bariatric surgery has multiplied 3.5 times in France in the last ten years. The purpose of the study is to analyze medico-legal claims in this area in order to identify lessons to improve patient care.

Malpractice claims and abdominal wall hernia repair.

Purpose: To present factual data on the medico-legal aspects of medicolegal claims after abdominal wall surgery in France.

Method: Analysis of the complaints following parietal surgery that were addressed to a company that specializes in medical malpractice insurance between 2010 and 2016.

Results: Of 209 files, 180 were analyzable; these included 75 women and 105 men with a mean age of 51 years and a mean BMI of 29.

Risk management for surgical energy-driven devices used in the operating room.

Unlabelled: Complications related to energy sources in the operating room are not well-recognized or published, despite occasionally dramatic consequences for the patient and the responsible surgeon. The goal of this study was to evaluate the risks and consequences related to use of energy sources in the operating room.

Patients And Methods: Between 2009 and 2015, 876 adverse events related to health care (AERHC) linked to energy sources in the operating room were declared in the French experience feedback data base "REX".

Risk factors of perioperative morbimortality after laparoscopic sleeve gastrectomy: a club coelio multicenter study.

Objectives: Postoperative complications after Laparoscopic sleeve gastrectomy (LSG) can dramatically compromise patient's outcome. The aim of this study is to analyze the per- and postoperative short-term outcomes after LSG and to assess predictive risk factors of complications.

Methods: The study group consisted of 790 patients (610 women and 180 men) who underwent LSG In 2014.

Previous bariatric surgery increases postoperative morbidity after sleeve gastrectomy for morbid obesity.

Objectives: Sleeve gastrectomy (SG) has been used as the first step of a staged malabsorptive procedure for high-risk patients. More recently SG was proposed as an stand alone procedure in the treatment of morbidly obese patients. The aim of this study is to analyze perioperative outcome of morbid obese patients after SG.

Mesh infection after inguinal hernia mesh repair.

Introduction: Infection after repair of groin hernia is rare, even since the advent of mesh repair. The debate remains open about antibiotic prophylaxis.

Aim Of The Study: Assess incidence of this kind of complication, determine criteria of diagnosis and strategy of therapy by examining the collective experience of 32 surgeons.

Intraoperative events and their outcome: data from 4007 laparoscopic interventions by the French "Club Cœlio".

Aim: To assess the operative and postoperative course of intraoperative events occurring in laparoscopic surgery according to the classification of Clavien. This evaluation aims at ascertaining morbidity and mortality of abdominal laparoscopic operations, thus serving as a reference for future comparative studies.

Method: Twenty-nine senior surgeons, all of them members of the Cœlio Club prospectively and consecutively summarized all their laparoscopic activity over a period of 6 months.

Sentinel lymph node biopsy or nodal observation in melanoma: a prospective study of patient choices.

Background: There is no consensus regarding the therapeutic utility of sentinel lymph node biopsy (SLNB) versus that of nodal observation (NO) in melanoma.

Objective: To prospectively evaluate a standardized counseling procedure and its effect on patient choices to undergo SLNB or NO.

Methods: In four centers, patients with melanoma eligible for SLNB or NO received a complete counseling procedure that included verbal information from dermatologists and surgeons, a detailed information sheet, and a written consent form.

[Inguinal hernia. What are the criteria for assessing the result of hernia repair?].

The assessment criteria reflect the questions patients ask at the preoperative visit: Is it painful? How long will the operation last? How long will I be hospitalized? How long until I can resume daily activities? What is the risk of recurrence? Is there a risk of long-term disability? Inguinal hernia repair is of one of the most widely assessed surgical procedures, even for more recent procedures: three Cochrane databases, eight meta-analyses and nearly 100 prospective randomized trials cover this topic. Many facts are now established: There are significantly more recurrences after suture than after mesh techniques; for mesh, there is no difference between laparoscopic and conventional approaches.

Laparoscopic cure of small ventral hernias with composite mesh.

Background: The use of mesh is recommended to reduce the rate of recurrence after the curing of ventral hernias.

Methods: A multicentre prospective trial was conducted to assess the laparoscopic cure of small ventral hernias with a composite mesh.

Results: Around 222 patients entered the trial and received laparoscopic repair for ventral hernias of less than 5 cm.

Anal carcinoma: incidence and effect of cumulative infections.

Introduction: Human papilloma virus (HPV) causes anal condyloma that is a risk factor for anal carcinoma. The incidence and mechanism of invasive anal carcinoma in patients with anal condyloma are prospectively determined.

Patients And Methods: From 1993 to 2002, 228 consecutive patients (164 HIV positive) with anal canal condylomas were included in the study, after curing of their lesions.

[Risk knowledge and management of blood exposure in operative room: results of a French national survey].

Objectives: To assess knowledge of risk factors of blood exposure in operative room and management after blood exposure.

Methods: A national survey was conducted towards 5000 surgeons drawn with hazard.

Results: The knowledge of the risk of viral contamination stay imperfect and the management after blood exposure is doubtful, and this last point is probably favoured by the absence of regulation in spite of guidelines from professional associations or societies.

[Incidence of surgical site infection in ambulatory surgery: results of the INCISCO surveillance network in 1999-2000].

Objectives: To estimate the incidence of surgical-site infections (SSI) in ambulatory surgery and to identify risk factors based on the surveillance network INCISO in 1999-2000.

Patients And Methods: Annually, during a three-month period, each surgical ward had to include 200 consecutive operations. Patients were surveyed over the month following surgery.