Perioperative hemorrhagic complications after laparoscopic sleeve gastrectomy: four-year experience of a bariatric center of excellence.

Background: Bleeding and gastric fistula are the most common postoperative complications after laparoscopic sleeve gastrectomy (LSG). The long stapler line represents the most frequent source of bleeding, which ranges between 0 and 20%. The aim of this retrospective study was to analyze the 4-year experience of a high-volume center with respect to the prevention and management of perioperative LSG bleeding.

Implementing the Risk of Ovarian Malignancy Algorithm Adding Obesity as a Predictive Factor.

Aim: To evaluate whether obesity represents a risk factor for the onset of ovarian cancer.

Patients And Methods: One hundred and sixty-three patients with a body mass index (BMI) >30 kg/m (group 1) and 130 women with a BMI of <25 kg/m (group 2) were included in the study.

Results: A Risk of Ovarian Malignancy Algorithm (ROMA) index above the cut-off (>13%) was found in 24.

Management of Complications and Outcomes After Revisional Bariatric Surgery: 3-Year Experience at a Bariatric Center of Excellence.

Background: Laparoscopic revisional bariatric surgery (RBS) is increasingly common. A tailored decision-making process is advocated. In this retrospective study, we reviewed the RBS experience of a single center, analyzing perioperative complications to provide insight into management options and midterm outcomes.