Publications by authors named "Peter Kenneth Small"

Article Synopsis
  • Internal herniation (IH) is a serious risk after Roux-en-Y gastric bypass (RYGB), prompting recommendations for closing mesenteric spaces, but there's no standard method used among surgeons.
  • An international survey involving 136 surgeons revealed that a vast majority (91.8%) routinely close mesenteric defects, primarily using non-absorbable, non-barbed sutures.
  • The findings indicate significant variation in closure techniques and highlight a small percentage of surgeons who do not close mesenteric spaces at all, signaling a need for further research and consensus among bariatric surgeons.
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Background: Laparoscopic surgery has almost replaced open surgery in many areas of Gastro-Intestinal (GI) surgery. There is currently no published expert consensus statement on the principles of laparoscopic GI surgery. This may have affected the training of new surgeons.

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