Single-Center Comprehensive Investigation of Perioperative Outcomes Following Laparoscopic Roux-En-Y Gastric Bypass and Mini-Gastric Bypass Utilizing Ethicon PDS-TM-II Suture

Background: Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) and Laparoscopic Mini-Gastric Bypass (LMGB) are prevalent techniques in Bariatric and Metabolic Surgery (BMS).Both treatments have demonstrated efficacy in the short and long term; nonetheless, they are accompanied by particularly technical perioperative challenges and risks, some of which may require revision.Methods: This study analyzed data from a single center about the use of PDS TM II Ethi-Endo-Clip Suture Set as tension-retaining and anchoring sutures for anastomoses in Primary (P) and Secondary (R) LRYGB and LMGB surgeries following Sleeve Gastrectomy (SG).The short-term outcome (within 30 postoperative days and at 3, 6, 12, and 24 months) were analyzed to evaluate the obstacles related to this surgical approach.Results: 189 individuals completed LRYGB and LMGB, including 59 P-LRYGB, 16 P-LMGB, 67 R-LRYGB and 47 R-LMGB after SG.The mean age was 48.5 (10.7)years, and the mean Body Mass Index (BMI) was 41.5 (6.5) kg/m 2 .The prevalence of comorbidities was 77.8%.The total intraoperative and postoperative complication rate was 8.5%, each, whereas the specific postoperative complication rate was 2.6%, with no documented 30-day mortality.Two patients need reoperation; one due to hemorrhage and the other due to peritonitis caused by small bowel leakage at the suture. Conclusions:The PDS TM II Ethi-Endo-Clip Suture Set is both safe and feasible for anastomosis in laparoscopic and robotic surgery, as demonstrated by the findings of our investigation.Complications associated with the type of suture were not observed to be more prevalent than those described in the literature.