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Published on: May 1, 2020
The Proring-Band: a new device in the field of restrictive surgery: preliminary experience
1Digestive Surgery Department, Clinique du Hainaut, Valenciennes, France. urbain.pierre@skynet.be
Background:
We have an 11-year experience with Silastic ring vertical gastroplasy (SRVG) by laparotomy (1991-1994), followed by SRVG by mini-laparotomy (1995-2002), giving a total of 1,286 patients up to May 31, 2002. Searching for optimal results, we have utilized a new device; the Silastic ring has been replaced by the Proring-Band.
Methods:
174 mini-laparotomy SRVGs (mini-SRVG) were carried out with the Proring-Band from July 16, 2001 to May 31, 2002.
Results:
The ring is more flexible, slightly elastic and white-colored. At the operation, handling, fixing to the stomach and extraction were easier. No immediate postoperative complications or overall morbidities were related to the new band. No side-effect has been noted.
Conclusions:
The Proring-Band appeared simpler in its use, during preparatory extra-body handling, placement and fixation. Considering its flexibility, its flat part and its smooth edges, the Proring-Band appears to present less risk of dysphagia, rupture and migration. This situation will be evaluated in a comparative blind study with a follow-up of more than 2 years. The Proring-Band ring is manufactured, sterilized and marketed by a pharmaceutical company. The use of this ring, provided as a medical device designed for restrictive surgery, assures to the surgeon a reproducibility of the material and of the sterilization conditions.
