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Comparison of Two Laparoscopic Techniques for Gastropexy in Children
Yury Kozlov1,2, Vladimir Novozhilov1,2,3, Konstantin A Kovalkov4
11 Department of Neonatal Surgery, Municipal Pediatric Hospital , Irkutsk, Russia .
Insights
The Saf-T-Pexy system offers a simpler, more effective method for laparoscopic gastrostomy tube placement, significantly reducing postoperative complications compared to traditional U-stitches. This technique ensures comparable surgical times and feeding recovery, making it a valuable advancement in pediatric surgery.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Procedures
- Gastrointestinal Interventions
Background:
- Laparoscopic gastrostomy is a common pediatric surgical procedure.
- Comparing fixation techniques is crucial for optimizing outcomes.
- Two methods, U-stitches and Saf-T-Pexy system, were evaluated.
Purpose of the Study:
- To compare the efficacy and safety of the U-stitches technique versus the Saf-T-Pexy system for laparoscopic gastrostomy.
- To analyze intraoperative and postoperative results, including complication rates.
- To determine the optimal gastropexy method for pediatric gastrostomy tube placement.
Main Methods:
- A comparative study of 48 pediatric patients undergoing laparoscopic gastrostomy.
- Group I (24 patients) used U-stitches; Group II (24 patients) used the Saf-T-Pexy system.
- Demographics, intraoperative, and postoperative data were collected and analyzed.
Main Results:
- No significant differences in patient demographics, surgical duration, time to feeding, or hospital stay between groups.
- Surgical procedure mean duration: U-stitches (23.75 min) vs. Saf-T-Pexy (22.71 min).
- Minor postoperative complications were significantly lower in the Saf-T-Pexy group (8.33%) compared to the U-stitches group (41.67%).
Conclusions:
- The Saf-T-Pexy system is a simple and effective method for gastropexy in laparoscopic gastrostomy.
- This system significantly reduces the incidence of postoperative complications.
- Saf-T-Pexy offers an improved approach for pediatric gastrostomy tube placement.
Background:
Laparoscopic gastrostomy is a widely used interventional procedure in pediatric surgery. We report comparative data for two endosurgical methods for the fixation of the stomach against the abdominal wall, using the U-stitches technique and the Saf-T-Pexy® (Halyard Health Inc., Alpharetta, GA) system.
Materials And Methods:
Within the period from January 2012 to June 2014 we performed 24 operations involving laparoscopic placement of a gastrostomy tube using U-stitches (Group I) and 24 operations using the Saf-T-Pexy system (Group II). The two groups of patients were compared in terms of demographics and intraoperative and postoperative results.
Results:
No statistical difference (P > .05) was found while comparing the patients' demographics and intra- and postoperative results. The mean duration of the surgical procedure in Group I was 23.75 minutes; in contrast, the mean duration of surgery in Group II was 22.71 minutes (P > .05). The time to first feeding (9.96 hours versus 10.63 hours) and time to full enteral feeding (23.13 hours versus 24.5 hours) were consistent for patients from both groups (P > .05). A similar postoperative duration of stay was recorded for the patients from the comparison groups (7.25 days versus 7.21 days; P > .05). Statistical analysis of the two groups demonstrated a significant difference in the parameters of minor postoperative complications (41.67% versus 8.33%; P < .05).
Conclusions:
Use of the Saf-T-Pexy system is a simple and efficient method for gastropexy involving placement of gastrostomy tubes that significantly reduces the number of postoperative complications.
