Closure of Mesenteric Defects During Roux-en-Y Gastric Bypass Using Ifabond® Surgical Glue

There is no consensus regarding the optimal technique for mesenteric defects' closure after Roux-en-Y gastric bypass (RYGB). In our article, we will describe our experience with mesenteric defect closure during RYGB using n-Hexyl-Cyanoacrylate surgical glue.

We conducted a prospective study based on a non-randomized, monocentric, single-operator data collection between January 2018 and January 2022. Included patients were undergoing first and second intention RYGB for morbid obesity. In total, 357 patients underwent RYGB among whom 202 patients (56.5%) underwent mesenteric defect closure with a non-absorbable barbed running suture, and 155 patients (43.5%) underwent closure with n-Hexyl-Cyanoacrylate surgical glue.

After a mean follow-up duration of 28 months, there was no surgical revision in the surgical glue group. As for the group who received a running suture, two patients (1%) underwent laparoscopic surgical revision for an internal hernia.

Defect closure during RYGB using n-Hexyl-Cyanoacrylate surgical glue seems to be a fast, effective, and safe technique which avoids the risk of mesenteric trauma.