Eric Niville MD, Department of Abdominal Surgery, Ziekenhuis Oost-Limburg, Genk- Belgium.
Introduction
CHARACTERISTICS OF BIORING:
designer for laparoscopic implantation;
Low-pressure, high-volume band;
circularly preshaped;
made of supple silicon;
easy reopening and reclosing at initial procedure of during revisional surgery;
choice of access ports.
Materials and methods
Between March 2003 and July 2005 (28 months):
165 patients
patients characteristics:
1. made/female: 43/122;
2. ages: 18-66 years (mean 40);
3. weights: 88-190 kg (mean 117);
4. BMI: 34-59 (mean 42.5)
all pars flaccida route;
adjustments started from 3th week;
follow-up is complete for 163 patients.
Results:
All procedures started and finished laporoscopically.
No intraoperative complications.
Postoperative complications:
two mild and transient early dysphagias.
Latecomplications requiring surgery:
1 leak of tubing caused by puncturing it during adjustment.
1 late pouch dilatation > laparoscopic repositioning of band.
Weight evolution:
| MONTHS POSTOPERATION | ¹ PATIENTS | %LEBW |
| 3 | 148 | 23 |
| 6 | 133 | 35 |
| 12 | 97 | 48 |
| 18 | 60 | 53 |
| 24 | 13 | 58 |
| 28 | 3 | 58 |
Conclusion:
Overall results are comparable to those reported in better series with other bands. We noticed a sharp drop in the number of early dysphagias compared to formerly used bands. This is attributable to the ease of opening and reclosing the ring.
If the constriction is judged as too tight, the surgeon will not be reluctant to open the band and incise or remove some pericardial fat.
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