B
  Желудочный бандаж Bioring    
   
Bioring

LAPAROSCOPIC IMPLANTATION OF THE COUSIN BIORING:
A 28-MONTH STUDY

    Результаты установки изделий Bioring доктором Erik Niville ( Belgium)

    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№ PATIENTS%LEBW
314823
613335
129748
186053
241358
28358


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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