Sina Antoine, Mouawad Christian
Santé Atlantique Private Hospital, Saint-Herblain, France.
Centre Hospitalier Intercommunal de Villeneuve-Saint-Georges, Villeneuve-Saint-Georges, France.
Obes Surg. 2025 Jun;35(6):2274-2276. doi: 10.1007/s11695-025-07873-x. Epub 2025 May 5.
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.
关于Roux-en-Y胃旁路术（RYGB）后肠系膜缺损的最佳闭合技术尚无共识。在我们的文章中，我们将描述我们在RYGB期间使用正己基氰基丙烯酸酯手术胶水闭合肠系膜缺损的经验。
我们进行了一项前瞻性研究，基于2018年1月至2022年1月期间非随机、单中心、单一操作者的数据收集。纳入的患者因病态肥胖接受初次和二期RYGB手术。共有357例患者接受了RYGB手术，其中202例患者（56.5%）使用不可吸收倒刺连续缝合进行肠系膜缺损闭合，155例患者（43.5%）使用正己基氰基丙烯酸酯手术胶水进行闭合。
平均随访28个月后，手术胶水组未进行手术翻修。对于接受连续缝合的组，有两名患者（1%）因内疝接受了腹腔镜手术翻修。
在RYGB期间使用正己基氰基丙烯酸酯手术胶水闭合缺损似乎是一种快速、有效且安全的技术，可避免肠系膜创伤的风险。
