The critical role of the learning curve for different bariatric procedures to diminish the postoperative complication rates is very well known. Recording every procedure could reduce every learning curve for different bariatric procedures. The aim of our study was to evaluate the correlation between recording every bariatric surgery and postoperative analysis of early or late postoperative complications.
377 patients underwent a bariatric procedure between January2018-January2019. There were:314 sleeve;54 bypass and 9 bands. All procedures were recorded and all patients were enrolled in IFSO registry.
There were 10 patients with surgical postoperative complications: 3 leaks,6 hemorrhages and one stenosis.All complications were recorded following sleeve except one bleeding from jejuno-jejunal anastomosis. In 3 cases a site of active bleeding was identified. After reviewing the video, in 2 cases the site was correlated with the initial procedure. 2 out 3 cases of leak following sleeve was treated purely endoscopic and no potential mechanism was identified. Two other potential benefits were identified: a better evaluation of gastric pouch for the treatment of ulcer post bypass and the review of two preoperative incidents with the whole team. Two negative diagnostic laparoscopies were performed. All other cases were completed by laparoscopy with no conversion.
To record every bariatric procedure could help in understanding the mechanism of certain complications, especially when the analysis is performed within the team. Still recording the procedure did not prevent the negative diagnostic laparoscopy, but could play in the future a role from medico-legal aspect.