Suspension of Falciform Ligament During Mini Gastric Bypass

Study Overview
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Brief Summary
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The falciform ligament is hanging down in the upper abdomen and usually impede the work during laparoscopic upper GIT surgery, especially in obese patient, so the aim of this study is to evaluate the impact of routine suspension of falciform ligament during mini gastric bypass, which is advanced laparoscopic procedure, by comparing the outcomes in 2 groups of patient in the fist group the investigators will routinely suspend the falciform ligament and the other group the investigators will working without suspension

Detailed Description
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The falciform ligament is hanging down in the upper abdomen and usually impede the work during laparoscopic upper GIT surgery, especially in obese patient, so the aim of this study is to evaluate the impact of routine suspension of falciform ligament during mini gastric bypass, which is advanced laparoscopic procedure, by comparing the outcomes in 2 groups of patient in the fist group the investigators will routinely suspend the falciform ligament and the other group the investigators will working without suspension

Official Title
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Suspension of Falciform Ligament During Mini Gastric Bypass

Conditions
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Upper GIT Surgery

Intervention / Treatment
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* Procedure: Falciform ligament suspension
* Procedure: no suspension


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Morbidly obese patient with BMI more than 40 with or without co-morbidity Morbidly obese patient with BMI more than 35 with co-morbidity Exclusion Criteria: Unfit patients for laparoscopic sleeve gastrectomy Patients refuse to share in the study Patients that already on PPI due to any indications Revisional surgery for obesity Previous upper abdominal surgery

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: falciform ligament suspension<br>routine suspension of falciform ligament during mini gastric bypass, | Procedure: Falciform ligament suspension<br>* routine of falciform ligament suspension during Mini gastric bypass<br>|
| Active Comparator: No suspension<br>working without suspension of the falciform ligament | Procedure: no suspension<br>* working without of falciform ligament suspension during Mini gastric bypass<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the difficulty of working during mini gastric bypass | difficulty of working during mini gastric bypass assessed by many parameters like number of clashing of instruments per one operations and operative time | 5 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| operative time | duration of the operation from skin to skin | 6 hours |