Laparoscopic Single Incision -Vs- Multiple Incision Gastric Band Surgery

A Prospective Double Blinded Randomised Control Trial Comparing Laparoscopic Single Incision Versus Multiple Incision Adjustable Gastric Band Surgery in Patients With Morbid Obesity

A double blinded randomised control trial comparing the differences between laparoscopic single incision versus multiple port bariatric surgery in morbidly obese patients (BMI>35). Single incision surgery is a new minimally invasive surgical technique requiring the surgeon to operate through one small single incision and is virtually scarless. The traditional laparoscopic approach to abdominal surgery is through multiple small incisions (4-7 ports) across the whole abdomen. This study seeks to identify the risks, benefits and costs of the adjustable gastric band insertion via single incision and multiple incision within the morbidly obese patient group.

Inclusion Criteria:

• Morbidly obese patients, BMI ≥35 kg/m2
• Undergoing gastric band surgery
• Undergone a pre-weight loss surgery risk assessment
• Fit for anaesthesia and surgery
• Fulfil day surgery criteria
• Full understanding of bariatric procedure, with informed consent of the risks and benefits of laparoscopic single incision and multiple incision surgery

Exclusion Criteria:

• Pregnancy
• History of portal hypertension
• Previous gastric surgery or large hiatus hernia
• Previous laparotomy or bariatric surgery
• Weight >150kg (day surgery limit)
• Unwilling to consider surgical treatment