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the left lobe of the liver in obese patient usually fatty and enlarged and may cause difficulty during bariatric surgery. the aim of this study is to test the impact of routine preoperative ultrasound to evaluate the size of left lobe of the liver as a preoperative predictor for difficulty
the left lobe of the liver in obese patient usually fatty and enlarged and may cause difficulty during bariatric surgery. the aim of this study is to test the impact of routine preoperative ultrasound to evaluate the size of left lobe of the liver as a preoperative predictor for difficulty. two equal groups of patients are operated by laparoscopic sleeve gastrectomy with loop bipartition, in one group routine abdominal ultrasound is done, in the other group ultrasound not routinely done.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| preoperative left lobe measurement | Experimental | routine preoperative left lobe measurement |
|
| Control group | Active Comparator | Control group without routine measurement of left lobe |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Routine measurement of left lobe | Other | Routine preoperative measurement of left lobe |
|
| Measure | Description | Time Frame |
|---|---|---|
| intraoperative maximum diameter of left lobe of the liver | intraoperative maximum diameter of left lobe of the liver in centimeter using intraoperative tape | 4 hours |
| score of difficulty | score of difficulty from:exposure of the hiatus, retraction of the liver and operative time | 6 hours |
| Measure | Description | Time Frame |
|---|---|---|
| operative time | operative time from skin to skin | 6 hours |
| incidence of intraoperative complications | incidence of intraoperative complications like bleeding,or injury to intra-abdominal organ |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alaa M Sewefy | Minia University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of medicine | Minya | 61511 | Egypt |
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| ID | Term |
|---|---|
| D009767 | Obesity, Morbid |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
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| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
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| control group | Other | no routine preoperative measurement of left lobe |
|
| 3 days |
| early postoperative complications | early postoperative complications like leak or vomiting | 2 weeks |
| D009750 |
| Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D008722 | Methods |