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Gastropexy using the Carter-Thomason device in lieu of T-fasteners in a critically ill, severely obese patient: an innovative technique.

Publication ,  Journal Article
Rosenberger, LH; Hu, Y; Yang, Z; Sawyer, RG
Published in: Surg Laparosc Endosc Percutan Tech
October 2012

A gastropexy with T-fasteners can maintain gastric apposition to the abdominal wall before a mature gastrocutaneous fistula. In patients at high risk for inadvertently removing their percutaneous endoscopic gastrostomy tube, or those in whom early, unintentional removal and subsequent laparotomy would be catastrophic, the T-fasteners can act as a safety mechanism. We present a case of an obese patient, for whom a surgical gastrostomy was not practical, and the T-fastener system had inadequate length to traverse the abdominal wall. Innovatively a fascial closure device was used in a similar fashion to create an equivalent gastropexy. Obesity frequently complicates surgical and critical care, providing additional technical challenges. We must continue to be creative and innovatively utilize current equipment to deliver more effective and safer care for this unique patient population.

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Published In

Surg Laparosc Endosc Percutan Tech

DOI

EISSN

1534-4908

Publication Date

October 2012

Volume

22

Issue

5

Start / End Page

e316 / e318

Location

United States

Related Subject Headings

  • Suture Techniques
  • Surgery
  • Stomach
  • Obesity, Morbid
  • Male
  • Humans
  • Gastrostomy
  • Gastropexy
  • Equipment Design
  • Critical Illness
 

Citation

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Rosenberger, L. H., Hu, Y., Yang, Z., & Sawyer, R. G. (2012). Gastropexy using the Carter-Thomason device in lieu of T-fasteners in a critically ill, severely obese patient: an innovative technique. Surg Laparosc Endosc Percutan Tech, 22(5), e316–e318. https://doi.org/10.1097/SLE.0b013e318264cf88
Rosenberger, Laura H., Yinin Hu, Zequan Yang, and Robert G. Sawyer. “Gastropexy using the Carter-Thomason device in lieu of T-fasteners in a critically ill, severely obese patient: an innovative technique.Surg Laparosc Endosc Percutan Tech 22, no. 5 (October 2012): e316–18. https://doi.org/10.1097/SLE.0b013e318264cf88.
Rosenberger LH, Hu Y, Yang Z, Sawyer RG. Gastropexy using the Carter-Thomason device in lieu of T-fasteners in a critically ill, severely obese patient: an innovative technique. Surg Laparosc Endosc Percutan Tech. 2012 Oct;22(5):e316–8.
Rosenberger, Laura H., et al. “Gastropexy using the Carter-Thomason device in lieu of T-fasteners in a critically ill, severely obese patient: an innovative technique.Surg Laparosc Endosc Percutan Tech, vol. 22, no. 5, Oct. 2012, pp. e316–18. Pubmed, doi:10.1097/SLE.0b013e318264cf88.
Rosenberger LH, Hu Y, Yang Z, Sawyer RG. Gastropexy using the Carter-Thomason device in lieu of T-fasteners in a critically ill, severely obese patient: an innovative technique. Surg Laparosc Endosc Percutan Tech. 2012 Oct;22(5):e316–e318.

Published In

Surg Laparosc Endosc Percutan Tech

DOI

EISSN

1534-4908

Publication Date

October 2012

Volume

22

Issue

5

Start / End Page

e316 / e318

Location

United States

Related Subject Headings

  • Suture Techniques
  • Surgery
  • Stomach
  • Obesity, Morbid
  • Male
  • Humans
  • Gastrostomy
  • Gastropexy
  • Equipment Design
  • Critical Illness