Periprosthesis sepsis: an undesirable complication of silicone gastric banding

Obes Surg. 1998 Apr;8(2):211-4. doi: 10.1381/096089298765554836.

Abstract

Background: Gastric banding is a very satisfactory procedure for the treatment of morbid obesity. The significant incidence of skin suppuration in these patients makes the laparoscopic approach a suitable technique. Regardless of this, in some cases, suppuration can still rarely result.

Methods and results: In four patients the authors observed diffusion of suppuration in both directions along the catheter which connects the port to the band, necessitating band removal and thus invalidating the procedure.

Conclusions: Suppuration of port location is an undesirable complication that must be avoided because it may contaminate the entire device system. This complication must be carefully evaluated for a correct diagnosis and an eventual removal of the band.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cutaneous Fistula / diagnostic imaging
  • Cutaneous Fistula / etiology*
  • Female
  • Gastroplasty / adverse effects*
  • Gastroplasty / instrumentation
  • Humans
  • Incidence
  • Male
  • Obesity, Morbid / surgery*
  • Prosthesis Failure
  • Prosthesis-Related Infections / diagnostic imaging
  • Prosthesis-Related Infections / etiology*
  • Radiography
  • Reoperation
  • Sepsis / diagnostic imaging
  • Sepsis / etiology*
  • Silicones*
  • Suppuration
  • Surgical Wound Infection / diagnostic imaging
  • Surgical Wound Infection / etiology*

Substances

  • Silicones