{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T13:13:27Z","timestamp":1778073207921,"version":"3.51.4"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Postoperative bleeding from the staple line remains a significant complication after laparoscopic sleeve gastrectomy, occurring in 0.6%\u20133.4% of cases. This study presents a modified surgical technique utilizing Hemoben hemostatic powder combined with omental reinforcement to prevent early bleeding complications. Between 2019 and 2022, 187 patients with morbid obesity underwent laparoscopic sleeve gastrectomy. The intervention group (n\u2009=\u200995) received the modified technique with Hemoben powder application and distal staple line reinforcement with omentum, while the control group (n\u2009=\u200992) underwent conventional oversewing. The modified technique demonstrated lower bleeding rates (1.05% vs 3.26%, P\u2009=\u2009.36, Fisher\u2019s exact test; 95% confidence intervals provided), reduced operative time by 10\u201315\u00a0min, and decreased transfusion requirements. No reoperations for bleeding were needed in the intervention group compared to one case in controls. The technique is simple, cost-effective, and provides reliable hemostasis without prolonging surgery duration. This modified approach demonstrates promising observational results as an alternative for preventing staple line bleeding in sleeve gastrectomy procedures and requires prospective multicenter validation.<\/jats:p>","DOI":"10.1093\/jscr\/rjag334","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T12:49:30Z","timestamp":1776430170000},"source":"Crossref","is-referenced-by-count":0,"title":["Modified sleeve gastrectomy technique with Hemoben hemostatic powder: prevention of early postoperative bleeding"],"prefix":"10.1093","volume":"2026","author":[{"given":"Alijon Salimovich","family":"Murodov","sequence":"first","affiliation":[{"name":"Department of Surgical Diseases in Family Medicine, Tashkent State Medical University , Tashkent Almazar district, Farobii st. 2, 100109 ,","place":["Uzbekistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamol Kamalovich","family":"Toshpulatov","sequence":"additional","affiliation":[{"name":"Department of Surgical Diseases in Family Medicine, Tashkent State Medical University , Tashkent Almazar district, Farobii st. 2, 100109 ,","place":["Uzbekistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9890-3858","authenticated-orcid":false,"given":"Jafar Zafarovich","family":"Juraev","sequence":"additional","affiliation":[{"name":"Department of Surgical Diseases in Family Medicine, Tashkent State Medical University , Tashkent Almazar district, Farobii st. 2, 100109 ,","place":["Uzbekistan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,5,6]]},"reference":[{"key":"2026050608274923800_ref1","doi-asserted-by":"publisher","first-page":"3783","DOI":"10.1007\/s11695-018-3450-2","article-title":"IFSO worldwide survey 2016: primary, endoluminal, and revisional procedures","volume":"28","author":"Angrisani","year":"2018","journal-title":"Obes Surg"},{"key":"2026050608274923800_ref2","doi-asserted-by":"publisher","first-page":"e2018.00056","DOI":"10.4293\/JSLS.2018.00056","article-title":"Staple line treatment and bleeding after laparoscopic sleeve gastrectomy","volume":"22","author":"Zafar","year":"2018","journal-title":"JSLS"},{"key":"2026050608274923800_ref3","doi-asserted-by":"publisher","first-page":"396","DOI":"10.1007\/s00464-019-06782-2","article-title":"Comparison of laparoscopic sleeve gastrectomy leak rates in five staple-line reinforcement options: a systematic review","volume":"34","author":"Gagner","year":"2020","journal-title":"Surg Endosc"},{"key":"2026050608274923800_ref4","doi-asserted-by":"publisher","first-page":"1767","DOI":"10.1007\/s11695-015-1584-z","article-title":"Costs of leaks and bleeding after sleeve gastrectomies","volume":"25","author":"Bransen","year":"2015","journal-title":"Obes Surg"},{"key":"2026050608274923800_ref5","doi-asserted-by":"publisher","first-page":"2449","DOI":"10.1007\/s11695-019-03883-8","article-title":"The impact of staple line reinforcement utilization on bleeding and leak rates following sleeve gastrectomy for severe obesity","volume":"29","author":"Cunningham-Hill","year":"2019","journal-title":"Obes Surg"},{"key":"2026050608274923800_ref6","doi-asserted-by":"publisher","first-page":"839","DOI":"10.1080\/08941939.2019.1665380","article-title":"Is there necessity for oversewing the staple line during laparoscopic sleeve gastrectomy? An updated systematic review and meta-analysis","volume":"33","author":"Wu","year":"2020","journal-title":"J Invest Surg"},{"key":"2026050608274923800_ref7","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1016\/j.soard.2013.10.018","article-title":"Comparative use of different techniques for leak and bleeding prevention during laparoscopic sleeve gastrectomy: a multicenter study","volume":"10","author":"D'Ugo","year":"2014","journal-title":"Surg Obes Relat Dis"},{"key":"2026050608274923800_ref8","doi-asserted-by":"publisher","first-page":"218","DOI":"10.1007\/s11695-017-2835-y","article-title":"A randomized comparison between staple-line oversewing versus no reinforcement during laparoscopic vertical sleeve gastrectomy","volume":"28","author":"Taha","year":"2018","journal-title":"Obes Surg"},{"key":"2026050608274923800_ref9","doi-asserted-by":"publisher","first-page":"sti45\/1846","DOI":"10.52198\/25.STI.45.GS1846","article-title":"Assessment of hemostatic powder in order to prevent staple line bleeding after sleeve gastrectomy in high-risk patients: a multicentric randomized controlled trial","volume":"45","author":"Salsano","year":"2024","journal-title":"Surg Technol Int"},{"key":"2026050608274923800_ref10","doi-asserted-by":"publisher","first-page":"3547","DOI":"10.1007\/s00464-016-5383-y","article-title":"Perioperative hemorrhagic complications after laparoscopic sleeve gastrectomy: four-year experience of a bariatric center of excellence","volume":"31","author":"De Angelis","year":"2017","journal-title":"Surg Endosc"},{"key":"2026050608274923800_ref11","doi-asserted-by":"publisher","first-page":"7437","DOI":"10.1007\/s00464-023-10201-y","article-title":"Timing and management of bleeding after bariatric surgery","volume":"37","author":"Naeem","year":"2023","journal-title":"Surg Endosc"},{"key":"2026050608274923800_ref12","doi-asserted-by":"publisher","first-page":"836","DOI":"10.1016\/j.asjsur.2020.12.036","article-title":"Can staple-line reinforcement eliminate the major early postoperative complications after sleeve gastrectomy?","volume":"44","author":"Lin","year":"2021","journal-title":"Asian J Surg"},{"key":"2026050608274923800_ref13","doi-asserted-by":"publisher","first-page":"1950","DOI":"10.1002\/wjs.12271","article-title":"Analysis of the effect of staple line reinforcement on leaking and bleeding after sleeve gastrectomy from the UK National Bariatric Surgery Registry","volume":"48","author":"Niaz","year":"2024","journal-title":"World J Surg"},{"key":"2026050608274923800_ref14","doi-asserted-by":"publisher","first-page":"8481","DOI":"10.1007\/s00464-022-09146-5","article-title":"Is staple line oversewing in patients on chronic anticoagulation during laparoscopic sleeve gastrectomy necessary?","volume":"36","author":"Sebastian","year":"2022","journal-title":"Surg Endosc"},{"key":"2026050608274923800_ref15","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1007\/s11695-023-07040-0","article-title":"Clinical management of major postoperative bleeding after bariatric surgery","volume":"34","author":"Kollmann","year":"2024","journal-title":"Obes Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/5\/rjag334\/68226639\/rjag334.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/5\/rjag334\/68226639\/rjag334.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T12:27:53Z","timestamp":1778070473000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag334\/8670404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5,5]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag334","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,5]]},"published":{"date-parts":[[2026,5]]},"article-number":"rjag334"}}