WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

World Journal of Advance Healthcare Research (WJAHR) has indexed with various reputed international bodies like : Google Scholar , Index Copernicus , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , Cosmos Impact Factor , Scientific Indexing Services (SIS) , UDLedge Science Citation Index , International Impact Factor Services , International Society for Research Activity (ISRA) Journal Impact Factor (JIF) , IFSIJ Measure of Journal Quality , Scientific Journal Impact Factor (SJIF) , International Scientific Indexing, UAE (ISI) (Under Process) , International Impact Factor Services (IIFS) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Academia , Scope Database , 

ISSN 2457-0400

Impact Factor  :  6.711

News & Updation

  • Article Invited for Publication

    Dear Researcher, Article Invited for Publication  in WJAHR coming Issue.

  • Journal web site support Internet Explorer, Google Chrome, Mozilla Firefox, Opera, Saffari for easy download of article without any trouble.

    .

  • 6th International Conference on Human and Soci

    Venue:FCT Education Resource Center, Abuja- Nigeria                                        September 22-24, 2019

  • .

    6th INTERNATIONAL CONFERENCE ON EDUCATIONAL TECHNOLOGY AND CURRICULUM STUDIES(ICETC2019) 

     

    Venue: FCT Education Resource Center, Abuja-Nigeria

    September 22-24, 2019

  • WJAHR: New Impact Factor

    WJAHR Impact Factor has been Increased to 6.711 for Year 2024.

  • New Issue Published

    Its Our pleasure to inform you that, WJAHR JULY 2024 Issue has been Published, Kindly check it on https://www.wjahr.com/home/current_issues

  • WJAHR: JULY ISSUE PUBLISHED

    JULY 2024 Issue has been successfully launched on JULY 2024.

Best Paper Awards

World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.

Best Article of current issue

Download Article : Click here

Indexing

Abstract

LIVER RETRACTION AND ASSOCIATED- COMPLICATIONS IN LAPAROSCOPIC BARIATRIC SURGERY: A SYSTEMATIC REVIEW OF THE CURRENT LITERATURE

Fidele Kakule Kitaghenda* and Sakarie Mustafe Hidig

ABSTRACT

Background: Adequate visualization of the operative field and workspace is essential in laparoscopic bariatric surgery (LBS). Therefore, different methods have been described to retract the left lobe of the liver. This review aims to appraise all existing published data on liver retractor methods in LBS and assess their feasibility and associated complications. Methods: A systematic literature search was performed on PubMed, Google Scholar, and the Cochrane Library, to identify eligible retrospective and randomized clinical trial (RCT) studies conducted and published before June 2023. Data on different liver retraction methods in LBS and associated complications were included in this review. Results: A total of 16 studies met the inclusion criteria and 5096 patients were included in this review. Various liver retraction methods have been described in LBS. Traditional liver retractors (snake retractor, PretzeFlex, and Nathanson), were associated with significant liver function derangement, postoperative pain, and longer hospital stay. Portless liver retractor methods were shown to be effective, however, with an increased retraction fixation time and additional instruments. Conclusion: Traditional liver retractors have shown to be effective, however, with significant adverse effects on liver function, postoperative pain, longer hospital stays, and trocar port-associated complications. On the other hand, portless liver retractor methods have proved to be less traumatic and flexible to adapt to the many different aspects of foregut surgery with the implication for single-incision bariatric surgery.

[Full Text Article] [Download Certificate]