IBC-Oxford University2023_BJSOral_21Video Presentation: Bikini Line Access in Bariatric Surgery - 8 years’ experience

Abstract

Abstract Laparoscopic bariatric surgery is constantly advancing to minimize surgical trauma and enhance cosmetic outcomes, particularly among young women and patients who are concerned about the appearance of their scars. In line with this, we developed the Bikini Line Sleeve Gastrectomy (BLSG) approach to make the port site scars from LSG less noticeable. This approach involves placing the trocars at the lower abdomen, along the curved line just above the symphysis pubis. The aim of this placement is to achieve a more aesthetically pleasing outcome, as the scars are concealed within the bikini line. During the implementation of the BLSG technique, it was observed that some patients would come back with gallstones. So we started performing Bikini Line Cholecystectomy. Furthermore, some patients also had a concurrent hiatal hernia that needed to be addressed. The challenge was to perform the hiatal hernia repair using the same access points without compromising the safety or efficiency of the repair. Finally, we started exploring the bikini line access during one anastomosis gastric bypass.