Is it common practice to use staples that also have self suturing sutures for the vsg. And tissue glue as well?

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Yep. mine did.

My surgeon used no external staples -- just the suturing glue with some miraculous long-lasting pain med mixed with the glue (I don't recall having any incision pain at all). My incisions healed great, and 20 months later I have a hard time finding my scars.

Hmmmmm, I was referring to the sleeve, not the incisions. My incisions just had a couple of sutures in each one.

However the sleeve was stapled, then over-sutured and finally glued. No leaks there.

Yes, sorry, i meant for the actual sleeve (stomach). Im doing a couple of surgeons visits and the first surgeon mentioned he uses staples with self suturing sutures and tissue glue, i wasnt sure if this was something just his practice does or if it's standard.

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