Laparoscopic adjustable gastric banding combined with other surgical procedures
Παρουσιάστηκε στο 12th Congress of IFSO, Porto, Portugal 5-8 Sept 2007
Background: Laparoscopic adjustable gastric banding is a frequently performed and effective weight loss operation. At the time of operation, obese patients may present with other surgical problems requiring a combined procedure. In this study, the authors examined both intraoperative as well as postoperative morbidity in patients undergoing gastric banding combined with a second surgical procedure.
Methods: From April 2004 until April 2007, 940 patients underwent gastric banding using the Helioscopie band (Heliogast® HAGE). In 52 patients (5.5%) a combined procedure was performed. The authors reviewed the type of operation, hospitalization length of stay and complications.
Results: 20 patients underwent gastric banding combined with abdominoplasty, 12 with cholecystectomy, 10 with umbilical hernia repair, 4 with hiatal hernia repair, 2 with ovarian cyst removal, 1 with large lipoma excision, 1 with hysterectomy, 1 with vaginal polyp excision and 1 with salivary stone removal. Hospitalization length of stay was longer in patients having abdominoplasty and hysterectomy (4 days). Only patients with abdominoplasty developed complications (flap necrosis: 3 patients, seroma: 2 patients, pulmonary embolism: 1 patient).
Conclusion: In obese patients, gastric banding can be safely performed in combination with other surgical procedures. A careful selection of patients is necessary when gastric banding is combined with abdominoplasty.
επιστροφή
MEDIA
DIGITAL MEDIA STUDIO
