Invasive weight loss surgery is on the rise, weight loss surgery is increasing, but patients need to look for hospitals that conducted this procedure at least 100 times to help ensure their safety.
Interest in gastric bypass surgery, gastric bypass surgery, in which part of the stomach is ignored to help obese people lose weight, continues to grow. And now surgeons are becoming increasingly for a less invasive technique called laparasposcopic gastric bypass surgery.
instead of a large cut in the center of the abdomen, this technique uses several small cuts to perform the surgery, using a camera to see inside the abdomen. Recovery time after this technique is usually much lower than after traditional surgery, and patients experience less pain.
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While researchers say that the introduction of this new technique was "tremendous general benefit", they add that it is also a "double-edged sword".
Dramatically decreases infection rates, pain after surgery and duration of hospital stay. But it is much more challenging technically than the traditional technique of surgery.
Therefore, the Tufts - New England Medical Center researchers wanted to see if the security of this new technique has improved as more of these surgeries were made. They have been specifically evaluating the safety of a weight loss surgery procedure called Roux-en-en-en-en-en-en-en-y-y bypass.
The study by Scott A. Shikora, MD and colleagues appear in the April issue of the files of surgery.The researchers analyzed 750 consecutive laparoscopic surgeries made between March 1998 and April 2004. On average, patients had a mass body rate (BMI) (BMI) of 47.
An IMC above 25 is associated with increased health risks such as heart disease and diabetes. But weight loss surgery is usually reserved for patients with an IMC over 35 who have health conditions related to obesity and that they were not successful with diet and exercise programs.
The researchers found that the main complications of surgery fell significantly once at least 100 surgeries were performed in a hospital.. Blood loss, operating time and duration of hospital stay improved.
Average operation time fell from 212 minutes to the first 100 cases to the next 100 cases. This is important for security, because less time under anesthesia reduces the chance of complications during and after surgery. In the last 100 surgeries, the operating time fell to 105 minutes.
Complications occurred in 26% of the first 100 cases compared to 11% in the next 100 cases. Possible complications include infection and damage to internal organs.
There was only one death in the first 100 cases. There were no deaths in the last 100 cases.
"The procedure has never been safer due to the introduction of minimally invasive technologies, but also for improvements in patient preparation, anesthetic management and postoperative care," write the researchers.
They say looking for a hospital that has done at least 100 laparoscopic gastric bypass surgeries should help reduce complications seen with this challenging procedure.
