Anesthesia and postoperative complications in sleeve gastrectomy operations performed in morbid obesity surgery

Küçük Resim Yok

Tarih

2021

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

KUWAIT MEDICAL ASSOC

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Objectives: Sleeve gastrectomy is one of the most popular bariatric procedures today. Following laparoscopic interventions, common complications such as bleeding, organ damage, respiratory problems and emboli development are observed. The objective of this study was to evaluate our experiences with anesthesia and postoperative complications in sleeve gastrectomy operations performed in morbid obesity surgery. Design: Prospective study Setting: Operation room Subjects: Sixty adult patients who provided informed consent and who underwent laparoscopic sleeve gastrectomy from November 2015 to January 2019 (N=60). Intervention: Data collection, sleeve gastrectomy operation Main outcome measures: Postoperative complications were evaluated under headings: bleeding, respiratory problems, prolonged mechanical ventilation, prolonged hospital stay, emboli development and mortality. Results: None of the patients had mortality. Mean age was 36.2 (range: 18-59) years. Of the 60 morbid obese patients, 86.6% were female. Mean preoperative body mass index was 48.7 (range: 37-60) kg/m(2). The integrity of the anastomosis was controlled with a 36 French orogastric tube. The mean operating time was 43 minutes (range: 34-72) Two patients (3.3%) were re-intubated due to hypercarbia. Only two patients had bleeding on the postoperative 1st day. Mean length of hospital stay was 4.8 days. Conclusions: We believe there are fewer risks in the laparoscopic sleeve gastrectemy technique if there is careful preoperative patient preparation and evaluation with a multidisciplinary approach, appropriate perioperative anesthesia management, successful coordination with the surgical team and postoperative care.

Açıklama

Anahtar Kelimeler

Anesthesia, Laparoscopic Sleeve Gastrectomy, Postoperative Complications

Kaynak

KUWAIT MEDICAL JOURNAL

WoS Q Değeri

Q4

Scopus Q Değeri

N/A

Cilt

53

Sayı

3

Künye

Gencer, M. & Sipahi, M. (2021). Anesthesia and postoperative complications in sleeve gastrectomy operations performed in morbid obesity surgery, KUWAIT MEDICAL JOURNAL 53 (3).