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Laparoscopic surgery in the bariatric surgery
Laparoscopic surgery in the bariatric surgery
Laparoscopic surgery - a way to perform surgery without cutting the abdomen. Instead, the surgeon makes an incision several punctures through which introduces special tools. What is happening inside the patient's surgical team through video monitors connected to an optical device, which is also inserted into the abdomen through the puncture.
Thanks laparoscopic surgery is "minimally invasive", that is not causing significant trauma patient tissues and organs. Can you imagine how important it is for people who are overweight? Lightning fast development of bariatric surgery in the last decade, due solely to the appearance of laparoscopy as a method of operation. Everything, even the most complex bariatric operations we perform laparoscopically.
The use of laparoscopy in ten times reduces the number of postoperative complications, four shortens recovery, translating a number of complex surgical procedures in an outpatient discharge, all of which fully applies to thin patients. As for fat people: the traditional operation with a slit stomach for them is none other than a disaster. A large number of fat is living tissue (see all of the adipose tissue), so the intersection of such a mass of living cells leads to a significant increase in total body injury applied during the operation.
Poorly supplied with blood adipose tissue becomes a breeding ground for germs, always falling into the wound, though sterile conditions. This often leads to suppuration, and in some cases accompanied by dehiscence. The need to keep operating the seams of the differences, forcing patients in bed for three nights or more. This immobilization is dangerous for human health, especially for patients undergoing complex surgery and overweight: You can expect to pneumonia, thrombosis and thromboembolism.
To see the advantages of laparoscopy for bariatric operations quite a bit to trace the history of this trend in surgery (see story surgery weight loss). For over fifty years performed a variety of options for such interventions, but the breakthrough came only after a failed gastric bypass surgery laparoscopically.
In 2004, only in the U.S. and Canada holds more than 140 000 bariatric operations, and the annual increase in this type of intervention takes place exclusively through laparoscopy. No wonder - a pragmatic Americans do not want complications. And at the end of this short note, let me say: do not operate on obese people "open" manner. Of course, sometimes in the course of the operation may need to transition to open access, but it's only for emergencies. Begin the same operation should always laparoscopically.
