Modern principles of prevention of early postoperative complications in bariatric surgery (review of literature)
The article presents the problem of the development of complications of bariatric surgery in the early postoperative period. After the start of the use of endovideosurgical technologies in bariatric surgery, the incidence of general surgical complications in the early postoperative period dropped sh...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2022-09-01
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| Series: | Вестник хирургии имени И.И. Грекова |
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| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/1660 |
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| author | K. A. Anisimova D. I. Vasilevskii S. G. Balandov A. Yu. Korolkov Z. M. Hamid |
| author_facet | K. A. Anisimova D. I. Vasilevskii S. G. Balandov A. Yu. Korolkov Z. M. Hamid |
| author_sort | K. A. Anisimova |
| collection | DOAJ |
| description | The article presents the problem of the development of complications of bariatric surgery in the early postoperative period. After the start of the use of endovideosurgical technologies in bariatric surgery, the incidence of general surgical complications in the early postoperative period dropped sharply to 2-6 %. Nevertheless, serious complications still arise, the frequency and type of which largely depends on the patient's comorbidity and the complexity of the operation. The most formidable and difficult complication in treatment is the failure of the sutures of the stomach stump (stapler line), which is more often characteristic of longitudinal resection of the stomach and occurs in 1.5-2.4 % of cases. Deep vein thrombosis is another serious complication in bariatric surgery - the incidence ranges from 2.4 to 4.5 %. Bleeding is no less serious complication of obesity surgery. The frequency of repeated interventions associated with bleeding in the early postoperative period is 11 %. Moreover, in 85 % of cases, conservative methods of stopping bleeding are successful. Considering that the permissible operational lethality of bariatric operations should not exceed 0.1 %, the issues of developing a unified concept of prevention methods to reduce the incidence of complications in patients with morbid obesity remain relevant. |
| format | Article |
| id | doaj-art-1eb9f8d2e633492aa8fcb4a2f2b567f3 |
| institution | DOAJ |
| issn | 0042-4625 |
| language | Russian |
| publishDate | 2022-09-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj-art-1eb9f8d2e633492aa8fcb4a2f2b567f32025-08-20T03:02:28ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252022-09-01181110711110.24884/0042-4625-2022-181-1-107-1111373Modern principles of prevention of early postoperative complications in bariatric surgery (review of literature)K. A. Anisimova0D. I. Vasilevskii1S. G. Balandov2A. Yu. Korolkov3Z. M. Hamid4Pavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityThe article presents the problem of the development of complications of bariatric surgery in the early postoperative period. After the start of the use of endovideosurgical technologies in bariatric surgery, the incidence of general surgical complications in the early postoperative period dropped sharply to 2-6 %. Nevertheless, serious complications still arise, the frequency and type of which largely depends on the patient's comorbidity and the complexity of the operation. The most formidable and difficult complication in treatment is the failure of the sutures of the stomach stump (stapler line), which is more often characteristic of longitudinal resection of the stomach and occurs in 1.5-2.4 % of cases. Deep vein thrombosis is another serious complication in bariatric surgery - the incidence ranges from 2.4 to 4.5 %. Bleeding is no less serious complication of obesity surgery. The frequency of repeated interventions associated with bleeding in the early postoperative period is 11 %. Moreover, in 85 % of cases, conservative methods of stopping bleeding are successful. Considering that the permissible operational lethality of bariatric operations should not exceed 0.1 %, the issues of developing a unified concept of prevention methods to reduce the incidence of complications in patients with morbid obesity remain relevant.https://www.vestnik-grekova.ru/jour/article/view/1660morbid obesityobesity surgerybariatric surgerycomplications of bariatric surgeryprevention of complications |
| spellingShingle | K. A. Anisimova D. I. Vasilevskii S. G. Balandov A. Yu. Korolkov Z. M. Hamid Modern principles of prevention of early postoperative complications in bariatric surgery (review of literature) Вестник хирургии имени И.И. Грекова morbid obesity obesity surgery bariatric surgery complications of bariatric surgery prevention of complications |
| title | Modern principles of prevention of early postoperative complications in bariatric surgery (review of literature) |
| title_full | Modern principles of prevention of early postoperative complications in bariatric surgery (review of literature) |
| title_fullStr | Modern principles of prevention of early postoperative complications in bariatric surgery (review of literature) |
| title_full_unstemmed | Modern principles of prevention of early postoperative complications in bariatric surgery (review of literature) |
| title_short | Modern principles of prevention of early postoperative complications in bariatric surgery (review of literature) |
| title_sort | modern principles of prevention of early postoperative complications in bariatric surgery review of literature |
| topic | morbid obesity obesity surgery bariatric surgery complications of bariatric surgery prevention of complications |
| url | https://www.vestnik-grekova.ru/jour/article/view/1660 |
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