Unexpected Intraoperative Findings, Situations, and Complications in Bariatric Surgery
| Autor: | Gianluca Donatini, Elisa M. Sepúlveda, Paul Joo, Cristian J. Ortiz, Carlos Zerrweck, Lizbeth Guilbert |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Endocrinology Diabetes and Metabolism Bariatric Surgery Tissue Adhesions 030209 endocrinology & metabolism Anastomosis Methylene blue test Hiatal hernia Abdominal wall 03 medical and health sciences Postoperative Complications 0302 clinical medicine Outcome Assessment Health Care medicine Humans In patient Intraoperative Complications Adverse effect Retrospective Studies Incidental Findings Nutrition and Dietetics business.industry Incidence Incidence (epidemiology) Retrospective cohort study Middle Aged medicine.disease Hernia Ventral Obesity Morbid Surgery Hernia Hiatal medicine.anatomical_structure Female Laparoscopy 030211 gastroenterology & hepatology business |
| Zdroj: | Obesity Surgery. 29:1281-1286 |
| ISSN: | 1708-0428 0960-8923 |
| DOI: | 10.1007/s11695-018-03672-9 |
| Popis: | Bariatric surgery is considered a safe therapy to treat obesity. Postoperative complications are well known; however, there is a lack of data describing intraoperative complications and/or unexpected findings, and if there is further impact on outcomes. Retrospective study with patients operated between 2013 and 2016 at a single institution. All operative information was collected prospectively and aimed to analyze the incidence and causes of unexpected intraoperative findings, complications, change in surgical plan, extra surgeries, and procedure interruption in patients submitted to bariatric surgery. Secondarily, a morbidity analysis was performed, correlating intraoperative complications with postoperative complications and length of stay. Four-hundred and five patients were included. Female sex comprised 82% of cases, and a median age of 38 years old was observed; almost 90% were gastric bypass. In 29.3% of cases, there were intraoperative findings, mainly adhesions, abdominal wall hernias, positive methylene blue test, hiatal hernias, and gastrointestinal stromal tumors. Associated surgeries were performed in 8.6% cases, and intraoperative adverse events reported in 7.1%, where organ injury and anastomosis problems were the most frequent. A change in the operative plan was done in 0.9% and surgery interruption in 1.2% of the cases. Early complications were observed in 6.6%. There was no correlation between intraoperative complications and length of stay or early complications. Unexpected intraoperative findings/complications are common in bariatric surgery, but without increasing morbidity or length of stay. Surgery suspension, change in the planned technique, or adding extra (non-bariatric) procedures may occur. |
| Databáze: | OpenAIRE |
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