Morbid obesity surgeries have a relatively long preparation process compared to other surgeries. The reason for this is that many relevant units (General Surgery, Internal Medicine/Endocrinology, Psychiatry/Psychology, Chest Diseases, Anesthesia, Nutrition and Dietetics) must work together in the treatment of obesity. All these units work in harmony and play an active role in the preparation of the patient before
surgery and ensure that the necessary precautions are taken to minimize any problems that may arise afterwards.
The first stage of the preparation is blood tests. With these examinations, information is obtained about the general health status of the patient. Blood values, systemic findings (liver, kidney, immune system, etc.), hormone disorders, sugar levels, and the status of the adrenal glands are evaluated. The presence of any disorder that may
cause weight gain is investigated.
After blood tests, the abdominal area is evaluated with ultrasonography.
Fatty liver and the presence of stones in the gallbladder are investigated. Since there is a high probability of developing stones in the gallbladder during the weight loss phase after the surgery,
if there are stones in the gallbladder before the surgery, the gallbladder must also be removed in the same session during the surgery.
Chest x-ray and electrocardiography ( ECG, heart film, electro) are performed.
The internal structure and anatomy of the stomach is evaluated with endoscopy. Possible
masses or ulcers in the stomach and the presence of reflux disease are evaluated and necessary precautions are taken.
In female patients, breast examination and imaging ensure that there is no disease in the breast, gynecological examination
Since the lung functions of obese patients may be impaired, evaluation is performed with a respiratory
function test, and appropriate precautions are taken if necessary. A sleep test is performed in the presence of sleep apnea syndrome.
Internal Medicine/Endocrinology, Psychiatry, Anesthesia, Chest Diseases and, if necessary, Cardiology examinations are performed.
After obesity surgeries, patients' physicians have a high level of compliance
and cooperate fully in the treatment processes, this< br /> Therefore, patients' mental level and mental health must be in good condition.
In this context, Psychiatric examination is very important. Patients with inadequate mental capacity and
poor mental health are very likely to experience post-operative problems and fail to
lose weight.
After the decision for surgery is made, starting 15 days before the surgery,
patients are on a diet. they implement the program. Since this program will be a rehearsal for the diet that patients will follow after
surgery, it also provides information to predict post-operative
compliance. In addition, with this diet
a slight reduction in liver volume is achieved, creating a technically more suitable environment during the surgery.
All these preparations may take approximately 15 to 30 days.
Morbid. Haste in preparation for obesity surgeries is not recommended. It is in the patient's favor that the process proceeds in its natural
flow.
After the pre-operative preparations are completed, the surgery
day is decided by the patient and his/her doctor. The patient is admitted to the hospital on the morning of the surgery day and has the surgery during the day. The average duration of surgery is 1.5 – 2 hours, but depending on the patient (due to anatomical reasons) this time may be slightly longer. This does not mean that there is a problem.
If there is no negative development, the patient will stay in the hospital for 2 nights and can go home or stay at the hotel 2 days after the surgery. 7 days after the surgery, the patient is called for a follow-up examination. Therefore, the patient is asked to stay in the city where the surgery was performed for another 5 days after leaving the hospital. If the patient came from out of town, he/she can return to his/her own city or country after the first check
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