I, Assoc. Dr. Recep Aktimur, I am a General Surgery Specialist who has spent the last 5 years extensively performing obesity and metabolic surgeries. I confess that during this period, I dealt with the patient population of my profession, General Surgery, in a much more limited way and devoted myself to obesity and metabolic surgery surgeries. As some of our readers who are interested in the subject know, I am a surgeon who has performed and continues to perform these special surgeries in very high numbers, and who also takes care of this special group of patients as if they were members of his own family.
Boring but essential. After quickly passing the introductory sentences, it would be useful to focus on the main question;
- Is obesity surgery very risky?
Actually, it is not riskier than closed gallbladder surgery when performed in competent hands. Obesity and metabolic surgery surgeries have become frightening to people at first glance due to their medialized problems and the increase in surgeries performed with woefully inadequate infrastructure and inadequate training. At this point, it would be useful to stop and see what we can fix. First of all, when we look at the perception aspect, the problem we encounter is that these surgeries are generally seen as unnecessary and arbitrary by the public. Unfortunately, the fact that there is not yet sufficient support from the authority on this issue not only provides the basis for the unpleasantness that obese individuals experience every day, but also causes the greatest health benefit that a surgery candidate can obtain to be seen as unnecessary by others. Since our perception problem seems to be solved only with national awareness in a long time, it would be beneficial for us to stop examining this problem and delve into the mechanism of the search for competent hands.
At this point, one of the largest international organizations, IFSO (International Let's look at the characteristics that should be sought in a surgeon who performs obesity and metabolic surgeries, published by the Federation for Surgical Treatment of Obesity and Metabolic Diseases in 2015 (I am trying not to be boring by omitting well-known or very common features).
The qualified surgeon is;
- Must be able to perform different procedures and deal with problems that may develop, that is, they should not only perform gastric sleeve surgery, as is increasing in our country.
- Results� Must be able to collect and present data seriously within a scientific infrastructure.
- Must be certified by international or national federations.
- Must be able to perform other advanced surgical operations with laparoscopic, that is, closed technique, and after providing these features, obesity He must be doing surgery. IFSO states that a surgeon qualified to perform obesity and metabolic surgery must have performed closed reflux repair, closed spleen surgery and closed colon and digestive system cancer surgeries more than 100 times in total.
So when viewed as a patient; In addition to the traditional methods used to choose the surgeon for surgery, the surgeon; It becomes important to objectively evaluate advanced closed surgery experience, procedure diversity, scientific infrastructure and results.
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