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Although the operation is performed laparoscopically, the risks that may occur in any surgery are also present in diabetes surgery. More detailed examinations and branch consultations are performed. Each patient is examined by Chest Diseases, Cardiology, Psychiatry, Internal Medicine and Anesthesia physicians. ECG and respiratory function tests are routinely performed on every patient. If the consultant doctor has doubts and requests, further examinations such as ECHO and tomography can be performed. During pre-operative preparation, the patient may have co-morbidities that the doctor has not mentioned or is not aware of. It should not be forgotten that diabetes is a multisystem disease and over time it affects all systems in the body and causes permanent damage.
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If the patient successfully passes all these tests and consultations, finally, the anesthesiologist's approval is obtained and the operation is performed.
COMLICATIONS THAT MAY OCCUR AFTER SURGERY
BLEEDING :As in every surgery, bleeding that cannot be noticed at the time of surgery and develops later may occur during this procedure. Since drains are placed in the patients after the surgery, bleeding is detected early and necessary precautions are taken.
PULMONARY EMBOLI (CLOTS): Due to the stagnation of blood flow during the surgery, if the patient is prone to clots, especially from the legs to the lung vessels. There is a beat. If this clot blocks a large, main pulmonary artery, it can be fatal. To avoid this complication, all patients are made to wear compression stockings to prevent blood pooling in the legs. Additionally, a device called a pneumatic compression device is fitted to patients before surgery. This device ensures blood circulation by compressing the patient's legs at regular intervals. After the surgery, this device is removed when the patient stands up and starts walking around (Post. Op. 4th hour). Additionally, to prevent clot formation, low molecular weight heparin is applied for 3-4 days while the patient is hospitalized and then for 1 week, on the 4th day when the patient is discharged.
ANASTOMOTIC LEAK: This complication is the most common. It is a very feared complication. If it's late If ignored, the consequences can be dire for both the patient and the doctor. Leakage may occur in the newly created stomach and intestinal junctions due to a technical error, the quality of the materials used, or the patient's inadequate recovery. If this leakage is noticed late, the stomach and intestinal contents mixed into the abdomen will cause infection and deteriorate the general condition of the patient.
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