Simultaneous surgeries in bariatric surgery (literature review)
Alexander V. Smirnov , Vladimir R. Stankevich , Dmitriy N. Panchenkov Panchenkov , Valentin I. Sharobaro , Yuri V. Ivanov , Yevgeny A. Velichko
Journal of Clinical Practice ›› 2020, Vol. 11 ›› Issue (4) : 55 -63.
Simultaneous surgeries in bariatric surgery (literature review)
Based on the available publications, the article presents an analysis of the studies on the simultaneous implementation of cholecystectomy, ventral and paraesophageal hernia repair during a bariatric intervention. If there is a clinical picture of chronic calculous cholecystitis, simultaneous cholecystectomy is justified and does not lead to a significant increase in the number of complications. In the case of asymptomatic gallstones, the optimal tactics remains controversial, both a surgical treatment and observation are possible. In the absence of gallstone disease, all patients after the surgical correction of the excess weight are prescribed ursodeoxycholic acid, while performing preventive cholecystectomy is not recommended. A simultaneous ventral hernia repair is justified only for small defects (< 10 cm) of the anterior abdominal wall. If a paraesophageal hernia is detected in patients with morbid obesity, bariatric surgery may be combined with cruroraphy.
simultaneous operation / cholelithiasis / cholecystectomy / longitudinal resection of the stomach / gastro-bypass surgery / ventral hernia / hernia paraesophageal
Smirnov A.V., Stankevich V.R., Panchenkov D.N., Sharobaro V.I., Ivanov Y.V., Velichko Y.A.
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