Alumi Laparoscopic Discussion Board

Bariatric Surgery; Gastric Sleeve
Discussion in 'All Categories' started by Dr. Shashank - Aug 30th, 2022 5:10 am.
Dr. Shashank
Dr. Shashank
Sir, I am planning to start Sleeve Gastrectomy for morbidly obese patients in my setup. What are your tips for me regarding my first such case?
re: Bariatric Surgery; Gastric Sleeve by Dr. R. K. Mishra - Apr 15th, 2023 4:08 pm
Dr. R. K. Mishra
Dr. R. K. Mishra
Starting Sleeve Gastrectomy for morbidly obese patients is a big step, and it's important to prepare thoroughly for your first case. Here are some tips to help you:

Build a strong team: Bariatric surgery requires a multidisciplinary team, including surgeons, anesthesiologists, nurses, dietitians, and psychologists. Make sure you have a team in place that is experienced and skilled in bariatric surgery and can provide support throughout the patient's journey.

Patient selection: Choose your first patient carefully. Look for patients who are motivated, have realistic expectations, and are committed to making lifestyle changes to maintain their weight loss. Ensure that the patient has been evaluated by a multidisciplinary team and has no significant medical comorbidities.

Preoperative evaluation: Conduct a thorough preoperative evaluation, including a detailed medical history, physical examination, and appropriate laboratory and imaging studies. Identify any medical or psychological issues that may impact the surgery or the patient's postoperative recovery.

Patient education: Provide the patient with clear and detailed information about the procedure, including the risks and benefits, the preoperative preparation, the hospital stay, the postoperative recovery, and the lifestyle changes required after surgery. Ensure that the patient understands the commitment required for long-term success.

Operative technique: Choose an operative technique that you are comfortable with and have experience in performing. Ensure that you have the necessary instruments and equipment, including a stapling device, energy source, and an adequate number of trocars.

Postoperative care: Provide the patient with appropriate pain management, nutrition support, and early mobilization. Monitor the patient for potential complications, including bleeding, leak, infection, and thromboembolism. Ensure that the patient receives appropriate follow-up care, including regular monitoring of weight loss and comorbidities.

Continuous learning: Finally, continuous learning is essential to improving your skills and providing better care for your patients. Attend conferences, workshops, and training programs to stay up-to-date with the latest techniques and best practices in bariatric surgery.

In summary, starting Sleeve Gastrectomy for morbidly obese patients requires thorough preparation, a strong team, careful patient selection, comprehensive preoperative evaluation, patient education, appropriate operative technique, postoperative care, and continuous learning. Best of luck for your first case!
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