By Seung Ho Choi, Kazunori Kasama
Bariatric and Metabolic surgical procedure is well-known to be an immense and potent alternative for the remedy of critical weight problems and some of the linked stipulations and ailments. This booklet provides cutting-edge wisdom on such surgical procedure with the purpose of facilitating the sharing and alternate of information, documenting potent suggestions, and adorning defense and results. All technical elements are lined intimately, and the textual content is complemented by means of many useful illustrations. yet another key function is the supply of accompanying surgical movies, so that it will be of price to either amateur and skilled surgeons. This textbook can be a good asset in scientific perform for all who're concerned or drawn to bariatric and metabolic surgery.
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Extra resources for Bariatric and Metabolic Surgery
Ethnic differences in adiposity and disease risk should be considered in determining indications for bariatric surgery. In 2005, the AsiaPacific Bariatric Surgery Group (APBSG) consensus meeting was held and recommended bariatric surgery in Asian patients with BMI >37 or >32 kg/m2 with diabetes or two other obesityrelated comorbidities . Subsequently, in 2011, International Federation for the Surgery of Obesity and Metabolic Disorders, Asia-Pacific Chapter (IFSO-APC) consensus statements as a renewed indication for Asian patients were established as follows : 1.
Naitoh 34 a b c d Fig. 12 The 0° telescope is inserted to the optical access trocar, then focusing a camera at the tip of the trocar. A small skin incision is created in the abdominal wall and the optical access trocar placed in the incision. The trocar is twisted so that the subcutaneous tissue is divided. Then the ventral fascia of the rectus sheath can be recognized as a white thick membrane (a). Once passing through the ventral fascia, the brown muscle tissue can be seen (b). Then, dividing the rectus muscle, preperitoneal adipose tissue will appear (c).
5 Postoperative Management Perioperative antibiotic is continued for 24 h, and thromboembolism prophylaxis continues until the patient starts walking. Analgesia is in the form of patient-controlled narcotic delivery systems and intravenous anti-inflammatory drugs. Oral and intravenous antiemetic agents are routinely used. The patients are started on clear liquid at least on the first day after surgery, sometimes on the day of surgery, and are required to ambulate with assistance. Preoperative oral medications can be resumed as soon as the patients can tolerate clear liquid.