Acta Scientific Gastrointestinal Disorders

Research Article Volume 8 Issue 2

Peculiarities of Traditional Surgical Approaches in Pathology of Abdominal Organs in Obese Patients

SD Khimich1*, IO Malyshevskyi2, OV Katelian1, OI Ivashchuk3 and OS Khimich1

1National Pirogov Memorial Medical University, Vinnytsya, Ukraine
2Bukovinian Clinical Oncology Center, Chernivtsi, Ukraine
3Bukovinian State Medical University, Chernivtsi, Ukraine

*Corresponding Author: SD Khimich, National Pirogov Memorial Medical University, Vinnytsya, Ukraine.

Received: January 02, 2025; Published: January 24, 2025

Abstract

Introduction: Obesity in modern conditions has become a pandemic. Surgical treatment of abdominal pathology is a complex task, and the implementation of appropriate surgical approaches is not an easy task.

Objective: To determine the peculiarities of surgical approaches during abdominal surgery in obese patients.

Materials and Methods: Based on the observation and analysis of the treatment of 129 patients with abdominal pathology in the setting of obesity, it is proposed to improve the known surgical approaches.

Results: The proposed weakening incisions at the corners of laparotomy wounds make it possible to technically improve the performance of accesses in obese people and reduce the risk of iatrogenic complications.

Keywords: Surgical Access; Surgery; Operative Period; Organs of the Abdominal Cavity; Obesity

References

  1. Crossan K and Sheer AJ. “Surgical Options in the Treatment of Severe Obesity”. [Updated 2023 Feb 9]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing (2024).
  2. Flegal KM., et al. “Trends in obesity among adults in the United States, 2005 to 2014”. JAMA 315 (2016): 2284-2291.
  3. Berghofer A., et al. “Obesity prevalence from a European perspective: a systematic review”. BMC Public Health 8 (2008): 200.
  4. Nuttall FQ. “Body mass index: obesity, BMI and health: a critical review”. Nutrition Today 50 (2015): 117-128.
  5. Lang LH., et al. “Perioperative management of the obese surgical patient”. British Medical Bulletin 1 (2017): 135-155.
  6. Glance LG., et al. “Perioperative outcomes among patients with the modified metabolic syndrome who are undergoing noncardiac surgery”. Anesthesiology 113 (2010): 859-872.
  7. Rosso E., et al. “The role of "fatty pancreas" and of BMI in the occurrence of pancreatic fistula after pancreaticoduodenectomy”. Journal of Gastrointestinal Surgery 13 (2009): 1845-1851.
  8. Plassmeier L., et al. “Impact of Excess Body Weight on Postsurgical Complications”. Visceral Medicine4 (2021): 287-297.

Citation

Citation: SD Khimich. “Peculiarities of Traditional Surgical Approaches in Pathology of Abdominal Organs in Obese Patients". Acta Scientific Gastrointestinal Disorders 8.2 (2025): 50-52.

Copyright

Copyright: © 2025 SD Khimich. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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