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Post-operative course after conventional or laparoscopic gastroplasty in morbidly obese patients

Published online by Cambridge University Press:  16 August 2006

P. Juvin ,
J. P. Marmuse ,
S. Delerme ,
P. Lecomte ,
J. Mantz ,
M. Demetriou  and
J. M. Desmonts
P. Juvin
Affiliation:
Department of Anaesthesia and Intensive Care, Bichat Hospital, 46 Rue Henri Huchard, 75877 Paris Cedex 18, France
J. P. Marmuse
Affiliation:
Department of Surgery, Bichat Hospital, 46 Rue Henri Huchard, 75877 Paris Cedex 18, France
S. Delerme
Affiliation:
Department of Anaesthesia and Intensive Care, Bichat Hospital, 46 Rue Henri Huchard, 75877 Paris Cedex 18, France
P. Lecomte
Affiliation:
Department of Surgery, Bichat Hospital, 46 Rue Henri Huchard, 75877 Paris Cedex 18, France
J. Mantz
Affiliation:
Department of Anaesthesia and Intensive Care, Bichat Hospital, 46 Rue Henri Huchard, 75877 Paris Cedex 18, France
M. Demetriou
Affiliation:
Department of Anaesthesia and Intensive Care, Bichat Hospital, 46 Rue Henri Huchard, 75877 Paris Cedex 18, France
J. M. Desmonts
Affiliation:
Department of Anaesthesia and Intensive Care, Bichat Hospital, 46 Rue Henri Huchard, 75877 Paris Cedex 18, France
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Abstract

The post-operative period is particularly dangerous for obese patients. The aim of this study was to compare the immediate post-operative course after either laparoscopic or open gastroplasty. We studied retrospectively 20 and 14 consecutive patients who underwent laparoscopic or open adjustable silicone gastric banding, respectively. After the laparoscopic procedure, patients had a significantly shorter stay in the post-anaesthesia care unit (0.3±0.4 and 1.1±1 days), reduced analgesic requirements, a shorter period of intravenous catheter use (2.3±1.9 and 4.8±1.4 days), were able to walk sooner (1±0.4 and 2.1±1.6 days) and had a significantly shorter duration of in-hospital stay (5.4±2.3 and 15.8±4.5 days) than after an open procedure. This report suggests that the use of laparoscopy for gastroplasty in morbidly obese patients may significantly improve the immediate post-operative course.

Keywords

anaesthesiasurgerygastroplastylaparoscopyobesitymorbidpost-operativepost-operative carepost-operative period
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 16 , Issue 6 , June 1999 , pp. 400 - 403
Copyright
1999 European Society of Anaesthesiology

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