Energy balance
Laparoscopic bariatric surgery results in significantly shorter hospital stays and reduced incisional hernia rates compared to open surgery.
If you are having bariatric surgery, ask if it can be done laparoscopically. This minimally invasive approach typically leads to shorter hospital stays, less pain, less blood loss, and a lower risk of incisional hernias compared to open surgery. Ensure your surgical team has the necessary expertise.
The main findings were significantly shorter hospital stay as well as reduced rate of incisional hernia favouring laparoscopy. Further beneficial effects like reduction in intraoperative blood loss, diminution of postoperative pain and earlier recovery were also shown.
Why this rating
Based on three RCTs including more than 50 patients each, plus systematic reviews.
Source
Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations
Anders Thorell et al. · World Journal of Surgery · 2016
DOI 10.1007/s00268-016-3492-3
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- Achieving a total body weight loss of 10-15% (or >10-15 kg) through Total Diet Replacement (TDR) induces remission of Type 2 Diabetes in individuals with short-duration disease.Strong
- Bariatric surgery is superior to medical management alone for inducing significant long-term weight loss, remission of type 2 diabetes, and reduction in mortality for patients with BMI ≥ 40 or ≥ 35 with comorbidities.Strong
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