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[Obesity and surgery]
1Chirurgische Klinik, Klinikum Grosshadern, Universität München.
Fortschritte Der Medizin
|November 10, 1992
Abstract
Unlabelled:
BASICS AND AIMS: Obesity is generally considered to be a surgical risk factor, although its influence cannot be accurately defined. The risks of surgery in the obese patient are discussed on the basis of a review of the literature.
Main Topics:
In itself, obesity does not increase the surgical risk, but it is often associated with cardio-respiratory, metabolic or coagulation disorders that increase morbidity and mortality in obese patients. The only statistically significant difference between obese and non-obese patients is the higher rate of secondary healing in the former.
Conclusions:
Guidelines aimed at reducing perioperative risk in these patients are suggested.