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Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
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Obesity related complications in surgery
Shawn M Stevens1, Brendan P O'Connell, Ted A Meyer
1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Current Opinion in Otolaryngology & Head and Neck Surgery
|September 5, 2015
Summary
Obesity and its complications pose significant risks for otology and neurotology surgery patients. Understanding these impacts is crucial for successful surgical outcomes and patient safety.
Area of Science:
- Otolaryngology
- Neurosurgery
- Obesity Medicine
Background:
- Global rise in obesity and associated comorbidities.
- Adverse effects of obesity on patient perioperative management.
Purpose of the Study:
- Review implications of obesity for otology and neurotology surgical subspecialties.
- Highlight challenges in perioperative care for obese patients.
Main Methods:
- Literature review of obesity's impact on otologic and neurotologic surgery.
- Analysis of physiological changes and surgical outcomes in obese patients.
Main Results:
- Obesity increases risks of hemodynamic instability, hypoxia, bleeding, thromboembolism, and poor wound healing.
- Underweight and morbidly obese patients face worse surgical outcomes.
- Obesity linked to intracranial hypertension, CSF leak recurrence, and skull base erosion.
Conclusions:
- Obesity significantly impacts otologic and neurotologic surgical procedures.
- Thorough understanding of obesity's effects is essential for successful surgical outcomes.
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