[Surgical interventions in patients with a history of alimentary constitutional obesity]

Surgical removal of a fat "flap" is a last step of surgical treatment of patients with 3-d and 4-th stage of alimentary obesity. This kind of surgery makes sense only 12-24 months after "small stomach" creation. During this period the weight is stable. A detailed clinical examination and prophylaxis helps to avoid septic and thromboembolic complications that may cause death and usually appear short time after the operation. To minimize postoperative complications and to decrease a risk of repeated anaesthesia and time of stay in a hospital it is necessary to make some concomitant small surgical procedure (cholecystectomy, phlebectomy).