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Obesity: Body Relief Surgeries before Bariatric Surgery for Risk Reduction

Obesity: Body Relief Surgeries before Bariatric Surgery for Risk Reduction
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摘要 Depending on the treatment and weight of the breasts or abdomen, they may exceed volumes considered giant and morbidly obese. In these cases, and when the patient’s BMI is high above 40 kg/m2, the weight of the breasts or abdomen produces what we consider suffocation when the patient is placed in horizontal position on surgical tables, decreasing his respiratory capacity and increasing the difficulty in treating respiratory or embolic risks. An 8-kg breast on the patient’s chest prevents normal breathing. An abdomen with a volume of 30 kg causes difficulties in all senses, making the physiological expansion of the lungs impossible and even preventing surgical assistance to patients. These patients are almost always customers who sleep in the sitting position to breathe better. The gigantic extirpation of the surgical parts facilitates a better respiratory expansion reducing by a large percentage the risk of death, what we call body relief. This relief does not free the patient from bariatric surgery for a possible weight loss, which is vital for the proper functioning of the organs and decreasing arterial hypertension and diabetes. Depending on the treatment and weight of the breasts or abdomen, they may exceed volumes considered giant and morbidly obese. In these cases, and when the patient’s BMI is high above 40 kg/m2, the weight of the breasts or abdomen produces what we consider suffocation when the patient is placed in horizontal position on surgical tables, decreasing his respiratory capacity and increasing the difficulty in treating respiratory or embolic risks. An 8-kg breast on the patient’s chest prevents normal breathing. An abdomen with a volume of 30 kg causes difficulties in all senses, making the physiological expansion of the lungs impossible and even preventing surgical assistance to patients. These patients are almost always customers who sleep in the sitting position to breathe better. The gigantic extirpation of the surgical parts facilitates a better respiratory expansion reducing by a large percentage the risk of death, what we call body relief. This relief does not free the patient from bariatric surgery for a possible weight loss, which is vital for the proper functioning of the organs and decreasing arterial hypertension and diabetes.
作者 José Humberto Cardoso Resende Ana Letícia Pinto Guimar&#227 es Brunna Abreu Perillo Ana Carolina Melo Maluf Laura Ribeiro da Costa Rafaella Cristina Gomes Bernardes Arthur Camargo Pires Thalles Gon&#231 alves Souza Menezes Murilo Calil Alves Emídio Silva Falc&#227 o Brasileiro José Humberto Cardoso Resende;Ana Letícia Pinto Guimarães;Brunna Abreu Perillo;Ana Carolina Melo Maluf;Laura Ribeiro da Costa;Rafaella Cristina Gomes Bernardes;Arthur Camargo Pires;Thalles Gonçalves Souza Menezes;Murilo Calil Alves;Emídio Silva Falcão Brasileiro(UNIFAN, Work Coordinator, Aparecida de Goiânia, Brazil;UNIFAN, Medicine Academics, Aparecida de Goiânia, Brazil;UNIFAN, Research Coordinator, Aparecida de Goiânia, Brazil)
机构地区 UNIFAN nia UNIFAN nia UNIFAN nia
出处 《Modern Plastic Surgery》 2020年第3期31-37,共7页 现代整形外科(英文)
关键词 OBESITY Disease SURGERY BARIATRIC Risk Hypertension and Diabetes Obesity Disease Surgery Bariatric Risk Hypertension and Diabetes
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