It is not right to look only at the weight in the weight-loss process with surgery. A formula called ‘body mass index’ is used with height and weight. In order to obtain the body mass index, the patient’s weight is divided by the height in meters. In other words, if the patient is 100 pounds and the height is 1.7 m, the figure of 100 is divided into 1.7, ie 2.89. Thus, 34.6 is obtained. At the end of the calculation, the persons are assigned to specific groups. Body mass index over 30 is called obese. If over 40 morbit is obese (refers to the accompanying disease risk which may have fatal consequences), over 50 are called super obese.
Pre-operative tests and consultations:
Blood Biochemistry Tests Hemogram Hormone Tests Hepatitis Tests All Abdominal Ultrasound Stomach Endoscopy (with Anesthesiologist) ECG (Heart Grafiography) Chest X-ray If necessary, effort test and EKO (Electrocardiography) are performed. When the test results come out, the patients are evaluated for surgery by Cardiology, Chest Diseases, Internal Medicine, Psychiatry, Endocrinology and Anesthesiologists.
Obesity surgery is a serious general surgery operation. Patients who want to lose weight need to have all the tests done. At all stages before surgery, the patient and the surgical team should be in constant contact and should be able to answer in detail to all questions the patient is curious about. The night before the operation, a blood thinner is made. After midnight, the operation time is expected to remain open. (Note: It is sufficient to come to the hospital in the morning of operation.) It is not necessary to stay in the hospital before the operation except for special cases.
Before going to the operating room, the patient is put on antiembolic hosiery. This sock prevents clots from forming in the stool. For the same purpose, a special device which applies pressure intermittently to the legs is inserted during and after the operation. This reduces your risk of embolism to a minimum. First of all, the person should feel comfortable psychologically, thus reducing the risk of pain.
After approximately 1 hour of surgery, patients are taken to the service together with the varicose veins on the legs and the compression device. After 4 hours, the compression device is removed and the patients start to run during the lifting phase. When you are sure that the active movement has begun, varicose veins are removed. After 24 hours after the test for leakage, liquid food is started. On the second day of surgery, our patients are informed by the dietician about the eating and drinking order, and then general informants are sent to their homes by the bariatric surgery assistants.