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Operations for the treatment of obesity began to carry out through the mouth

December 11, 2009

Operations for the treatment of obesity began to carry out through the mouth
American and European surgeons are experiencing how to conduct operations to reduce the stomach through the mouth. Such access by the intervention, aimed at combating obesity, leaves no cosmetic defects.

With gastroscopy, introduced through the esophagus, stomach superimposed surgical staples in such a way that it formed a thin channel, slowing the passage of food. This patient feel full after taking small amounts of food and lose weight.

Doctors called the preliminary results of 200 operations in the U.S. and 100 in Europe are promising. After about 18 months after the intervention the mean weight loss of patients was 45 percent. According to the surgeon Nishi Gregg (Gregg Nishi) of the Medical Center Sidars-Sinai, only one operation was complicated by perforation of the esophagus, the more serious complications were observed.

The new operation was another achievement of technology NOTES (Natural Orifice Transluminal Endoscopic Surgery – Endoscopic surgery through natural openings). Today in the world with the help of this technology has successfully removed the appendix, gall bladder and kidney through the vagina, through the mouth performed appendectomy and biopsies of the pancreas.

Surgical questionnaire reduces mortality and complications after operations on the third

September 9, 2009

Surgical questionnaire reduces mortality and complications after operations on the third
Using a simple surgical questionnaire drawn up by the World Health Organization (WHO), can significantly reduce mortality and complications during and after the operation. Such conclusions were drawn from the international study involving surgical teams from eight countries and the WHO, reports New England Journal of Medicine.

The study, which lasted for a year, were involved in eight hospitals located in Toronto, Seattle, London, New Delhi, Amman, Auckland, Manila and Ifakare (Tanzania). In total, attended by 7688 patients who underwent abdominal operation. Surgical questionnaire was used in about half the cases, the remaining patients were included in the control group. Mortality and postoperative complications were taken into account within 30 days after the operation.

It was found that when using the standard questionnaire severe postoperative complications decreased by about one-third – from 11 percent to 7 percent. Postoperative mortality decreased almost twice – from 1,5 percent to 0,8 percent. At the same time in countries with different levels of income per capita reduction in complications was roughly the same, the researchers reported.

Surgical questionnaire drawn up by experts from WHO, is one page, and on its completion requires only a few minutes. The document consists of three parts, which should be filled at various stages of the operation: immediately before the introduction of a patient in anesthesia, before skin incision, as well as at the end of the operation – before the patient being taken away from the operating room. Replying to questions, members of the surgical team several times and confirm the name of the patient’s name, the name of the operation and the operating intervention, allergic history of the patient, as well as anticipated blood loss. In addition, keep records of swabs, needles and instruments involved in the operation. To view a sample questionnaire can be surgical WHO website.

According to scientists, the use of the questionnaire makes it more safe conduct of anesthesia, provides the necessary measures to prevent infectious complications, and improves communication among members of the surgical team. There are already four countries – Britain, Ireland, Jordan and the Philippines – have declared their intention to make use of surgical questionnaire required.