Year 2021 Vol. 29 No 6




Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology,
Belarusian Medical Academy of Post-Graduate Education, Minsk,
Republic of Belarus

Objective. To improve the results of surgical treatment of patients with morbid obesity.
Methods. The database of bariatric surgery (2014–2020 yrs) was created and analyzed in the center, retrospectively and prospectively. Total 292 operations, including 150 sleeve gastrectomy, 84 mini gastric bypass procedures, 37 adjustable gastric bandings, 12 Roux-en-Y gastric bypasses, 5 gastric plications and 4 gastric plications with gastric fundus resection have been included in this database. There were 215 females and 77 males. The mean age was 41 years. All surgeries were performed laparoscopically and mean operative time was 108 minutes.
Results. As the result of performed bariatric surgeries, 36 complications were registered. Total complication rate was 11,8% without any case of mortality. Staple line and anastomotic leakage rate after surgery, related to the stomach resection or bypass, was 3,4%. Staple line and anastomotic bleeding rate after the same procedures – 3,1%. The the aforementioned complications were the most frequent and accounted up to 47% of all bariatric surgery complications. Other complications occurred much less frequently with incidence rate 0,4% – 1,2%.
Conclusion. The bariatric surgery database allows analyzing the structure of performed operations and its complications as well as identifying the regularity of their development. That would help to develop methods of the most frequent complication prevention and their early diagnostics. Compatibility of the database format with IFSO Global Registry allows providing the collected data for further analysis at the international level. Data on the spectrum and frequency of postoperative complications in the center correlate with international experience. The most significant complications in the practice of the center are incompetence, anastomotic leakage and bleeding from the lines of sutures and anastomoses after operations associated with gastric resection or bypass. Therefore, the specific measures for improvement prevention of complications permits increasing significantly bariatric surgery safety.

Keywords: morbid obesity, bariatric surgery, postoperative complications, anastomotic leakage, surgical stapling, hemorrhage
p. 662-671 of the original issue
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Address for correspondence:
220045, Republic of Belarus, Minsk,
Semashko Str., 8,
Minsk Scientific and Practical Center
of Surgery, Transplantology and Hematology,
the Surgical Unit.
tel. +375 29 123-86-21,
Aulas Siarhei D.
Information about the authors:
Hlinnik Aliaksei A., PhD, Associate Professor of the Transplantology Department, Belarusian Medical Academy of Post-Graduate Education, Minsk, Republic of Belarus.
Aulas Siarhei D., Post-Graduate Student, Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology, Minsk ,Republic of Belarus.
Stebounov Sergei S., MD, Professor, Head of the Department of General, Plastic and Bariatric Surgery, Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology, Minsk , Republic of Belarus.
Rummo Oleg O., MD, Professor, Corresponding Member of National Academy of Sciences of Belarus, director, Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology, Minsk , Republic of Belarus.
Hermanovich Vitali I., Head of the Surgical Unit, Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology, Minsk, Republic of Belarus.
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