European Journal of Anaesthesiology

Table of Contents - 1999 - Volume 16, Issue 06  


Original Article
(RD) Surgery

Post-operative course after conventional or laparoscopic gastroplasty in morbidly obese patients

P. Juvin a1c1, J. P. Marmuse a2, S. Delerme a1, P. Lecomte a2, J. Mantz a1, M. Demetriou a1 and J. M. Desmonts a1
a1 Department of Anaesthesia and Intensive Care, Bichat Hospital, 46 Rue Henri Huchard, 75877 Paris Cedex 18, France
a2 Department of Surgery, Bichat Hospital, 46 Rue Henri Huchard, 75877 Paris Cedex 18, France

Article author query
juvin p   [PubMed][Google Scholar] 
marmuse jp   [PubMed][Google Scholar] 
delerme s   [PubMed][Google Scholar] 
lecomte p   [PubMed][Google Scholar] 
mantz j   [PubMed][Google Scholar] 
demetriou m   [PubMed][Google Scholar] 
desmonts jm   [PubMed][Google Scholar] 

Abstract

The post-operative period is particularly dangerous for obese patients. The aim of this study was to compare the immediate post-operative course after either laparoscopic or open gastroplasty. We studied retrospectively 20 and 14 consecutive patients who underwent laparoscopic or open adjustable silicone gastric banding, respectively. After the laparoscopic procedure, patients had a significantly shorter stay in the post-anaesthesia care unit (0.3±0.4 and 1.1±1 days), reduced analgesic requirements, a shorter period of intravenous catheter use (2.3±1.9 and 4.8±1.4 days), were able to walk sooner (1±0.4 and 2.1±1.6 days) and had a significantly shorter duration of in-hospital stay (5.4±2.3 and 15.8±4.5 days) than after an open procedure. This report suggests that the use of laparoscopy for gastroplasty in morbidly obese patients may significantly improve the immediate post-operative course.

(Published Online August 16 2006)
(Accepted November 1998)


Key Words: anaesthesia; surgery; gastroplasty; laparoscopy; obesity; morbid; post-operative; post-operative care; post-operative period.

Correspondence:
c1 Correspondence: P. Juvin.