Background: Surgery often plays an important role in the management of the diseases commonly encountered in the obese, especially cardiovascular diseases. Surgery in current practice is no longer delayed to allow obese patients to lose weight. There are therefore, increasing numbers of obese patients undergoing non-bariatric surgery.
Objective: To highlighting the management of postoperative complications of surgical treatment of morbid obese patients.
Patients and Methods: This study had been conducted on 50 recorded cases of obesity surgical treatment. Focus was on laparoscopic sleeve gastrectomy and laparoscopic greater curvature plication This work was designed to study and record the complications occurred either retrospective or prospective during the period from December 2015 to December 2020 in patient undergoing surgical management for obesity either lap or open at the General Surgery Department, Faculty of Medicine; Al-Azhar University, Egypt.
Results: The most prevalent complication was intraoperative bleeding by 6%, followed by conversion from lap to open (4%), intraoperative injury (2%), The most prevalent complication was nausea (62%), vomiting (54%) and excess weight loss (30%) followed by wound infection (20%). Diabetes mellitus was found to be a significant risk factor for postoperative complications.
Conclusion: Obesity was an independent risk factor for perioperative morbidity, and morbid obesity was a risk factor for mortality. Morbid obesity was a common problem with a lot of comorbidities, now classified as a chronic disease.