Obesity raises the risk of several surgical conditions and changes the operative approach. Here is what to know.
Conditions linked to obesity
Gallstones, GORD and hiatus hernia, ventral and incisional hernia, anorectal disease and pressure-related skin lesions.
Pre-operative optimisation
Weight loss before elective surgery reduces operative risk, improves wound healing and lowers recurrence rates.
Day-care suitability
Selected obese patients are still suitable for day-care surgery; severe comorbidity may need overnight admission.
When to refer to bariatric care
BMI > 35 with comorbidities or > 40 without — referral to a bariatric specialist may be appropriate.
Working together
General surgical care can proceed in parallel with weight management.