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Bariatrics – course of treatment

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Before surgery

The patient’s overall health is essential for performing surgery. Any alarming symptoms of infection, such as a cough, runny nose, fever, or even general malaise, should be reported to the physician prior to the procedure. It’s important to inform the physician of any changes in health since the last consultation before admission. Patients preparing for surgery should be aware that the condition of their teeth and the presence of other so-called infection hotspots are significant and impact the risk of postoperative infection.

 

Bariatric surgery - step by step

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Medical consultation

The first step toward a successful procedure is a medical consultation. During the consultation, the doctor conducts a detailed medical history and selects the appropriate procedure, prescribes the necessary tests, and provides preoperative recommendations.

During the consultation, the following topics will also be discussed:

-factors that caused obesity, including a family history of obesity,

-discussion of the patient’s attempts to lose weight and their effects,

-comorbidities such as hypertension.

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Preparation for the procedure

Two weeks before the procedure you should stop:

  • smoking
    taking blood-thinning medications (Acard, Polopiryna, Aspiryna, Polocard, Cholinex, Etopiryna, Alka-Selzer, Alka-Prim, Acesan, Asaltec, Xalerto, and others containing acetylsalicylic acid)
    taking medications that increase blood pressure, unless otherwise directed by the physician preparing for the procedure

7 days before the planned procedure:

  • It is recommended to take medications that inhibit gastric acid secretion, such as Polprazol.
    The patient must switch to a liquid diet. Ideally, this diet should be based on high-energy and high-protein nutritional supplements, such as Cubitan or Nutridrink. Adequate hydration is also important during this period. It is recommended to drink at least 1.5 liters of fluids daily. Diabetic patients should monitor their blood sugar levels more closely during this period.
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On the day of the planned surgery

  • The patient must arrive at the clinic after a thorough bath. It is particularly important to maintain the hygiene of the navel area. Lotion should not be applied to the areas of the body affected by the procedure. Makeup and any piercings should also be removed.
    The patient should arrive for the procedure without jewelry, wearing comfortable, preferably loose-fitting clothing, and flat-heeled shoes. It is recommended to avoid clothing that requires pulling over the head.On the day of the procedure, take your usual medications, unless otherwise agreed upon during the consultation.

    It is important to remember that most postoperative complications are caused by failure to follow the doctor’s recommendations before and after the procedure.

    In the period before and after the procedure, the following products are prohibited: high-calorie drinks, sweet and salty snacks, fast food, dried fruit, nuts, oil seeds (sunflower, pumpkin, poppy, sesame), heavy foods, fried foods, breaded foods, fatty meats, offal, ripened and mold cheeses, fatty cold sauces (mayonnaise and other mayonnaise-based sauces), fatty hot sauces, fatty soups, highly processed products.

When the procedure may not take place

Please remember that the operating physician or anesthesiologist may not allow a patient to undergo surgery for the following reasons:

-a cold, herpes lesions, periodontal lesions,
-high blood pressure, coronary artery disease, hyperthyroidism, or hypothyroidism,
-abnormal results of ordered medical tests or failure to provide them,
-unsettled financial matters prior to the procedure.

On the day of the procedure

On the day of the procedure, the patient should arrive at the designated time by the registration staff at the Mazan Surgery Clinic. The patient signs consent forms, settles payment, and is admitted to the ward, where they stay in a single or double room. On the ward, the patient is prepared for the procedure. A nurse will measure their temperature, blood pressure, pulse, and weight. They will also explain what to expect in the operating room and how to prepare for the procedure. The patient will be asked to bathe with a special disinfectant and cleaning solution and change into a disposable sterile surgical gown. All jewelry, dentures, and contact lenses will be removed, and makeup will be removed. A thin, flexible needle (Venflon) will also be inserted into a vein, through which premedication, i.e., medications, will be administered to prepare for the procedure. The order of procedures is determined after all patients have been examined by the operating physician and anesthesiologist. During the operating physician’s preoperative visit, necessary drawings will be made on the skin and a set of photos will be taken for medical records. With the assistance of an anesthesiological nurse, the patient will be transported to the operating room on a trolley.

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After surgery

Immediately after the procedure, the patient will be placed in the recovery room, and later transferred to their room. After the procedure, a nurse will monitor the patient’s heart rate, blood pressure, and body temperature, as well as monitor their comfort in case of pain. To be able to leave the clinic, the patient must be in good health and able to move independently. The operating physician discharges the patient after performing an imaging examination, determining the next course of action, and prescribing the necessary medications. The receptionist provides the patient with a complete set of test results, prescriptions, information sheets from the clinic’s treatment history, along with necessary phone numbers, and a medical certificate.

The patient is prohibited from driving or performing precision work for 48 hours. Alcohol is prohibited during this time. Medications such as aspirin and its derivatives are prohibited, as are beverages that raise blood pressure, such as coffee, strong tea, Coca-Cola, Red Bull, and similar beverages. Patients staying at our clinic have access to rest rooms with bathrooms equipped with a nurse call system, cable TV, and internet access. Visits by friends are possible from 9:00 a.m. to 6:00 p.m.

Nutrition after surgery

After bariatric surgery, patients are required to follow a special diet, which is most restrictive during the first two weeks after the procedure. The patient’s diet should consist of small amounts of food, and it’s also important to ensure adequate water intake to avoid dehydration. At our clinic, post-bariatric surgery patients receive a nutritional guide specifically designed for those who have undergone the procedure. They are also provided with a detailed diet plan for up to eight weeks after the procedure. Patients are also provided with contact numbers for the operating physician, dietitian, and registration, allowing them to seek advice whenever necessary or with any concerns. Patients also receive a guide to help them manage adverse gastrointestinal symptoms, such as a feeling of fullness in the upper abdomen, belching, nausea, and vomiting.

Follow-up visits

The first post-operative follow-up visit takes place approximately 7-10 days after the procedure and is designed to assess the patient’s health and remove any stitches. Follow-up visits are scheduled three and six months after the surgery. During these follow-up visits, the doctor will check the patient’s weight, discuss any concerns, and adjust dietary habits.

What to take with you when going for surgery?

We recommend bringing:

Toiletries, a hairbrush, and a hair tie (for those with long hair)
Shoes to change into
Pajamas – preferably two-piece, with a button-up top
Clean underwear and loose, easy-to-wear clothing
ID card
Original test results
Contact lens cases and dentures (if the patient uses them)
Medications taken regularly

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Do you have any questions?

Contact us – we will dispel all doubts.

+(48) 730 350 502