By Daniel M. Herron
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Extra info for Bariatric Surgery Complications and Emergencies
The correlation between psychopathology and morbid obesity is complex and poorly understood. Patients with severe and chronic psychiatric disorders, such as adjustment disorders, personality disorders, or major depression, may have more difﬁculties accepting the behavioral changes imposed by surgery and thus be less likely to achieve successful weight loss [14, 15]. Ultimately, psychological distress secondary to obesity is highly likely to decrease with weight loss, which may contribute to better long-term weight maintenance and a better quality of life.
Commercially available devices such as the HoverMatt® (HoverTech International, Bethlehem, PA) can be used to facilitate transfer of the obese patient between the operating room table and hospital bed. It is also critical to have adequate personnel to assist in moving and posi- H. Ma and S. Jones 22 tioning morbidly obese patients. To minimize the risk of fall from the operating room table, straps and a footboard should be used for security. The use of a footboard is helpful to avoid downward sliding with reverse Trendelenburg position during induction, surgery (if indicated), and emergence.
The patients should be appropriately secured to the operating table to aid in its safe maneuverability during the procedure. The use of an air mattress is also helpful for safe transfer from the operating table to the hospital bed, both for the morbidly obese patient and for the operating room staff. 6 Early Complications Common to All Bariatric Procedures A morbidly obese patient undergoing a bariatric procedure is predisposed to certain early complications, irrespective of the type of surgery.