Laparoscopic bariatric surgery for morbid obesity: the first hundred cases in an Irish centre
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- Smith, F.M., Gallagher, H., O’Connell, J. et al. Ir J Med Sci (2010) 179: 17. doi:10.1007/s11845-009-0413-6
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This study evaluated outcomes for the first 100 bariatric surgical procedures in a single, publicly funded Irish centre.
This was a retrospective, chart-based study. Demographics and comorbidities of patients, peri- and post-operative outcomes and health benefits obtained by surgery were assessed.
In total, 87 patients underwent Roux-en-Y gastric bypass procedures, 11 underwent sleeve gastrectomies and 2 underwent duodenal switch. The first 13 operations were done as open procedures. Of the remaining 87 cases, 85 were started laparoscopically. Postoperatively, 2 laparotomies were performed for bleeding and 2 patients developed incarcerated incisional hernias that required repair. The 30-day readmission rate was 6% of which 2 patients required emergency surgery. There was one postoperative mortality from cardio-respiratory failure.
This series audits the introduction of a publicly funded bariatric service in Ireland and reports a high percentage of procedures completed laparoscopically with an acceptable morbidity and mortality.