Skip to main content
SpringerLink
Log in

Is Previous Abdominal Surgery an Obstacle to Laparoscopic Bariatric Surgery?

  • Original Article
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

It is generally considered that a previous history of abdominal surgery can negatively impact the patient’s perioperative course. But the effects of it on laparoscopic bariatric surgery have not been sufficiently documented. Therefore, our study aims to analyse the impact of previous abdominal surgery on patients undergoing bariatric surgery. Data from patients who underwent surgery between January 2011 and November 2019 was analysed retrospectively. The study population was divided into the following four groups: those with no history of previous abdominal surgery (group A), those who had previously undergone lower abdominal (group B), upper abdominal (group C) and those who had both lower and upper abdominal surgery (group D). Patients’ demographic data, type of surgical procedure, operative time, length of hospitalization, perioperative and postoperative complications were recorded for each patient in the database. In the case of 4 (0.3%) patients, conversion to open surgery from a laparoscopic intervention was required. No significant difference was found between the groups with previous abdominal surgery in terms of intraoperative complications (p: 0.551). The rate of postoperative complications was higher in patients who had previously undergone upper abdominal surgery; however, the difference in this rate compared to the other groups was found to be statistically insignificant (p: 0.189). We believe that during the decision-making process, neither patients nor surgeons should see previous abdominal surgery as an obstacle to laparoscopic bariatric surgery, thus permitting more freedom in selecting the most appropriate type of surgery for the patient.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Seidell JC, Halberstadt J (2015) The global burden of obesity and the challenges of prevention. Ann Nutr Metab 66(Suppl 2):7–12. https://doi.org/10.1159/000375143

    Article  CAS  PubMed  Google Scholar 

  2. Pories WJ (2008) Bariatric surgery: risks and rewards. J Clin Endocrinol Metab 93(11 Suppl 1):S89-96. https://doi.org/10.1210/jc.2008-1641

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Welbourn R, Hollyman M, Kinsman R et al (2019) Bariatric surgery worldwide: baseline demographic description and one-year outcomes from the Fourth IFSO Global Registry Report 2018. Obes Surg 29(3):782–795. https://doi.org/10.1007/s11695-018-3593-1

    Article  PubMed  Google Scholar 

  4. Aytac E, Stocchi L, De Long J et al (2015) Impact of previous midline laparotomy on the outcomes of laparoscopic intestinal resections: a case-matched study. Surg Endosc 29(3):537–542. https://doi.org/10.1007/s00464-014-3719-z

    Article  PubMed  Google Scholar 

  5. Liakakos T, Thomakos N, Fine PM, Dervenis C, Young RL (2001) Peritoneal adhesions: etiology, pathophysiology, and clinical significance. Recent advances in prevention and management. Dig Surg 18(4):260–273. https://doi.org/10.1159/000050149

    Article  CAS  PubMed  Google Scholar 

  6. van Goor H (2007) Consequences and complications of peritoneal adhesions. Colorectal Dis Off J Assoc Coloproctology G B Irel 9(Suppl 2):25–34. https://doi.org/10.1111/j.1463-1318.2007.01358.x

    Article  Google Scholar 

  7. Stanciu D, Menzies D (2007) The magnitude of adhesion-related problems. Colorectal Dis Off J Assoc Coloproctology G B Irel 9(Suppl 2):35–38. https://doi.org/10.1111/j.1463-1318.2007.01346.x

    Article  Google Scholar 

  8. Karayiannakis AJ, Polychronidis A, Perente S, Botaitis S, Simopoulos C (2004) Laparoscopic cholecystectomy in patients with previous upper or lower abdominal surgery. Surg Endosc 18(1):97–101. https://doi.org/10.1007/s00464-003-9001-4

    Article  CAS  PubMed  Google Scholar 

  9. Akyurek N, Salman B, Irkorucu O et al (2005) Laparoscopic cholecystectomy in patients with previous abdominal surgery. JSLS 9(2):178–183

    PubMed  PubMed Central  Google Scholar 

  10. Lee SY, Kim CH, Kim YJ, Kim HR (2016) Laparoscopic surgery for colorectal cancer patients who underwent previous abdominal surgery. Surg Endosc 30(12):5472–5480. https://doi.org/10.1007/s00464-016-4908-8

    Article  PubMed  Google Scholar 

  11. Pędziwiatr M, Matłok M, Kulawik J et al (2013) Laparoscopic adrenalectomy by the lateral transperitoneal approach in patients with a history of previous abdominal surgery. Wideochirurgia Inne Tech Maloinwazyjne Videosurgery Miniinvasive Tech 8(2):146–151. https://doi.org/10.5114/wiitm.2011.32942

    Article  Google Scholar 

  12. Law WL, Lee YM, Chu KW (2005) Previous abdominal operations do not affect the outcomes of laparoscopic colorectal surgery. Surg Endosc 19(3):326–330. https://doi.org/10.1007/s00464-004-8114-8

    Article  CAS  PubMed  Google Scholar 

  13. Arteaga González I, Martín Malagón A, López-Tomassetti Fernández EM, Arranz Durán J, Díaz Luis H, Carrillo PA (2006) Impact of previous abdominal surgery on colorectal laparoscopy results: a comparative clinical study. Surg Laparosc Endosc Percutan Tech 16(1):8–11. https://doi.org/10.1097/01.sle.0000202188.57537.07

    Article  PubMed  Google Scholar 

  14. Şansal M, Sağlam K, Gökler C, Sümer F, Kayaalp C (2018) Laparoscopic sleeve gastrectomy technique: how we do it. Laparosc Endosc Surg Sci LESS 25(2):76–80. https://doi.org/10.14744/less.2018.30974

    Article  Google Scholar 

  15. Kayaalp C, Sümer F, Abdullayev A (2016) Laparoscopic Roux-en-Y gastric bypass. Laparosc Endosc Surg Sci LESS 23(4):110–118. https://doi.org/10.14744/less.2014.29392

    Article  Google Scholar 

  16. Dindo D, Demartines N, Clavien P-A (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–213. https://doi.org/10.1097/01.sla.0000133083.54934.ae

    Article  PubMed  PubMed Central  Google Scholar 

  17. Kolotkin RL, Meter K, Williams GR (2001) Quality of life and obesity. Obes Rev Off J Int Assoc Study Obes 2(4):219–229. https://doi.org/10.1046/j.1467-789x.2001.00040.x

    Article  CAS  Google Scholar 

  18. Hachem A, Brennan L (2016) Quality of life outcomes of bariatric surgery: a systematic review. Obes Surg 26(2):395–409. https://doi.org/10.1007/s11695-015-1940-z

    Article  PubMed  Google Scholar 

  19. Raaijmakers LCH, Pouwels S, Thomassen SEM, Nienhuijs SW (2017) Quality of life and bariatric surgery: a systematic review of short- and long-term results and comparison with community norms. Eur J Clin Nutr 71(4):441–449. https://doi.org/10.1038/ejcn.2016.198

    Article  CAS  PubMed  Google Scholar 

  20. Peterli R, Wölnerhanssen BK, Vetter D et al (2017) Laparoscopic sleeve gastrectomy versus Roux-Y-gastric bypass for morbid obesity-3-year outcomes of the prospective randomized Swiss Multicenter Bypass Or Sleeve Study (SM-BOSS). Ann Surg 265(3):466–473. https://doi.org/10.1097/SLA.0000000000001929

    Article  PubMed  Google Scholar 

  21. Tao W, Plecka-Östlund M, Lu Y, Mattsson F, Lagergren J (2015) Causes and risk factors for mortality within 1 year after obesity surgery in a population-based cohort study. Surg Obes Relat Dis Off J Am Soc Bariatr Surg 11(2):399–405. https://doi.org/10.1016/j.soard.2014.08.015

    Article  Google Scholar 

  22. Major P, Wysocki M, Pędziwiatr M et al (2017) Risk factors for complications of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass. Int J Surg Lond Engl 37:71–78. https://doi.org/10.1016/j.ijsu.2016.12.012

    Article  Google Scholar 

  23. Major P, Wysocki M, Dworak J, Pędziwiatr M, Małczak P, Budzyński A (2017) Are bariatric operations performed by residents safe and efficient? Surg Obes Relat Dis Off J Am Soc Bariatr Surg 13(4):614–621. https://doi.org/10.1016/j.soard.2016.11.017

    Article  Google Scholar 

  24. Seifman BD, Dunn RL, Wolf JS (2003) Transperitoneal laparoscopy into the previously operated abdomen: effect on operative time, length of stay and complications. J Urol 169(1):36–40. https://doi.org/10.1097/01.ju.0000038951.15979.06

    Article  PubMed  Google Scholar 

  25. Franko J, O’Connell BG, Mehall JR et al (2006) The ınfluence of prior abdominal operations on conversion and complication rates in laparoscopic colorectal surgery. JSLS 10(2):169–175

    PubMed  PubMed Central  Google Scholar 

  26. Major P, Droś J, Kacprzyk A et al (2018) Does previous abdominal surgery affect the course and outcomes of laparoscopic bariatric surgery? Surg Obes Relat Dis Off J Am Soc Bariatr Surg 14(7):997–1004. https://doi.org/10.1016/j.soard.2018.03.025

    Article  Google Scholar 

  27. Du Y, Chen G, Zhang P, Gu Y (2020) Effect of previous abdominal surgery on laparoscopic Roux-en-Y gastric bypass surgery. J Surg Res 247:197–201. https://doi.org/10.1016/j.jss.2019.10.023

    Article  PubMed  Google Scholar 

  28. Zhang Y, Wang J, Ju W et al (2015) Laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass for morbid obesity and related comorbidities: a meta-analysis of 21 studies. Obes Surg 25(1):19–26. https://doi.org/10.1007/s11695-014-1385-9

    Article  PubMed  Google Scholar 

  29. Young MT, Gebhart A, Phelan MJ, Nguyen NT (2015) Use and outcomes of laparoscopic sleeve gastrectomy vs laparoscopic gastric bypass: analysis of the American College of Surgeons NSQIP. J Am Coll Surg 220(5):880–885. https://doi.org/10.1016/j.jamcollsurg.2015.01.059

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Gastrointestinal Surgery, Faculty of Medicine, University of Inonu, Malatya, Turkey

    Emre Turgut, Kuntay Kaplan, Gokalp Okut, Yusuf Murat Bağ, Fatih Sumer & Cuneyt Kayaalp

Authors
  1. Emre Turgut
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kuntay Kaplan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Gokalp Okut
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yusuf Murat Bağ
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Fatih Sumer
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Cuneyt Kayaalp
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

All of the authors declare that they have all participated in the design, execution, and analysis of the paper, and that they have approved the final version. The material described is not under publication or consideration for publication elsewhere.

Corresponding author

Correspondence to Emre Turgut.

Ethics declarations

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Conflict of Interest

The authors declare no competing interests.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This paper has been edited to native speaker English language level by Claire Olmez (B.Ed.; M.Sc. (ELT))

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Turgut, E., Kaplan, K., Okut, G. et al. Is Previous Abdominal Surgery an Obstacle to Laparoscopic Bariatric Surgery?. Indian J Surg (2021). https://doi.org/10.1007/s12262-021-02981-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s12262-021-02981-1

Keywords

Search

Navigation