Obesity: an illness, not an aesthetic concern | Weightloss Surgery | Istanbul, Turkey

Obesity: an illness, not an aesthetic concern

Anadolu Medical Centre General Surgery Specialist Associate Tuğrul Tansuğ, MD pointed out that, left untreated, obesity can become deadly. He said surgical treatment was an option that yielded long term if not permanent results. Associate Professor Tansuğ answered our questions:

How do you decide to go with surgical treatment?
Surgery can be life saving in instances where obesity cannot be controlled through diet, exercise or medication. As the first step, we thoroughly examine the patient in every aspect. Besides their psychological condition and eating disorders we look into circulation, respiration, metabolism and joint functions. Patients found suitable for obesity surgery are operated with the most appropriate method available.

SINGLE INCISION SURGERY WITH LAPAROSCOPY

What methods are used in surgery?

There are about 10 methods available for obesity surgery.  Considering patient’s expectations, we decide upon the most suitable method. We can divide obesity surgery methods into two groups. The first group is termed “restrictive” methods, which focus on reducing the volume of the stomach or restrict food movement by using solutions like stomach staples (adjustable gastric banding) and tube stomach (sleeve gastrectomy). In the second group we have methods that prevent intestinal absorption of nutrients (by-pass). In some cases we will employ procedures that involve both approaches.

Previously these were open surgeries and thus suitable for only a small number of patients. However, these surgeries have become much more common parallel to the increase in obesity. Thanks to the practicalities offered by laparoscopic surgery we are now able to perform closed obesity surgeries. As a matter of fact, we now only need to open a single incision from the tummy. Moreover, we also make use of the technical advantages robotic surgery provides us with. These advantages include ergonomics, 3D imaging and increased sensitivity.

When do you consider surgical procedures in overweight people?
Prior to obesity surgery, a general surgeon and plastic surgeon will assess the patient together. They will inform the patient about what is to be expected after surgery and the nature of tissue change. During this process the general surgeon and dietician will initially monitor the patient. The general surgeon appointed to perform the obesity surgery will select and perform the most suitable method for the specific patient.
Once the target is reached, should the patient experience sagging or other unpleasant changes a plastic surgeon may be invited into the process to make certain corrections.

IN CASE PLASTIC SURGERY IS NECESSARY...

Once the desired level of weight loss is reached with obesity surgery, the body can be reshaped with plastic surgery operations should the need arise. Anadolu Medical Centre Plastic and Reconstructive Surgery Specialist Professor Haluk Duman, MD reveals information about plastic surgery procedures after obesity surgery:

What types of plastic surgery are performed after obesity surgery?
Liposuction, tummy lift, breast reduction and lifting, leg and arm stretching are some of the operations performed on overweight patients. Independent or collective procedures may be performeddepending on the patient’s condition. The important thing is for the patient to be suitable for and willing to undergosurgery.

How long after obesity surgery is it possible to undergo plastic surgery?
Depending on the patient’s conditionthis timing will be decided upon by the general and plastic surgeons. The ideal period is usually 6 to 12 months. Surgeries after 6-12 months are much more successful since the body requires time to adapt to the new conditions.

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Anadolu Medical Centre  2011-11-28   Articles/Press Releases