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Bariatric Surgery in Bangalore during Covid-19 Pandemic | Dr. Prabhu N NESARGIKAR

Bariatric Surgery in Bangalore during Covid-19 Pandemic | Dr. Prabhu N NESARGIKAR, Cancer and Bariatric Surgeon says obesity lead to higher complications in patients with COVID-19.<br>To know more visit: http://cancerandbariatricsurgeon.com/blog/bariatric-surgery-during-covid-19-pandemic/

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Bariatric Surgery in Bangalore during Covid-19 Pandemic | Dr. Prabhu N NESARGIKAR

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  1. Bariatric Surgery during Covid-19 Pandemic By Dr. Prabhu N Nesargikar Cancer and Bariatric Surgeon

  2. On March 11, 2020, the World Health Organization (WHO) declared the COVID-19 a global pandemic. • Bariatric patients are unique from other surgical patients. Most of them suffer from medical issues such as cardiovascular diseases, hypertension, diabetes, and certain respiratory diseases including OSA. Hence the outbreak of the COVID-19 has drastically changed the way Bariatric surgeons work.

  3. Are Bariatric surgeries safe during this pandemic?

  4. Studies have demonstrated that patients with obesity-related issues such as hypertension, diabetes, cardiovascular and respiratory system disease were the most severely affected among the COVID-19–positive patients. • Obesity led to higher complications in patients with COVID-19. Bariatric surgery is essentially a planned elective surgery, and laparoscopic surgery is the most common approach used.

  5. Risks to be aware of in Laparoscopic Surgery: • Particles in surgical smoke have been demonstrated to contain toxic and virulent materials that could potentially infect those who inhale them. • Risk of Aerosol and fomite transmission of the COVID-19 virus is hypothesized • Laparoscopic surgery needs to be conducted with caution because of a higher concentration of particulate matter due to aersolisation.

  6. The Current Scenario Best Way Forward • In patients who are COVID-19 positive, unless they have a life-threatening emergency, we recommend delay of surgery until recovered. • For patients with unknown COVID-19 status, it is recommended they be tested before surgery • Communication must be balanced, utilizing telehealth technology. • It is one productive way to follow up patients postoperatively and also keep those whose surgeries were postponed to maintain a good lifestyle in the time being. This avoids anxiety and panic.

  7. Emergent Bariatric Procedures • Every single health care member should wear appropriate PPE gear • If it is laparoscopy, ultra-filtration should be used. • The surgery should be carried out in a properly ventilated room with all precautions

  8. We recommend that elective Bariatric Surgery in Bangalore be postponed until the COVID-19 pandemic is over. Postoperative follow-up can be done through telemedicine. Patients in the pipeline can be counseled and advised remotely to ensure continued weight maintenance.

  9. To Know More Visit www.cancerandbariatricsurgeon.com

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