[Obesity and surgery].
BASICS AND AIMS: Obesity is generally considered to be a surgical risk factor, although its influence cannot be accurately defined. The risks of surgery in the obese patient are discussed on the basis of a review of the literature.


OBJECTIVE
In itself, obesity does not increase the surgical risk, but it is often associated with cardio-respiratory, metabolic or coagulation disorders that increase morbidity and mortality in obese patients. The only statistically significant difference between obese and non-obese patients is the higher rate of secondary healing in the former.


CONCLUSIONS
Guidelines aimed at reducing perioperative risk in these patients are suggested.
Pratschke
E
E
Chirurgische Klinik, Klinikum Grosshadern, Universität München.
D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000503:physiopathology; D009765:Obesity / Q000150:complications* / Q000503:physiopathology; D011183:Postoperative Complications / Q000209:etiology / Q000503:physiopathology; D012307:Risk Factors; D013514:Surgical Procedures, Operative
Adipositas und Chirurgie.