How to avoid Higher Fat Related Mortality in Surgery

Fat is very dangerous for your well being.The complication rate for the surgeon is higher, not to forget the intra operative and post operative higher mortality and morbidity for the anesthetist.

Today we will handle the surgical complications.
What makes one heal after surgery is transported to the wound area through blood vessels. Fibroblasts and phagocytes have no other way of reaching their destiny.

Fat has a very poor blood supply. Without the fibroblasts and immune cells needed for the healing we as doctors are doomed. We can only approximate the cut bowel, muscle and skin after the surgery and pray that nature carries the process to its natural end point of perfect healing.
It is one of the reasons why diabetics heal so poorly.

Being overweight is dangerous for your health; in fact it is so bad that for once the medical aid industry is in agreement with the doctors to limit the damage. Higher cost to the medical aid, higher complication rate.

To make matters worse if you need intra abdominal surgery, the pressure intra abdominal is high. You probably have seen your neighbor downstairs ballooned midriff. If your are a plumber at heart you probably asking yourself how we manage to close such a high pressure piping without turning down the input pipe. To tell the truth we can’t; that is why they (obese individuals) have such a high rate of wound dehiscence.

Healing has a lot to do with rehabilitation also, more so if orthopedic. If your recovery is going to be compromised by mobility post op; then the surgery might as well be delayed until your mobility is improved and weight more appropriate.

Next time your doctor tells you that you are too fat to be operated, don’t go find a cowboy who will do the surgery anyway. He is more worried about your health than his pocket therefore you should respect his opinion.

If the surgery could be done safely, he would have long operated you. He gets paid fee for service done, unless he is in a public hospital in which case he would have not discussed the operation in the first place.

Losing weight to live should be a motivating factor enough and don’t use ephridine to effect it. It has negative ramifications for the anesthetist.

You might be surprised as the changed lifestyle might outlive the original purpose.

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