David Flum
David Flum
example far moved preventive
We've really moved far away from preventive surgery, and this is another example of that.
check eyes obesity patients people reality thinking
This is a reality check for people thinking of having obesity surgery. Patients really need to go into this with their eyes open. This can be a high-risk operation.
bit eyes people surgery vanity
This is not a vanity operation, it's a high-risk operation. This at least allows people who are considering this surgery to go in a little bit more with their eyes open.
major operation
This is a major operation in a high-risk population.
check patients reality
It's a reality check for those patients who are considering these operations,
advanced age bad expect happen higher obesity patients people risk surgery
That is significantly higher than most people expect when they think of obesity surgery. Patients are at higher risk for having bad things happen after surgery because of their advanced age or other conditions.
deliver lowest operation patients places risks
If we're going to do this operation at all in patients 65 and older, it should really be done in places that can deliver the lowest risks to the patient.
avoid avoiding best case cause counseling easy educating greatest harm identified patients struggling surgeons
For years, surgeons have been struggling to find the best way to avoid the greatest harm in patients with incidentally identified hernias. Avoiding harm in this case is easy it can best be accomplished by counseling and educating patients and only repairing hernias that cause symptoms.