Introduction: Incisional hernia is a common complication following laparotomy. We aim to estimate the incidence of incisional hernia during the 5 years post-laparotomy and, secondarily, to study the risk factors for its development. Methods: We performed a retrospective cohort study in patients (age>18 years old) who were submitted to a laparotomy for general surgery procedures, between June 2015 and M...
Bariatric surgery, although an effective method, still has complications, like nutritional deficiencies. Our aim was to summarize the evidence on the frequency of complex B vitamin deficiencies in studies comparing Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG). We included 25 studies for qualitative synthesis and 21 studies for quantitative synthesis. Relevant data was extracted, including proport...
Introduction: Obesity is often accompanied by psychological distress and both can reduce patients’ quality of life. Bariatric surgery is proven to be a good method to reduce weight and to alleviate comorbidities, leading ultimately to an improvement in quality of life.Material and Methods: The authors studied 80 patients enrolled in the Multidisciplinary Bariatric Unit of a central hospital in Porto, Portugal. ...
Introduction: The disruption of esophageal motility that characterizes achalasia typically provokes dysphagia, pain, loss of weight and malnutrition. Therefore, patients frequently report a reduction in quality of life and negative emotional states. Laparoscopic Heller myotomy proved to be an effective therapy, enabling the resumption of good quality of life.Material and Methods: The authors studied 45 patients...
Introduction: Our objective is to determine which complications lead to reoperation, and the outcomes of reoperation using laparoscopic adjustable gastric banding, laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy at Centro Hospitalar de São João.Material and Methods: Observational study. Patients included were aged 18 to 65 years at first gastric banding, underwent removal from March 21...