PREVENTION OF POSTOPERATIVE NAUSEA AND VOMITING IN PATIENTS WITH MORBID OBESITY UNDERGOING LAPAROSCOPIC BARIATRIC SURGERY
Keywords:
Keywords: Postoperative nausea and vomiting (PONV), Morbid obesity, Laparoscopic bariatric surgery, Anti-emetic medicationsAbstract
Obesity is a chronic disease of the 21st century and an epidemic spreading worldwide [1]. According to statistics, 1.4 billion adults around the world suffer from overweight [1,2]. Of these, 900 million women and over 500 million men suffer from obesity. Postoperative nausea and vomiting (PONV) are common and distressing complications following bariatric surgery, particularly in patients with morbid obesity. [3,4]. These complications can significantly impact patient recovery and satisfaction. This article explores the prevention strategies for PONV in patients undergoing laparoscopic bariatric surgery [5,6]. Key factors contributing to PONV include the use of anesthetics, pain management, hormonal changes, and gastrointestinal disruptions post-surgery. The article reviews preoperative, anesthetic, pharmacological, and postoperative approaches to minimize the risk of PONV[7,8]. Effective preoperative assessment, careful selection of anesthetics, the use of antiemetic medications, and appropriate pain management are essential for improving postoperative outcomes [9]. Additionally, gradual reintroduction of food and fluids, along with dietary and lifestyle adjustments, play a crucial role in reducing PONV [10]. The goal of this review is to provide a comprehensive overview of effective prevention strategies that can enhance recovery and improve patient comfort after laparoscopic bariatric surgery.
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