EXPERIENCE OF MINIMALLY INVASIVE INTERVENTIONS FOR OBESITY IN THE REPUBLIC OF TAJIKISTAN

Annotation

Resume.The article describes the experience of using various minimally invasive interventions for obesity in individuals with different body mass indexes.

Goal. The article describes the experience of using various minimally invasive interventions for obesity in individuals with different body mass indexes.

Material and methods. During the period from 2022 to 2025, 157 patients were operated on for obesity in the departments of endosurgery, bariatrics and herniology. Of these, 17 were male. The age of patients ranged from 18 to 54 years, the average was 29.8 ± 7.6 years. All patients were required to have primary obesity confirmed, not associated with hormonal disorders and other similar diseases

Results. Sleeve resection surgery was performed on 126 patients. The surgery is easy to perform. The average time for Sleeve resection was 62.4±12.5 minutes. This bariatric surgery method has proven effective in combating obesity and concomitant diseases associated with pathological changes occurring under the influence of adipose tissue in the body. Gastric balloons were used in patients weighing 180 kilograms or more to reduce weight for radical minimally invasive surgeries. However, this technique had a number of adverse effects on the patient. RouxenY gastric bypass was performed with a body mass index above 45 kg/m2. This surgery was effective in all 18 patients (13mini gastric bypass, 5classic bypass). Although it is longer than its analogues (the average time is 106.5±21.1 minutes), its impleme

Conclusion. Thus, individual selection of bariatric interventions for morbid obesity is the key to the safety and effectiveness of the intervention. The widespread use of minimally invasive techniques has reduced trauma and the risk of dam

Keywords

Sleeve resection obesity bariatric surgery diabetes mellitus gastric balloon.

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