Markov V K, Leont'eva M S, Guznov I G, Munir A, Gorbunov A S
Khirurgiia (Mosk). 1996(3):46-9.
Surgical removal of a fat "flap" is a last step of surgical treatment of patients with 3-d and 4-th stage of alimentary obesity. This kind of surgery makes sense only 12-24 months after "small stomach" creation. During this period the weight is stable. A detailed clinical examination and prophylaxis helps to avoid septic and thromboembolic complications that may cause death and usually appear short time after the operation. To minimize postoperative complications and to decrease a risk of repeated anaesthesia and time of stay in a hospital it is necessary to make some concomitant small surgical procedure (cholecystectomy, phlebectomy).
手术切除脂肪“皮瓣”是治疗3期和4期营养性肥胖患者手术治疗的最后一步。这种手术仅在“小胃”创建后的12至24个月才有意义。在此期间体重稳定。详细的临床检查和预防有助于避免可能导致死亡且通常在术后短时间内出现的败血症和血栓栓塞并发症。为了尽量减少术后并发症并降低重复麻醉的风险以及缩短住院时间，有必要进行一些伴随的小手术（胆囊切除术、静脉切除术）。
