Clinical experience of adapting Fast Track principles in patients after laparoscopic sleeve gastrectomy for morbid obesity

Laparoscopic sleeve gastrectomy is gaining popularity every year. The sleeve gastrectomy took the leading position in Russia.The patient can return to his usual lifestyle after 48 hours after the operation with proper rehabilitation.We have formed the basic principles of postoperative rehabilitation of patients after sleeve gastrectomy for morbid obesity.Materials and Methods: 10 patients with morbid obesity were operated sleeve gastrectomy during the period from June 1 to November 2019. Patients were operated at the surgical hospital of the Ekaterininskaya Clinic.Results: All patients were discharged home in satisfactory condition. There are no postoperative complications or deaths. The length of stay of such patients in the hospital did not exceed 3 days.Discussion: There is relatively a few information in the literature about the early postoperative rehabilitation of patients after sleeve gastrectomy. The principles of Fast Track certainly need to be applied in the rehabilitation of such patients to reduce postoperative complications.Conclusion: Clinical experience of adapting Fast Track principles to patients after sleeve gastrectomy for morbid obesity was presented. It is necessary to continue the study of adapted Fast Track principles at the preoperative and postoperative stages in order to assess their effectiveness for this group of patients.