Choice of the stage of surgical treatment in super obesity on the laparoscopic integral index

Introduction. The aim of the study was to determine the laparoscopic abdominal integral index for the evaluation of surgery conditions for the selected one or two-stage surgical treatment of super-obesity.Methods. The author has applied the approach of the method for calculating the abdominal integral index to assess the operating conditions in working into the laparoscopic cavity on the basis on sum of the main measurements.Results. It is proposed to distinguish five levels of complexity of operations with different intervals of abdominal integral index values with an assessment of the operating conditions from «optimal» to «extremely bad». The use of the abdominal integral index in two patients with the same height and the same body weight. In this case, a different result of abdominal integral index was revealed. In accordance with the index equal to 3.99 points, the assessment corresponding to the criterion «acceptable operating conditions» was established, and the other, in the case of a value of 2.9, the assessment of «poor operating conditions» was established.Conclusions. The abdominal integral index for evaluating the operating conditions during super-obesity, based on linear measurements, provides a standardized, objective assessment and allows you to choose between one or two-stage surgical treatment.