Robotic Surgery Helps Two Morbidly Obese Patients Lose Significant Weight

in Max Super Speciality Hospital, Vaishali

Nov 24 , 2022

Two morbidly obese patients weighing over 200 kgs each successfully underwent robotic Bariatric surgery at Max Hospital, Vaishali, recently. Pertaining to the co-morbidities associated with their condition, both patients had a depleted quality of life, and post-operatively they are leading a comfortable, normal life.

A team of specialist doctors led by Dr Vivek Bindal, Head, Max Institute of Minimal Access, Bariatric & Robotic Surgery, Max Super Speciality Hospital, Vaishali, operated on the patients. Dr Bindal highlighted the fact that robotic procedures are paving the way for significant weight reduction in fatty liver and metabolic syndrome. Despite a visit to various doctors and following a strict dietary regime and exercise schedule, he was unable to get success in his weight loss journey.

“Patient Vaibhav came to us weighing 208 kg, and we advised him to undergo robotic bariatric surgery. Within one week post-surgically, Vaibhav was feeling better and even started his daily activities, and he had lost 68 kg. His daily activity level was also high now, and his snoring problem was resolved within a week. He is much more comfortable now, and his current weight is 140 kg. Bariatric (Obesity) surgery, weight loss surgery or metabolic surgery includes a variety of procedures performed on people who are obese. Weight loss is achieved by reducing the size of the stomach through the removal of a portion of the stomach (sleeve gastrectomy) or by resecting and re-routing the small intestines to a small stomach pouch (gastric bypass surgery/One Anastomosis Gastric bypass). Robotic bariatric surgical procedures are offered to patients with high Body Mass Index (BMI) and other medical conditions related to obesity.” Added Dr Bindal

The main advantages of the Robotic system are seen with the Gastric bypass, which provides a 3D HD View inside the body, the wristed instruments morbidly obese patients with other ailments.
Explaining the case of a 36-year-old, who approached Dr Bindal weighing over 214 kg, Dr Bindal said that “Being morbidly obese, he was also associated with conditions such as diabetes and high BP. He was given two choices, either to undergo Bariatric surgery or robotic bariatric surgery, and he chose the latter. Post surgically, he had lost over 75 kg and after nine months, his weight is 139 kg, and has been prescribed dietary changes and an exercise regime. Further, his diabetes and hypertension are also completely cured. Bariatric Surgery causes resolution of Diabetes, High BP and Obstructive Sleep Apnea. A lot of patients who have uncontrolled blood sugar despite taking hundreds of units of insulin recover from diabetes, and their blood sugar becomes normal after Bariatric surgery without any medications.”

Similar was the case of a 31-year-old who was suffering from super morbid obesity weighing 208 Kg, with a BMI of 67.4. His other co-morbidities included severe obstructive sleep apnea, Grade II that bend and rotate far greater than the human hand with better precision and control. Such procedures are highly safe, have a low rate of gastrointestinal leaks, have better stoma size, and eliminate the risk of wound/infection.

“Obesity is one of the biggest health challenges facing the world today, affecting 800 million people with millions more at risk. It is a significant contributor to Heart Disease, Diabetes, Cancer and other Chronic Diseases such as Osteoarthritis, liver, Kidney Disease, Sleep Apnea and Depression. It has become an epidemic in recent years, leading to increased morbidity and mortality. Despite multiple weight-loss solutions provided by various clinics, long-term weight-loss remains elusive. Obesity can be treated. But it involves more than just swallowing a pill or sticking to a diet. It needs a multidisciplinary assessment involving a coordinated approach by different specialists such as dieticians, endocrinologists, psychologists, internists, cardiologists, family doctors, and bariatric surgeons. The last resort is surgical management, i.e., Bariatric surgery, which has proven to be the most effective treatment option for sustained weight loss and significant improvement of all obesity-related illnesses.” added Dr Bindal.