Bariatric surgery
Conditions
Interventions
Eligible patients that meet the criteria of this study will be discharged at the same day of the operation and will receive video consultation and remote monitoring during the following day(s).
Same-
Sponsors
none
Eligibility
Inclusion criteria
Inclusion criteria: In order to be eligible to participate in this study, a subject must meet all of the following criteria: 1. Morbidly obese patients (IFSO criteria of morbid obesity) aged between the 18 and 65 years without significant cardiovascular and/or pulmonary diseases, no previous history of a large abdominal surgery (excluding appendectomy and caesarean section) 2. Laparoscopic gastric bypass (LRYGB) 3. The operation will take place before 11 o’clock 4. Master the Dutch language 5. The surgical procedure is the first or second procedure on the bariatric program of the day 6. Patient is able to understand and use the wearable and application 7. Residing within a radius of a 45 minutes’ drive from the OLVG hospital 8. An informal carer needs to be at the patient’s side during the 24 hours following hospital discharge.
Exclusion criteria
Exclusion criteria: Exclusion criteria 1. Patients is diagnosed with uncontrolled diabetes mellitus or use of insulin, obstructive sleep apnea (OSA) with an Apnea Hypopnea Index (AHI) above 15 or use of a CPAP, cardiac disease (history of myocardial infarction, heart rhythm disorder) and coagulation abnormalities or anti-coagulant use. 2. Large abdominal surgeries in the past including abdominal laparotomy. 3. Revision bariatric surgery, gastric sleeve, other bariatric procedures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the number of patients who are discharged successfully on the same day (proportion of successfully discharged on day one of the total included patients including failed same-day discharged patients) over a period of 6 months. . | — |
Secondary
| Measure | Time frame |
|---|---|
| Other outcomes will be mortality, complication, readmissions rates and patient satisfaction. | — |
Contacts
Public ContactLeontien Nijland
OLVG
Outcome results
None listed