Quality of life after surgical operations

Abstract

The aim of the work is to study the quality of life in patients who underwent gastric plication for morbid obesity. A prospective study of 37 patients aged 28 to 59 years, who underwent gastroplication according to the original technique, was conducted on the basis of the Clinic of the Bashkir State Medical University. The indication for surgery was morbid obesity (body mass index 40 kg/m² or more). The quality of life of patients who underwent laparoscopic gastric plication for morbid obesity was studied by comparing the results of questionnaires and special research methods. Weight loss achieved as a result of laparoscopic gastric plication, correction of concomitant disorders in organs and systems, and normalization of metabolic parameters allow us to consider the intervention effective, and the results obtained good. Long-term results of treatment were monitored for up to 2 years. The assessment of the parameters of the quality of life of patients indicates that after bariatric interventions, positive changes are more related to the physical indicators of the quality of life and health status in general. At the same time, changes in mental health indicators, such as vitality, social and emotional functioning, were not statistically significant. In addition to the ongoing surgical correction, obviously essential in achieving stabilization of the psycho-emotional sphere of patients should be given a multidisciplinary approach using developed diets snd psychotherapeutic techniques. The study highlights the features of the regimen and structure of nutrition in patients after bariatric surgery, which can improve long-term results and improve the quality of life in patients with morbid obesity.