Conclusion  LSG results in stable and adequate weight loss with resolution/improvement in comorbidities in a high percentage of patients.
It can be considered a definitive operation for morbid obesity.

Content Type Journal ArticlePages 1-7DOI 10.1007/s00464-011-1960-2Authors
Ajay Chopra, Department of Surgery, Jacobi Medical Center, Albert Einstein College of Medicine, 1400 Pelham Parkway South, Bronx, NY 10461, USAEdward Chao, Department of Surgery, Jacobi Medical Center, Albert Einstein College of Medicine, 1400 Pelham Parkway South, Bronx, NY 10461, USAYana Etkin, Department of Surgery, Jacobi Medical Center, Albert Einstein College of Medicine, 1400 Pelham Parkway South, Bronx, NY 10461, USALynn Merklinger, Department of Surgery, Jacobi Medical Center, Albert Eins…

Abstract  Male patients after massive weight loss often suffer from redundant skin and soft tissue in the anterior and lateral chest
region, causing various deformities of pseudogynecomastia. Techniques with free or pedicled nipple–areola complex (NAC) transposition
are widely accepted. The authors present their approach to male breast reduction with preservation of the NAC on a central
dermoglandular pedicle and a wide elliptical tissue excision of breast and lateral thorax tissue in combination with liposuction.
Male breast reduction was performed on patients after moderate to massive weight loss due to diet or bariatric procedures.
Former procedures included free nipple–areola grafts or inferior pedicled techniques for NAC preservation. As a modification,
we performe…

CONCLUSIONS: DS is a safe and effective technique for the treatment of morbid obesity, with good weight loss results, a high percentage of remission of the comorbidities, a similar morbidity and mortality to other techniques, and with correctable nutritional changes, and thus acceptable.
PMID: 22177717 [PubMed – as supplied by publisher] (Source: Cirugia eEspanola)

Abstract  Much of the discussion pertaining to natural orifice transluminal endoscopic surgery (NOTES) focuses on technical issues,
with little attention to women’s perception and to their willingness to consent to this surgery, especially in the field of
obesity. Aim of this study was to evaluate obese women’s perception of NOTES and trans-vaginal access. Sixty two obese patients
undergoing bariatric surgery were given a written description of NOTES with an anonymous questionnaire exploring their concerns
and opinions regarding this technique. The risk of complications was the most important aspect with regard to surgical procedures
for 87.1% of patients, while the aesthetic result counted only for 16.1%; none of the patients would accept an increased risk
of surgical …