Author: Doctor Hisham Abdullah

The most important techniques to avoid complications from obesity operations

Posted on by دكتور هشام عبد الله

Myths about obesity operations

تكاثرت الأقاويل حول وجود مضاعفات لجراحات السمنة، فكان رد الدكتور هشام عبد الله إن عمليات السمنة مثلها مثل أي عملية فأنت مُعرض لنسبة ضئيلة من حدوث المضاعفات، و لكن مهارة الجراح تفرق هنا بقدرته علي تخطي تلك المضاعفات و تجنبها بإستخدام وسائل و تقنيات الأمان المناسبة لكل عملية.
 
 

مضاعفات جراحات السمنة

يوجد عدة مضاعفات يُمكن أن يُقابلها مريض السمنة أثناء و بعد جراحات السمنة إذا
لم يتم إستخدام تقنيات ووسائل الأمان المختلفة التي تحميك و تتجنب تلك المضاعفات

 من بين تلك المضاعفات
-حدوث تسريب أثناء و بعد جراحات السمنة.
-حدوث نزيف.
-حدوث جلطات بعد جراحات السمنة.
-الألم الشديد بعد جراحات السمنة.
-مخاطر تحدث من التخدير الكلي مثل  الغثيان ، التقيؤ ، مشاكل التبوُّل، وعضَّ الشفة ، تكسُّر الأسنان، التهاب الحلق، والصداع،
 أمَّا المخاطرُ الأكثر خطراً للتخدير العام فتشمل النوبات القلبية، السكتات الدماغية، الإلتهاب الرئوي.
-جراحات السمنة قد تتضمن خطر العدوى.
 

كيفية تجنب مضاعفات جراحات السمنة

حدوث التسريب:
حدوث التسريب يُمكن أن يحدث بسبب عدم إلتئام جدار المعدة بعد القص نتيجة عدم إستخدام الدبابيس  و الدباسة المناسبة الذي بدوره يؤدي إلي حدوث تسريب سائل المعدة بعد القص و التدبيس.
الحل:إستخدام أحدث الدباسات و الدبابيس الأمريكية و التي يستخدمها الدكتور هشام عبدالله لضمان الأمان ضد التسريب،و أيضاً إختبار التسريب بحقن سائل أزرق بالمعدة و متابعة مسار إذا لوحظ  
أي تسريب يقوم الجراح بالإجراءات اللازمة للإلتئام.
 
حدوث جلطات:
حدوث الجلطات الدموية من المضاعفات الشائعة في جراحات مختلفة و يُمكن أن تحدث بعد جراحات السمنة إذا لم يوصي الجراح بعدة إلتزامات للمريض يجب أن يفعلها قبل و بعد جراحات السمنة.
الحل:يوصي الجراح بأخذ حقنة للسيولة قبل الجراحة ب 12 ساعة، كما يجب الحركة بعد الخروج من العملية بساعتين فالمشي يقلل من حدوث الجلطات،ثم أخذ حقنة السيولة بعد العملية ،
و يوصي الجراح بضرورة إرتداء رباط ضاغط للساقين لمنع حدوث الجلطات بعد العملية.
 
حدوث النزيف:
يحدث النزيف نتيجة عدم الدقة في طريقة قص المعدة أو بسبب إستخدام نوع غير آمن و فعال من الدباسات فكل تلك الأشياء تؤدي إلي خطر حدوث نزيف بالمعدة.
الحل:مهارة الدكتور في طريقة قص المعدة بطريقة صحيحة هي أهم تلك الأشياء التي تتجنب حدوث النزيف بجانب إستخدام الدباسات الأمريكية التي تُعتبر أحدث الدباسات و أكثرها أمان و فاعلية.
 
الألم الشديد:
يحدث الألم الشديد كنتيجة طبيعية بعد أي جراحة، لذلك يحرص الدكتور هشام عبد الله أن لا يشعر مرضاه بهذا الألم الرهيب و إستخدام أحدث التقنيات لتجنب الشعور بهذا الألم.
الحل:إستخدام تقنية ال PCA و هي تقنية لتسكين الألم ففور خروجك من العمليات و شعورك بالألم يقوم هذا الجهاز بضخ جرعات محسوبة من المسكنات لتسكين الألم،
و عند إحتياجك لجرعة أخري من المسكن يُمكنك الضغط علي الجهاز بكل سهولة للحصول علي جرعة كافية و آمنة من المسكن.

Myths about obesity operations

Posted on by دكتور هشام عبد الله

Myths about obesity operations

Many suffer from obesity and overweight and want to get rid of this disease epidemic that affects their lives negatively. However, several opinions stand before them that are considered myths about obesity surgeries and have no basis in health, such as:
 
Bariatric surgery helps tumors to form
One of the biggest myths about obesity surgery is that it is a major and fundamental cause of tumors in the body, especially the bypass operation, believing that the neglected part of the stomach causes the formation of the tumor, and this is a misconception because it is not a neglected part at all,
But it produces juices that aid digestion, so it is a very important part and does not cause any cancerous symptoms, but on the contrary, obesity operations 
Completely safe surgeries and do not cause any cancerous diseases or tumors inside the body.
 
Bariatric surgeries cause delayed childbearing in women
Also one of the myths that you may hear about obesity surgeries is that it causes delayed childbearing in women, and this is also one of the most unrealistic myths because in fact obesity may be the main cause of delayed childbearing in women due to the formation of fat in the abdominal area, which in turn causes disturbances in Female hormones, thus reducing the chances of childbearing, but after obesity surgeries, the possibilities increase
 Pregnancy is a major result of controlling the level of hormones after the operation and getting rid of accumulated fat in the body.

Bariatric surgery reduces male sexual potency
Bariatric surgeries reduce men's sexual ability is a very wrong information,
 Obesity surgeries save men from impaired sexual ability caused by obesity and weight gain, as obesity reduces the quality of sperms, but after obesity surgeries their quality is improved and thus they are delivered to the egg for fertilization and increase the chances of pregnancy and childbearing.
 
After bariatric surgeries, the patient always suffers from strokes
Thrombosis after operations was previously one of the biggest concerns facing patients, but these days, overcoming these complications,
It has become guaranteed because Dr. Hisham Abdullah uses liquid injection with the patient 12 hours before the operation, and he is advised to wear a medical compression garment 
To prevent clotting, the patient also passes to make sure to walk two hours after the operation to prevent clotting, so the patient becomes completely away from the complications of clotting.
 
Bariatric surgery is fatal
Obesity surgeries are very safe surgeries that have been performed on millions of cases that have been suffering from obesity and overweight over the years,
So your belief that obesity surgeries cause death is a misconception, because on the contrary, obesity surgeries save those suffering from obesity that may cause diseases 
 It leads to death, such as heart disease, diabetes, stress and cholesterol. After losing weight and getting rid of obesity, your life will be safe.
 

Eating after bariatric surgery:

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Eating after bariatric surgery:

Bariatric surgeries are a safe way to lose weight, but immediately after the operation, you must follow this diet to ensure that you reach an ideal weight with success and better health.

First week You should start with clear liquids, such as:
Fruit juices (pure apple, pure grape).
Green or regular tea.
-Water.
-Anise
-Mint.
-Roselle.
-Skimmed milk (soy milk, coconut milk, almond milk).
-Meat soup without spices.
- Vegetable soup without spices.
- Chicken soup without spices.
-Detox water.
 
second week You can add opaque liquids besides transparent liquids. Examples of opaque liquids include:
-Zabado with pieces of fruit multiplied in a blender.
-Rayeb's milk.
-Banana with milk, beaten in a blender.
-Various soups (meat and chicken soup).
Vegetable soup with boiled vegetable pieces multiplied in a blender.
 
the third week Opaque and blended liquids like:
-A cup of yogurt mixed with the fruit and beaten with a blender.
- Zucchini soup with vegetables multiplied with a blender.
- Oat soup multiplied in a blender.
- Carrot soup mixed with a blender.
- Lentil soup mixed with a blender.
 
fourth week We start with entering but pureed food such as:
-Chicken liver is boiled and we puree it well.
-Small pieces of well mashed fish.
-Mashed beans
-Mashed chicken fajita.
 
The fifth week Soft, soft, mashed or blended food, such as:
-Puree potatoes (boiled and mashed well).
-Sight.
-Boiled or grilled potatoes.
-Chunks of boiled and mashed cauliflower.
-Chicken liver, mashed well.
-Mashed or grilled fish well.
 
the sixth week A blender can be dispensed with, but the food should be soft, such as:
-Minced meat.
-Grilled Fish.
-Boiled eggs
-Tuna, well drained.
-Potato puree.
-Grilled potato.
- Live my country.
-Boiled button.
-Boiled pasta
-Chicken liver.
-White cheese with low salt.
-Mashed beans in olive oil.
-Oats, night and corn flakes.
-Peanut butter.
-avocado.
- Baba Ghanouj Lite.
 
after the sixth week You can eat everything you want, but in a healthy way and refrain from eating as soon as you feel full. Ideas for healthy foods:
-Lite kiosk.
-Taamia Lite.
- Stuffed Lite.
-Light cauliflower.
-Chicken breast with yogurt.
-Pasta with grilled vegetables.
-Stuffed zucchini with chicken.
-Grilled burger.
-Grilled kofta with parsley in the oven.
-Grilled steak.
Boiled or baked vegetables.
- Sambousek with vegetables in the oven.
-Potatoes in the oven.
-Powers of all kinds.

Life features after bariatric surgery

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Life features after bariatric surgery

Healthy life begins when obesity ends, because weight gain is about to eliminate the period of enjoyment of your life and your youth, and even obesity afflicts you with many psychological frustrations and reduces your self-confidence and prefers isolation and loneliness all the time, in addition to the many diseases that afflict humans due to obesity Such as heart disease, diabetes and high cholesterol.

Important advice from Dr. Hisham Abdullah, I hope you stick to them after bariatric surgery:

-Get a deep and comfortable sleep and get rid of difficulty breathing during the night.
-The quality of life improves significantly after bariatric surgery.
- If you are a hypertensive patient, after obesity surgery, high blood pressure improves significantly.
-The proportion of chest sensitivity decreases significantly or may disappear.
-Heart disease improved by a high rate or disappeared completely after obesity operations.
- Vascular diseases improve significantly after bariatric surgery.
- Your acid reflux is greatly reduced or you may get rid of it completely after bariatric surgery.
-Lack of urine control and pain during urination, or what is called urinary incontinence, improves greatly after bariatric surgery.
- Joint pain and erosion is completely improved by a large percentage after obesity and weight loss operations due to the lack of pregnancy that is eliminated.
-Blood circulation improves significantly after obesity surgeries.
- Get rid of gout by a large percentage after obesity operations.
-Obesity operations will increase the rate or chances of childbearing for women and men.
-Obesity operations increase sexual ability in men.
-Obesity operations improve sperm quality in men and thus increase the chances of fertilization and reproduction.
- The suffering of menstrual irregularities and hormones in women will improve greatly after obesity operations.
-The rate of burning and metabolism increases after obesity operations.
-Type 2 diabetes improves significantly or may disappear completely after obesity surgery, especially bypass.
-Liver problems and fats formed on it are greatly reduced after obesity and weight loss surgeries.
-Cirrhosis and inflammation of the liver greatly improve after safe bariatric surgeries.
-Ease of movement after obesity surgeries due to the reduced load on the joints.
-The rate of high cholesterol decreases by a large percentage after various bariatric surgeries.
-A clear improvement in mood, a break from isolation, and an increase in self-confidence.

Important advice after obesity surgery

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Important advice after obesity surgery

Getting rid of obesity through safe obesity surgeries is a great success and a great step in your life, because you got rid of the biggest and most important thing that could have made you lose your enjoyment of your youth and your health, but there are several important tips that must be adhered to to reach the ideal weight in good health.

Among those advantages that you will enjoy after obesity operations:

-Regular exercise after bariatric surgery, such as walking for half an hour daily.
-Drink plenty of water to keep the body from dehydration.
-Eat intermittent meals during the day.
-Eat breakfast half an hour after waking up.
-Take medications and dietary supplements recommended by the doctor, in their specified dosages.
-Chew food well before swallowing.
- Not to drink water with food, they must be separated at least by half an hour.
-Movement is very important immediately after the operation, in the manner recommended by the doctor.
-You can take a shower, but after 4 days of bariatric surgery.
-If you are not able to swallow the necessary medicines and vitamins, you can grind them well and eat them.
-Taking care of hair vitamins to avoid hair loss.
-When you feel full, stop eating.
-Completely avoid using a straw to prevent air from entering the stomach, which in turn causes pain and swelling.
-Using small bowls and plates for eating to get used to small amounts of food and not to feel overly full.
-Follow-up well with a nutritionist to reach an ideal, healthy weight after bariatric surgeries.
-Fluids should be consumed only in the first weeks (3 weeks after the operation), then it is possible to eat well-pureed food.
- You can eat normal food after the sixth week of bariatric surgery.
-Divide the daily meals and not leave the stomach empty for 3-4 consecutive hours.
-You can practice your marital relationship two weeks after the operation.
-You can get pregnant after a year and a half of the operation.
-You can take sugar substitutes that do not contain aspartame.
-Drink milk and low-fat dairy products.
-You can drink caffeine in tea and coffee in small quantities after the first weeks of obesity surgery without sugar.
-Substituting white flour in fino bread or white bread with whole grains in brown bread.
- Using vegetable oils such as olive, sunflower and corn oils instead of obesity and butter in the first weeks after obesity surgeries.
-Track your weight on monthly intervals (approximately once a month).

bypass

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bypass

Being overweight and becoming obese has become a common disease that affects many people and does not differentiate between a man and a woman. Suffering from it is not only physical but also psychological, so if you suffer from obesity you must get rid of it and you have several ways to get rid of it, first Traditional methods such as following a healthy diet and exercising regularly. Second, safe obesity surgeries.

Is obesity a disease?

Obesity is a disease by all standards, just like many other diseases that can lead to the risk of death, because the consequences of obesity are many diseases. Obesity causes diabetes, heart disease, stress, joint erosion, high cholesterol and other diseases that may lead to the risk of death if carelessly. By and because of her.

What are the disadvantages of obesity?

Obesity is not only a disease that has physical damages, but also has psychological side effects that can reach you to the point of depression, between these damages:
Joint pain and erosion as a result of an increased load on it.
High level of sugar in the blood.
High cholesterol.
Various heart diseases.
-Hypertension.
-Depression.
- Isolation.
Idle
Lack of self-confidence.
-isolation.
-laziness.
Nervousness
-Breathing difficulty.
Increased sweating.
Snoring
-Insomnia.

What are the safe non-traditional ways to get rid of obesity?

Obesity surgeries have become the safest and most effective way to get rid of obesity, especially for those who tried a lot to lose weight by traditional methods but failed, and these are the different types of obesity surgeries:
Sleeve gastrectomy
- Convert path 
-alsasi.

Bypass surgery:

Bypass surgery is a safe surgery used to get rid of obesity, especially for type 2 diabetics who suffer from high sugar level and cannot dispense with eating sweets.
The bypass surgery is the separation of a portion of the stomach (sinus) and the bypassing the intestine bypassing the first part of the intestine. By reducing the size of the stomach and bypassing the first section of the intestine,
The amount of absorbed food, especially sugars, decreases, and thus the level of sugar in the blood decreases, and the hunger hormone is also eliminated and thus weight is safely lost and obesity and type 2 diabetes are also eliminated.

What are the procedures required before undergoing bypass surgery?

- The surgeon talks with those wishing to undergo the operation to agree on the most appropriate type.
It is important to tell the surgeon what medicines you are currently using or have previously used.
Inform the surgeon of your complete medical history.
The surgeon asks for some necessary tests to be done in order to ensure that you can undergo the procedure completely safely.
- The surgeon asks to completely stop smoking due to its direct effect on your ability to recover after the operation.
Start exercising gradually.

What happens after a bypass surgery?

- You must adhere to the nutritional program that the doctor placed for the period after the operation.
Get complete rest until full recovery.
- The doctor must be visited periodically in order to follow up on the situation and be aware of its latest developments.
Attention should be paid to taking the therapeutic medications recommended by the surgeon, which include vitamins and minerals necessary for the body.

Is there any pain after bypass surgery?

There is no fear of feeling pain after the bypass surgery, as Dr. Hisham Abdullah uses the Pain Relief Device (PCA), which is a pain control device.
The surgeon uses it to relieve pain after the operation by using calculated and safe analgesic doses. You can obtain it automatically through the device and get a dose when needed by pressing the device.

Who is the right candidate for gastric sleeve surgery?

The suitable candidate is one who suffers from obesity, meaning that the body mass index is higher than 35 and cannot dispense with eating sweets and sugars, especially diabetics, and also obese patients who suffer from hiatal hernia and those who suffer from esophageal reflux.

Does bypass surgery leave scars after surgery?

The surgeon uses the endoscope in the bypass surgery, which has a thin diameter not exceeding a millimeter and makes 3-5 surgical incisions that do not exceed a millimeter also, so the surgery does not leave a clear trace, but very small stitches that heal with time and then enjoy good health.

What happens after a bypass surgery?

Drink plenty of fluids and water to prevent dehydration.
- Avoid drinking liquids between meals, but you must wait a period of 30 minutes after eating to drink water so that stomach enlargement and stress do not occur.
Chew food well before swallowing.
The diet followed should contain protein on a daily basis
Eat foods and drinks low in fat and sugar.
Choose foods and fluids low in fat and sugar.
Beware of consuming caffeine, as it leads to dehydration.
Exercise to avoid the appearance of sagging.

Sleeve gastrectomy

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Sleeve gastrectomy

Recently, many diseases that invade our lives and affect our health have appeared, and the most famous of these diseases is obesity, which began to invade our bodies in an unwanted way, and obesity and weight gain began to increase until some of us succumbed to it and even became difficult Control it.

Causes of weight gain:

Many suffer from the problem of overweight due to several reasons, including:
Lack of control over the feeling of hunger 
The inability to dispense with sweets 
Problems with burn rate
Sluggishness and lack of movement.
Thyroid hormone disorders.
Weight gain after pregnancy and childbirth.
-Lack of exercise.
Inability to follow a healthy diet.

Traditional ways to get rid of obesity:

Follow a healthy diet.
Exercise regularly.

Different obesity surgeries to get rid of obesity:

Sleeve gastrectomy.
- Path diversion.
-alsasi.

What is sleeve gastrectomy?

Sleeve gastrectomy is one of the most popular, safe and effective obesity surgeries to get rid of weight gain, because in this surgery the surgeon removes 80% of the stomach volume, and thus results in a feeling of fullness when eating small amounts of food, which leads to gradual weight loss with every Safety, just as when cutting the large part of the stomach, the surgeon gets rid of the hunger hormone (GhrelinAnd it is the cause of the constant feeling of hunger all the time, and thus the constant weight gain as a result of obeying this feeling, when getting rid of the hunger hormone we get rid of the constant feeling of the need to eat and enjoy a healthy weight loss and good health.

Who is the right candidate for gastric sleeve surgery?

Have a BMI of 35 or higher.
- That obesity is the reason why a person suffers from heart disease, blood pressure and high cholesterol.
That you feel hungry all the time is the reason for your weight gain.
That your lack of control over the amount of eating is the reason for your weight gain and your reaching the point of obesity.

Pre-surgery procedures for sleeve gastrectomy:

- The surgeon requests several tests before performing obesity surgery to check on public health and know the dose of anesthesia.
- The surgeon recommends anti-thinning medications two days before the operation.
-stop smoking.
Refrain from drinking alcohol.
Stopping the cortisone drugs before the operation.

Steps of sleeve gastrectomy surgery:

1- Making a small incision in the abdomen that does not exceed a millimeter, to insert the laparoscope.
2- Cutting about 80% of the stomach size by using the latest international technology to make the stomach shape like the sleeve.
3- The surgeon staples the stomach using the latest international staplers to avoid any leakage or bleeding.
4- Perform a leak test to ensure that no leakage occurs.
5- Finish and dress the wound safely
nstalling a device PCA To control pain.

Benefits gained after gastric sleeve surgery:

Lose weight safely.
Depression disappears by a large percentage.
Sleeping deeply as a result of breathing easily.
Urinary incontinence gets better.
Cardiovascular disease decreased by 82%.
The sensitivity of the chest is greatly improved.
Joint wear improves significantly.
Easy movement.
Diabetes improved significantly.
- The occurrence of gastric reflux is reduced.
The increase in blood pressure improves significantly.
The regularity of the menstrual cycle and the disappearance of its problems.

Does gagging reduce the chances of pregnancy?

On the contrary, the gastric sleeve operation increases the fertility rate, as infertility is considered one of the common causes of weight gain, and it is considered safe for a woman to become pregnant after weight stabilization after surgery, but doctors recommend waiting until 18 months after surgery, as this reduces the possibility of the mother, fetus and infant suffering from malnutrition. .

Important tips after sleeve gastrectomy:

Chew and eat well before swallowing. 
Avoid drinking water while eating, as this may cause your new stomach to fill up. 
Drink liquids half an hour after finishing a meal. 
Refrain from drinking high-calorie soft drinks, and avoid junk food. 
Make sure to take vitamins and mineral supplements every day. 
In the second month, you can switch to normal meals, but remember, you will not be able to eat as much as you used to before. 
Drink lots of water, at least 8 glasses of water.

The relationship of obesity to mental health:

There is a great relationship between obesity and mental state. When you suffer from obesity, your psyche begins to be affected by lack of self-confidence, resorting to isolation and not being among many people,
And this may lead you to depression, which is a painful feeling psychologically. You feel that you are rejected or that you are less than all of the people present, so that is why you must get rid of obesity immediately by one of the traditional methods,
But if you are not able to follow these methods such as exercising regularly and following a healthy diet, then you must resort to safe obesity surgeries and enjoy a healthy life psychologically and physically.

What is the appropriate age for gastric sleeve surgery?

Sleeve gastrectomy is one of the safe surgeries that will reach you to the ideal weight, but the appropriate age for the sleeve gastrectomy procedure is from 16-65 years old.

What is the difference between sleeve gastrectomy and liposuction?

There is a big difference between these two operations, as gastric sleeve surgery is performed for those who suffer from obesity and has a body mass index of more than 35, while liposuction is performed for those who suffer from the accumulation of fat in one area and who are not obese.



Arab Satellite TV Festival

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Arab Satellite TV Festival

معايير كتير هى اللى بَنِت ثقة مرضى د.هشام عبد الله…أهمها الخبرة، التاريخ الطويل، المهارة و الأمانة المهنية.
لكن كمان تكريمه كأفضل جراح سمنة على مستوى الشرق الأوسط فى مهرجان الفضائيات العربية.