Navigating the Adhesion Maze: How Previous Abdominal Surgeries Impact Bariatric Outcomes

Previous abdominal surgery significantly increases the need for lysis of adhesions and the risk of conversion to open surgery during metabolic and bariatric procedures.
Patients with a history of major abdominal surgery experience longer operative times, particularly during sleeve gastrectomy.
Postoperative morbidity is higher in these patients, specifically regarding small-bowel obstructions, early strictures, and marginal ulcers.
Despite increased surgical difficulty, long-term weight loss outcomes remain comparable to patients with no surgical history.

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