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.
Background: The Evolving Landscape of Bariatric Surgery
