Qualitative and Economic impact of standardized and digitalized Operation Room – Processes in obesity surgery

Conditions: Morbid obesity / metabolic syndrome

Registration Number: DRKS00032027

Lead Sponsor: St.-Marien-Hospital

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Complete

Sex: All

Target Recruitment: 411

Inclusion Criteria

Patients included in this retrospective study have been diagnosed with the ICD-Code E66.02: „Obesity from excess caloric intake Obesity Grade III (WHO) obesity in patients 18 years of age and older and undergone a primary gastric bypass (Roux-en-Y), registered under:
Ø OPS: 5-445.41 (Other surgery on the stomach: gastroenterostomy without gastric resection (Bypass procedure): With stapled suture or transaction (Obesity): with gastrojejunostomy through Roux-Y-anastomosis: laparoscopic (based on data 2021)

Moreover, patient selection and indication for a bariatric procedure strictly follow the S-3 Guideline under section 4.2.3 Indication of metabolic surgery of the S3-Guideline Surgery of Obesity and metabolic diseases (Version 2.3 – February 2018 – AWMF-Register Nr. 088-001). On the surgery date, all patients suffer from morbid obesity with a BMI of more than 40 kg/m2.

Exclusion Criteria

All patients underwent pre-operatively an endocrinological exclusion diagnostic and a psychiatric assessment. Deficiencies of vitamin and trace elements have been balanced out pre-operatively. Patients without a psychiatric recommendation of a bariatric procedure have been excluded and received no surgical procedure. In addition, all patients attended sessions of professional nutrition advice minimum of 3 months.

Study & Design

Study Type: observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Digital workflow management-systems in the OR generate positive outcome on process costs.

Secondary Outcome Measures

Name	Time	Method
Digital workflow management-systems in the OR generate posi&ve outcome on process quality (intraopera&ve complica&ons and post-OR complica&ons up to 30 days) and on OR-time.