The morbidly obese are at high risk for complications from any surgery. Pulmonary complications from hypoventilation, wound infection from poor fat vascularity, poor wound healing, thrombophlebitis and pulmonary emboli are just a few of the risks that these patients are prone to. Long-acting heparin, wound drainage, early mobilization and rigorous pulmonary toilette are some of the preventive measures mandatory in the care of these patients. This patient's surgery could not be delayed until the patient lost enough weight to reduce his operative risk. The danger of incarceration, strangulation and emergency surgery, outweighed the risks of semi-elective surgery.
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