OPERATION: Laparoscopic Roux-en-Y Gastric Bypass (LRYGB)
ANAESTHETIC: General anaesthesia
ANTIBIOTICS: IV cefuroxime (or equivalent) within 30 minutes of incision
POSITION: Supine, arms out to sides. Footboard secured. Sequential compression devices applied. Urinary catheter inserted. Steep reverse Trendelenburg for upper abdominal work.
INDICATION:
Morbid obesity. BMI [value]. [Associated comorbidities: type 2 diabetes / hypertension / obstructive sleep apnoea / other]. Standard bariatric criteria met. Preoperative multidisciplinary assessment completed including dietitian, psychologist, and physician review.
PROCEDURE:
WHO Checklist performed. VTE prophylaxis administered. Abdomen prepared and draped.