The Evolution of Bariatric Surgery: A Journey Toward Safer and More Effective Solutions

Following bariatric surgery, studies report that 3% to 28% of patients develop symptomatic gallbladder disease. While this is higher than the general population, most research suggests the increase is not substantially greater compared to those who lose weight through non-surgical means.

Preparing for bariatric surgery is a major step towards improving your health and well-being. However, following a Very Low Energy Diet (VLED) in the weeks leading up to surgery can be challenging.

Learn about the benefits of a very low-energy diet (VLED) before bariatric surgery. Discover how it reduces liver size, promotes weight loss, and improves surgical outcomes for a healthier future.

Melbourne’s premier comprehensive weight management clinic explains how integrating medical, surgical, and technological approaches are the future.

Embarking on a weight loss journey is a significant commitment, especially when it involves bariatric surgery. While the decision to undergo such a transformative procedure is deeply personal, it can be even more rewarding when shared with a partner.

In Melbourne, the team at 360 Surgery specialises in addressing this concern, offering expertise in bariatric surgery and body contouring procedures like the tummy tuck (abdominoplasty).

After bariatric surgery, effective aftercare is essential to ensure successful, sustained weight loss, promote overall health, and reduce potential complications. Here’s why a structured, supportive aftercare program is critical and what to look for when choosing a bariatric program.

Our lead surgeon, Dr. Melissa Beitner, delves into the latest evidence When choosing a surgeon, patients often consider factors like experience, specialisation, and patient reviews. However, recent research suggests that the surgeon's sex may also play a significant role in postoperative outcomes. A groundbreaking study published in JAMA Surgery titled "Surgeon Sex and Long-Term Postoperative Outcomes Among Patients Undergoing Common Surgeries," sheds light on this important issue, revealing that female surgeons tend to achieve better long-term outcomes for their patients compared to their male counterparts. The study, led by Dr. Christopher J. D. Wallis and a team of distinguished researchers, analysed the long-term postoperative outcomes of patients undergoing common surgeries, comparing results between those treated by female surgeons and those treated by male surgeons. The findings are noteworthy and carry significant implications for both patients and the medical community. Key Findings Lower Mortality Rates: Patients treated by female surgeons had lower mortality rates compared to those treated by male surgeons. This suggests that female surgeons may adopt practices or approaches that contribute to better long-term survival rates. Reduced Risk of Complications: The study found that patients under the care of female surgeons experienced fewer postoperative complications. This could be attributed to differences in surgical techniques, patient communication, and attention to detail, all of which may play a role in reducing the risk of complications. Improved Long-Term Outcomes: Beyond immediate postoperative care, the study highlights that female surgeons are associated with better long-term outcomes, including lower rates of readmission and complications over time. This suggests a lasting positive impact on patient health that extends well beyond the initial surgery. Patient-Centred Care: The researchers also noted that female surgeons tend to practise more patient-centred care, which may involve spending more time with patients, better communication, and a greater emphasis on shared decision-making. These factors likely contribute to the improved outcomes observed in the study. What This Means for Patients For patients, these findings underscore the importance of considering the surgeon's approach and communication style, alongside their technical skills. Female surgeons' tendency towards patient-centred care, meticulous attention to detail, and effective communication may be key factors driving the better outcomes highlighted in the study. Patients may benefit from seeking out female surgeons, particularly for complex or high-stakes procedures where long-term outcomes are critical. The Impact on Bariatric Surgery In the field of bariatric surgery, where the lead surgeon is female, these findings are particularly relevant. Bariatric surgery involves significant lifestyle changes and long-term follow-up care, making the surgeon's role in patient communication and post-surgical management crucial. A female bariatric surgeon may be particularly well-suited to guide patients through this transformative journey, ensuring better long-term success and fewer complications. Moving Forward The JAMA Surgery study is a powerful reminder of the diverse strengths that female surgeons bring to the table. As the medical community continues to strive for excellence in patient care, it is essential to recognize and support the unique contributions of female surgeons. For patients, this research provides valuable insights when making informed decisions about their surgical care. At our practice, 360 SURGERY, in Melbourne, led by a highly experienced female surgeon, Dr. Melissa Beitner, we are committed to providing the highest standard of care, with a focus on achieving the best possible outcomes for our patients. We believe that these findings not only validate our approach but also reinforce the importance of patient-centred care in achieving successful long-term results.

Obesity is the most prevalent chronic disease in our society. Yet, many physicians are not trained in how to manage it. The American Board of Obesity Medicine certifies physicians looking to bridge this gap. Multiple studies have shown that obesity counselling rates have remained low among physicians over time. While multiple factors may contribute to this healthcare disparity, a key limitation identified is physicians’ insufficient training and low self-efficacy in weight management knowledge and counselling skills. There is a broad gap between guideline-recommended obesity care and physician clinical practice habits. To address this need, the American Board of Obesity Medicine (ABOM) was established in 2011 to serve the public and the field of Obesity Medicine by maintaining standards for assessment and credentialing physicians. ABOM adheres to the highest standards from the Institute for Credentialing Excellence to ensure rigour of our certification and processes. ABOM certification signifies specialised knowledge in the practice of Obesity Medicine and distinguishes a physician as having achieved competency in obesity care. Physicians who complete the ABOM certification process are designated Diplomates of the American Board of Obesity Medicine (DABOM). Dr. Melissa Beitner is a Diplomate of the American Board of Obesity Medicine as well as being a Fellow of the American Society of Metabolic and Bariatric Surgery. A comprehensive understanding of obesity care and a commitment to excellence is what sets 360 SURGERY apart. Dr. Sasha Beitner is a clinical expert in Obesity Medicine. She uses a comprehensive, scientific, and individualised approach when treating obesity, which helps patients achieve their health and weight goals. As an Obesity Medicine specialist, she is skilled in identifying factors which have contributed to obesity and knows how to employ methods (nutrition therapy, physical activity, behaviour modification , pharmacotherapy or surgery ) to treat obesity. Dr. Sasha Beitner also cares for patients with obesity-associated medical problems and chronic medical conditions. Our “surgical-medical” physician team at 360 SURGERY provides exceptional care to patients seeking long term and durable surgical treatment for their obesity and associated medical problems. Since obesity is viewed as a chronic relapsing disease, patients benefit from her integration of treatment approaches and expertise. Dr. Beitner focuses on providing holistic and patient-centred care to her patients and believes every person with obesity should have access to evidence-based treatment.