ERAS Protocol Enables Early Mobilisation After Bariatric Surgery at Wockhardt Hospitals

In a remarkable demonstration of advances in surgical care, a female patient with super morbid obesity (BMI 57) was able to walk just two hours after undergoing bariatric surgery at Wockhardt Hospitals, Mira Road. Prior to the procedure, the patient weighed 127 kg.

Advanced Minimally Invasive Surgical Approach

Dr. Rajiv Manek, a Metabolic and Bariatric, Laparoscopic and Robotic Surgeon, performed the surgery using advanced minimally invasive laparoscopic techniques. He worked alongside a multidisciplinary team to ensure precision and safety throughout the procedure.

Severe obesity is a complex medical condition that extends beyond excess body weight. Patients with very high BMI often experience associated conditions such as diabetes, hypertension, sleep apnea, joint pain, and fatigue, all of which significantly reduce quality of life. Therefore, bariatric surgery remains one of the most effective and scientifically proven treatments for sustained weight loss and improvement of obesity-related conditions.

ERAS Protocol Enables Faster Recovery

Notably, the team followed the Enhanced Recovery After Surgery (ERAS) protocol, an evidence-based approach designed to reduce surgical stress and accelerate recovery. Consequently, the patient experienced minimal tissue trauma and a smoother postoperative course.

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Unlike traditional recovery pathways, the patient did not require a Ryles (nasogastric) tube, urinary catheter, or ICU stay. Moreover, she began walking within just two hours of the surgery and started clear liquids within the same timeframe. The hospital discharged her within 48 hours, highlighting the effectiveness of modern recovery protocols.

Evolution of Surgical Care

This rapid recovery reflects the significant progress in surgical care. The integration of minimally invasive techniques, advanced anesthesia, and structured recovery protocols has transformed patient outcomes. As a result, patients now experience less pain, faster healing, and shorter hospital stays.

Expert Insight on Obesity Management

Commenting on the case, Dr. Rajiv Manek emphasized that severe obesity is not merely a matter of excess weight but a serious disease affecting multiple body systems. He further noted that modern laparoscopic bariatric surgery, combined with ERAS protocols, allows surgeons to deliver safer procedures with minimal discomfort and quicker return to daily life.

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Importantly, he highlighted that the primary goal extends beyond weight loss to improving metabolic health and enhancing overall quality of life.

Multidisciplinary Team Effort

As per the press release, the successful outcome resulted from a coordinated effort by a multidisciplinary team. This included surgical, anesthesia, and nursing professionals, all working together to ensure seamless care.

Special recognition was given to Dr. Farzeen Qureshi and the anesthesia team, as well as the operation theatre staff, administrative team, and billing department, for contributing to a smooth and comfortable patient experience.

Addressing Obesity as a Chronic Condition

Medical experts continue to emphasize that severe obesity is a chronic medical condition rather than a matter of willpower. Therefore, timely medical intervention plays a crucial role in reducing the risk of long-term complications.

With ongoing advancements in laparoscopic bariatric surgery and enhanced recovery protocols, patients can now undergo treatment more safely while benefiting from faster recovery and improved long-term health outcomes.