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The six studies reviewed received a grade B and the best evidence level of 2 conclusion that preoperative weight loss should be considered in cases where it may improve technical aspects of the surgery.

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Bibliography Black, W. Doyle, A. Brewer, p. Eljenholm-Nichols, A. Eldredge, L. Handlist IX, Cambridge: D. Lewis, R. Madan, F.

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Warton, Thomas. New York: Haskell House Publishers, pp. Waters, S. D thesis, pp.

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