Laparoscopic Gastric Sleeve, Gastric Bypass, or Lap Band
Todays modern Center of Excellence Surgeons are skilled in providing advanced laparoscopic sleeve gastrectomy, lap band, or gastric bypass procedures that differ from the procedures of the early 70’s and 80’s.
In the early stages of bariatric surgery, procedures were simply done open as this was the most common way of completing the Weight Loss Surgery. In todays modern age of medicine a safer approach to completing surgery has been introduced called laparoscopy.
A Laparoscope is a tiny camera that illuminates the inside of the body allowing for visibility through a smaller surgical incision. The tiny camera projects a video image that is much greater in size than the actual organs, allowing for surgeons and hospital staff to see the stomach or other vital organs more closely and with greater detail than before.
Advantages of the laparoscopic Weight Loss Surgery include faster healing times, reduced incidence of hernia, reduced post surgical pain, and reduced exposure to internal organs from contaminants that can cause an infection.
The selection process of the laparoscopic sleeve gastrectomy depends heavily on the skills of the surgeon performing the procedure. A surgeon who performs the procedure will have excellent hand eye coordination, excellent tactile perception, and the ability to overcome steep learning curves in a short time. Only the well-trained highly skilled surgeons perform laparoscopic procedures.
Open Weight Loss Surgery
An open procedure involves accessing the abdomen through a long surgical incision through the front of the stomach, ranging from just below the end of the breast bone and above the umbilicus (belly button). Depending on the type of procedure the incision may extend past the umbilicus.
Disadvantages to the open approach are increased pain and discomfort, prolonged healing time, higher risk of wound infections, incisional hernia, and wound dehiscence (the premature bursting of a wound).
Laparoscopic Weight Loss Surgery
A laparoscopic gastric sleeve, gastric bypass, or lap band involves accessing the abdominal cavity by the introduction of a camera and other instruments through small incisions created by trocars (Medical instruments with a pointy end). This is the preferred method for most types of abdominal procedures, particularly gastric sleeve, gastric bypass, or lap band surgery.
The surgery is done using a tiny camera that is placed in a patient’s belly. The camera called a laparoscope, allows a surgeon to see inside the belly. The other trocars allow for instruments to be passed and manipulated allowing surgeons and surgical assists to perform the surgery.
While this is the preferred approach to Weight Loss Surgery it is not always possible due to a patients surgical history, anatomical irregularities or various other complications. It is always at the discretion of the surgeon to decide what approach will maximize outcomes and reduce patient risk.
How is the Laparoscopic Weight Loss Surgery Performed?
The actual procedure for a laparoscopic Weight Loss Surgery requires general anesthesia. This will make the patient unconscious and unable to feel pain or breathe on their own. A respirator will be used to facilitate proper ventilation during the procedure.
The surgery is usually done using a tiny camera that is placed in the patient’s belly. This type of surgery is called a laparoscopic Weight Loss Surgery. The camera is called a laparoscope, and allows the surgeon to see inside the patients belly.
The surgeon will make 2 to 5 small incisions (cuts) into the patient abdomen. The surgeon will then pass the laparoscope through one of these openings, as it is connected to a video monitor in the operating room. The surgeon will then look at the monitor to see inside the patients belly. The surgeon will insert thin surgical instruments known as trocars through the other openings.
The surgeon will remove roughly 60 – 85% of the stomach while the remaining portions of the stomach are joined together using staples, in the case of a sleeve gastrectomy. This creates a long vertical tube or banana-shaped stomach.
The gastric sleeve surgery does not involve cutting or changing the sphincter muscles that allow food to enter or leave the stomach. A typical laparoscopic Weight Loss Surgery may take only 30 – 60 minutes depending on the skills of the surgeon and other factors such as surgical history, adhesions, or other anatomical variations.
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Any information listed in this piece is not intended to be understood as clinical advice and it is highly recommended to seek the advice of a trained physician on this matter, matters related, and emergencies. If you are currently in need of emergency medical assistance please call 911.