Laparoscopy in Bariatric Surgery

January 5, 2007 · Filed Under Weight Loss Surgery 

As you know, weight loss surgery to help overcome morbid obesity is becoming more and more common. Bariatric surgery is most strongly recommended when your body mass index is 40 or higher, or if your weight is associated with a life-threatening, or disabling condition and your BMI is greater than 35.

If you are like me, you dread the thought of surgery. Not only does going under a knife scare me, I also fear the thought of having a huge ugly scar. Plus, finding the time to take off so I can recuperate is not an easy task. Luckily, if you are looking at having Bariatric Surgery, you are most likely looking at having this done laparoscopically. Laparoscopy weight loss surgery is probably the least invasive and most effective form of surgery. It offers a much less intrusive procedure than an invasive procedure like open weight losss surgery. Laparoscopy surgery was first performed in the US during the early 1990′s for gallbladder surgery.  In 1993, Drs. Wesley Clark and Alan Wittgrove of CSWC developed the technique to use Laparoscopy in Bariatric Surgery. Since then it has grown in popularity and is the preferred method for perfoming weight loss surgery currently. Though the operating time for a laparoscopy is a little longer than open surgery, there are many benefits to having the procedure done this way. For one, smaller incisions lead to smaller scars. Weight Loss Surgeons will try to place the incisions strategically so they are less visible. Other benefits include less discomfort after laparoscopic surgery, shorter hospital stays and a quicker recovery. During laparoscopic surgery, the surgeon uses a small tube with a telescope and a tiny high resolution camera attached to it which is inserted into a small portal or incision. He then uses a TV monitor to see what he is doing. Laparoscopy Bariatric surgeries are performed by making five small incisions in the abdominal wall and gently separating the patient’s muscles to enter the space to operate. The incisions are usually 1/4 to 1/2 inch. In one incision the fiber optic tube and video camera (laparoscopy) is inserted. This gives the surgeon a magnified view of the patient’s internal abdominal space. Gas is inserted into the abdomen before the surgery. The surgery instruments are inserted into the abdomen through the other incisions to perform the surgery. In some cases lasers are used. The surgeon will use the TV monitor to guide the tools and perform the surgery. If you are not eligible for laparoscopy surgery, don’t worry. The process and results for an open surgery are very similar.




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