By Mervyn Deitel (auth.), Michael Korenkov (eds.)
The expanding incidence of weight problems in lots of nations implies that it's going to now be thought of a scourge. it's widely known that weight problems raises the danger of quite a few life-threatening stipulations, together with middle disorder, diabetes, and high blood pressure. Bariatric surgical procedure is usually the simplest option to deal with such morbid weight problems. however, whereas a variety of bariatric tactics were proposed, up to now criteria were missing. during this ebook, top specialists from around the globe speak about all points of bariatric surgical procedure and current their very own favourite types of surgeries using informative illustrations. Technical nuances are rigorously defined, and exact awareness is dedicated to capability problems and the way to prevent them. The services of the authors and the diversity of ideas thought of make sure that either trainees in bariatric surgical procedure and skilled surgeons will locate this booklet to be a useful resource of knowledge and assistance of their day-by-day work.
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Additional resources for Bariatric Surgery: Technical Variations and Complications
10). 2 Adjustable Gastric Banding 15 Right working Left working trocar trocar Right additional trocar 5 12 Left additional rocar Camera trocar 5/12 12 12 Fig. 10 Position of the trocars in relation to the patient 12 12 5/12 5 12 Fig. 11 High position of the working trocars • Insert the first trocar in the middle line above the umbilicus. We suggest to insert the optical trocar slightly left of the middle line to avoid having to go through a thick ligamentum teres hepatis. In patients with a BMI under 50 we insert the first trocar a short distance left of the line between the xiphoid and the umbilicus, about one third of the distance above the umbilicus.
18). Hold the band by its locking area (not by the tube) with an atraumatic grasper and introduce the stretched band into the abdomen. Using a 15 mm “universal” trocar from the start saves changing the trocars. • The introduction of the band can be done in different ways. One possibility is from the outside to the inside: Dilate the working channel with a custom-made rod. Then push the band, held and stretched with an atraumatic grasper, into the abdomen; first the band itself, then the tube (Fig.
World J Surg. 5:829–831 47. Gomez CA (1980) Gastroplasty in the surgical treatment of morbid obesity. Am J Clin Nutr. 33:406–415 9 48. Mason EE (1982) Vertical banded gastroplasty. Arch Surg. 117:701–706 49. Melissas J, Choretsantis G, Grammatikakis J et al (2003) Technical modification of laparoscopic vertical banded gastroplasty. Obes Surg. 13:132–135 50. Oria HE (2003) Marcel Molina. The loss of a pioneer. Obes Surg. 13:806–807 51. Forsell P, Hallberg D, Hellers G (1993) A gastric band with adjustable inner diameter for obesity surgery.
Bariatric Surgery: Technical Variations and Complications by Mervyn Deitel (auth.), Michael Korenkov (eds.)