After any abdominal operation you will probably develop some adhesions, or scars inside your abdomen. This may make your laparoscopic operation somewhat more technically difficult to perform, and it will probably take more time. Also, the risk of conversion to an open procedure is increased. However, assuming that your surgeon is well-trained in laparoscopic techniques, you definitely remain a candidate for laparoscopic weight loss surgery.

It depends upon the type of surgery and the expertise of your surgeon. Unless the first surgery was on your stomach or esophagus then there is a good chance a laparoscopic approach can be used for GERD surgery. In selected cases of patients with prior stomach surgery, even a previous fundoplication for heartburn that no longer works, Dr. Bell has performed a laparoscopic fundoplication with good results.

Your personal surgical history and the technique to be used are discussed at your surgical consultation.

Translated from the Greek, "Laparoscopy" means examination of the abdomen with a scope, which is also known as an Endoscope. If the procedure is done in the chest it is known as Thoracoscopy. An Endoscope in the bladder is cystoscopy and in the uterus is hysteroscopy and so on. The other terms used are key-hole surgery and laser surgery. Explaining laparoscopic surgery is best accomplished by comparing it to traditional surgery.

Your surgeon will evaluate you on an individual basis. It is possible to have a laparoscopic gastric bypass after having open abdominal surgery or other laparoscopic abdominal procedures.

After any abdominal surgery you will develop some adhesions or "scars" inside your abdomen. In most cases previous abdominal surgery is not a problem when performing the gastric bypass laparoscopically. Any previous abdominal surgery, especially upper abdominal surgery increases the chance of needing to be converted to an open procedure. If your surgeon is well-trained in laparoscopic techniques, you definitely remain a candidate for laparoscopic weight loss surgery. Dr.

There are no set guidelines on who should have laparoscopic gastric bypass surgery. If one surgeon does not believe that he/she can perform the operation laparoscopically, we would be happy to give our opinion for your individual circumstance.

BMI is a good measurement to determine if you qualify for obesity surgery. However, it may not be a very good parameter to determine if your surgery can be done laparoscopically. Weight distribution, total weight, BMI, gender, and abdominal wall girth are all factors that can determine if you "qualify" for laparoscopic surgery. At your consultation, we can determine if you are a candidate for laparoscopic surgery.

Usually, but it depends on the type of surgery you had. Dr. Frantzides often operates on patients who have had previous abdominal surgery. While you will be at a higher risk of being "converted" to an open operation, we believe that most patients deserve the opportunity to have a laparoscopic procedure. Some surgeons will not attempt laparoscopic surgery on patients with previous abdominal surgery. With our experience, we have learned that many patients can be done laparoscopically.

BPD is now modified and includes 2 parts – Restrictive and Malabsorption. 1st part is Sleeve Gastrectomy taking out ¾ of stomach and the 2nd part is the duodenal switch i.e. the distal bypass. These 2 parts can be staggered so that one can have Sleeve Gastrectomy first and then duodenal switch 6 – 18 months later, reducing the risks operation considerably. ^TOP^

Some patients with seizures may be candidates for brain surgery. Most patients are considered for epilepsy surgery when trials of two or more antiepileptic medications have failed to fully control seizures. The most common type of surgery removes the part of the brain that causes the seizure. In order for a patient to be a surgical candidate, we must be able to determine the exact area where the seizure begins, and to make sure that this area can be safely removed.

Everybody. The father who returns to work quickly (tremendous benefit for the self employed ) , the mother can resume work or get back to home soon and take charge of the disrupted household as may the case be. Children are able to return to school soon and do not miss out on studies or sport.

The danger is from the inexperienced laparoscopic surgeon as there is rarely a more experienced person available for guidance in case of difficulty. Unlike the USA and UK there is no training program here and all depends on individual enterprise. The safer surgeons do not consider it an insult to their ego if they have to convert a laparoscopic procedure to open in case of difficulty.

Like any surgery laparoscopy has the potential risk of anaesthesia and operation. Although laparoscopy causes less tissue injury then its open counterpart but it is wrong to say that it is totally risk free operation. Complications of laparoscopy may be categorized according to the various phases of the operation.

Infection is the most common complication of any surgical procedure. In laparoscopic surgery rate of infection is very less than open surgery but many statistical studies shows that infection is still the most common complication after laparoscopic surgery. This complication is not related to the laparoscopic technique itself but depends on the sterilization and theatre environment of the hospital.

Contraindications for laparoscopy are relative and include the uncooperative patient, uncorrectable coagulation defects, severe congestive heart failure, respiratory insufficiency, suspected acute, diffuse peritonitis, and the presence of distended bowel. If tense ascites is present, large volume paracentesis can be performed as the preliminary step in the laparoscopy.

The abdominal organs, glands, intestines, or blood vessels may be damaged if surgeon is not experienced A blood clot may enter the bloodstream, and clog an artery in the lung, pelvis, or legs. Clot may break off and clog an artery in the heart or brain, causing a heart attack or stroke. But these risks are very rare.

soon as you recover from anaesthesia you should try to move. This helps to get rid of any gas trapped in the abdomen and also reduces risk of developing pneumonia thromboembolism and adhesion formation. Climbing a long flight of stairs should be avoided. Strenuous activities such as lifting weight, straining and vigorous exercise should be avoided at least 14 days after laparoscopic surgery.

Surgical procedures used to treat morbid obesity include the traditional open technique as well as a new minimally-invasive or laparoscopic technique. Bariatric Institute of Wisconsin offers this new minimally-invasive laparosocpic surgery which means less postoperative pain, a shorter hospital stay and a rapid return to normal activities. There are fewer complications when surgery is performed laparoscopically. 98% of BIW patients have surgery laparoscopically.

Many of our patients have experienced some degree of depression before their surgery, and have sought treatment with psychotherapy or anti-depressant medication. Some feel depressed because they are overweight. Some feel that they are overweight because they are depressed. Many feel that the best way to treat their depression is to treat their obesity. Weight loss surgery can help to break the "vicious circle" in which obesity causes depression and vice versa.

Anyone who is in poor general health or who has such specific problems as uncontrolled hypertension, significant coronary or vascular disease or a bleeding tendency are not good candidates for elective cosmetic surgery. Patients who are severely depressed or who have significant emotional problems are likely not to be pleased with the outcome of their cosmetic surgery. Patients who are heavy smokers are at greater risk for complications following their elective cosmetic surgery.

Laparoscopy is considered a more technologically advanced, less invasive approach to surgery. It requires that the surgeon have special training and skills in the laparoscopic technique. While open surgery uses an 8- to 10-inch incision (cut) to open the abdomen, the laparoscopic approach involves six small incisions (¼ or ½ inches long). Through these small incisions, a fiber optic tube (the laparoscope) connected to a camera and long-reaching instruments are inserted.

Most bariatric programs will not perform duodenal switch surgery on patients under the age of 18. Some programs do perform weight loss surgery on adolescents but only the less major operations: Lap-Band or gastric bypass.

BPD/DS is a combination restrictive and malabsorptive procedure that reduces the size of the stomach by 70%. The pouch is still a bit larger than with other procedures that use restriction. By connecting the pouch to the lower part of the small intestine, absorption of calories and nutrients is greatly reduced. Back to Top

Adhesions are very common following open abdominal and pelvic surgery.1,2 The type of surgery and other factors such as the length of surgery, associated illness, and other treatments, may influence the body’s reaction to tissue injury. Gynecologic surgeries that could lead to adhesions include, but are not limited to, myomectomy, hysterectomy, treatment for endometriosis, adhesiolysis, cesarean section, and operations on the fallopian tubes and ovaries.