
Laparoscopic surgery is performed through several small incisions with the aid of a fiberoptic video camera and special instruments that can reduce the trauma and discomfort associated with a long, open incision. Hospitalization, post-op pain, and recovery time are usually reduced when compared to traditional surgery. Laparoscopic obesity operations have only been performed since 1993. Therefore, the American Society of Bariatric Surgeons recommends choosing a surgeon who is experienced in both laparoscopic and open bariatric operations and who understands the complexities of the surgical treatment of obesity. We have been successful in performing the laparoscopic approach in patients weighing 600+ pounds and have performed over 2,000 laparoscopic bariatric surgeries since 1995.
Prior surgery is NOT a contraindication for this surgery.
INCISIONS: We make six small incisions ( four ¼” incisions and two ½” incisions ) whether performing the VBG, LAP-BAND or RNY laparoscopic procedure. Incisions are usually closed with subcuticular dissolvable sutures, so there are no stitches to remove post op. Patients may bathe or shower 24 hours after surgery. While our goal is to safely complete the operation by a laparoscopic approach, this may not always be possible. Patients are informed of the possibility of converting the incision to an open operation if circumstances so warrant.
GOALS: Our goal is for patients to lose 2 pounds per week (approximately 8 -10 pounds per month). Since more rapid weight loss can lead to side effects, which we seek to minimize with this approach, it will take 1-2 years to maximize weight loss depending on your initial weight. Success is defined as loss of 50% of excess body weight.

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