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Laparoscopic Surgery Tips

Appendicitis - Laparoscopic Appendecectomy!

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Appendicitis - Laparoscopic Appendecectomy!

APPENDICITIS LAPAROSCOPIC APPENDECECTOMY

APPENDICITIS is an inflammation of the appendix, a finger-shaped pouch that projects from your colon on the lower right side of your abdomen. The appendix doesn't seem to have a specific purpose. Appendicitis causes pain in lower right abdomen. However, in most people, pain begins around the navel and then moves. As inflammation worsens, appendicitis pain typically increases and eventually becomes severe. Although anyone can develop appendicitis, most often it occurs in people between the ages of 10 and 30. Standard treatment is surgical removal of the appendix.

Symptoms Signs and symptoms of appendicitis may include:

• Sudden pain that begins on the right side of the lower abdomen Sudden pain that begins around your navel and often shifts to your lower right abdomen

Pain that worsens if you cough, walk or make other jarring movements

Nausea and vomiting

• Loss of appetite

• Low-grade fever that may worsen as the illness progresses

Constipation or diarrhea

• Abdominal bloating

Causes

A blockage in the lining of the appendix that results in infection is the likely cause of appendicitis. The bacteria multiply rapidly, causing the appendix to become inflamed, swollen and filled with pus. If not treated promptly, the appendix can rupture.

Complications Appendicitis can cause serious complications, such as:

A ruptured appendix. A rupture spreads infection throughout your abdomen (peritonitis). Possibly life-threatening, this condition requires immediate surgery to remove the appendix and clean your abdominal cavity.

• A pocket of pus that forms in the abdomen. If your appendix bursts, you may develop a pocket of infection (abscess). In most cases, a surgeon drains the abscess by placing a tube through your abdominal wall into the abscess. The tube is left in place for two weeks, and you're given antibiotics to clear the infection. Once the infection is clear, you'll have surgery to remove the appendix. In some cases, the abscess is drained, and the appendix is removed immediately.

Diagnosis

To help diagnose appendicitis, your doctor will likely take a history of your signs and symptoms and examine your abdomen. Tests and procedures used to diagnose appendicitis include:

A physical exam to assess your pain. Your doctor may apply gentle pressure to the painful area. When the pressure is suddenly released, appendicitis pain will often feel worse, signaling that the adjacent peritoneum is inflamed. Your doctor also may look for abdominal rigidity and a tendency for you to stiffen your abdominal muscles in response to pressure over the inflamed appendix (guarding).

• Blood test. This allows your doctor to check for a high white blood cell count, which may indicate an infection.

• Urine test. Your doctor may want you to have a urinalysis to make sure that a urinary tract infection or a kidney stone isn't causing your pain.

• Imaging tests. Your doctor may also recommend an abdominal X-ray, an abdominal ultrasound or a computerized tomography (CT) scan to help confirm appendicitis or find other causes for your pain.

Treatment Appendicitis

Treatment usually involves surgery to remove the inflamed appendix. Before surgery, you may be given a dose of antibiotics to prevent infection. Surgery to remove the appendix (appendectomy) Appendectomy can be performed as open surgery using one abdominal incision about 2 to 4 inches (5 to 10 centimeters) long (laparotomy).

LAPAROSCOPIC APPENDECTOMY , surgery can be done through a few small abdominal incisions During a laparoscopic appendectomy, the surgeon inserts special surgical tools and a video camera into your abdomen to remove your appendix. In general, laparoscopic surgery allows you to RECOVER FASTER and heal with LESS PAIN and scarring. It may be better for people who are elderly or obese. But laparoscopic surgery isn't appropriate for everyone. If your appendix has ruptured and infection has spread beyond the appendix or you have an abscess, you may need an open appendectomy, which allows your surgeon to clean the abdominal cavity.

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Know The Myths And Facts About Laparoscopy!

MBBS, DNB - General Surgery, Fellowship In Minimal Access Surgery
General Surgeon, Nashik
Know The Myths And Facts About Laparoscopy!

Laparoscopy is used to diagnose a number of ailments such as ovarian cysts, endometriosis, and pelvic inflammatory diseases to name a few.

It is a type of surgery, which involves the usage of small tubes, surgical instruments and video cameras for operations through small incisions or cuts in your body.

Even though laparoscopy is a very popular form of surgery, there are quite a few myths associated with it, which are:

  1. Myth: If you've undergone multiple abdominal surgeries in the past, you can't opt for a laparoscopy: The truth is that you can go for a laparoscopy even if you've gone through multiple surgeries previously, irrespective of the location or size of the previous incisions. This is done through the use of a special instrument, called a microlaparscope that enables safe entry into the abdomen of the patient.
  2. Myth: If you're overweight or underweight, you can't undergo a laparoscopy: No matter if you're obese or too thin, you can still undergo a laparoscopy as the tools used for this surgical procedure are available in different lengths and sizes, and can be adjusted as per the body type of the patient before the incision is made.
  3. Myth: The images taken through a laparoscope are of poor quality: This is not true. In fact, the visuals obtained through a laparoscope are clearer and much more accurate when compared to those obtained via an open surgery. The visuals of a video laparoscopy provide a detailed magnification of even those parts of the area that are inaccessible by the human eye.

Though different people experience the surgery differently due to difference in health conditions, there are some points everyone should know about a laparoscopic surgery.

  1. The problems that laparoscopy addresses: Conditions like ectopic pregnancy, endometriosis and pelvic inflammatory disorders are generally treated using laparoscopic surgery. Moreover, laparoscopy is also used to remove the gallbladder, appendix, patches of endometriosis or detect adhesions, fibroids and cysts. Also a biopsy of the organs inside the abdomen can be done through laparoscopy.
  2. The duration of your stay in hospital: Usually performed on an outpatient basis (release on the same day as the surgery), a laparoscopic surgery may require you to stay overnight at the hospital if your condition requires a complex or lengthy surgery. Moreover, if the doctor feels that a bowel resection or partial bowel resection needs to be performed, you may have to stay at the hospital for a few days.
1100 people found this helpful

Gastric Bypass Surgery - Everything You Should Know!

Dr. Sudhir Jadhav 89% (12 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Fellowship In Minimally Invasive Bariatric Surgery
Laparoscopic Surgeon, Pune
Gastric Bypass Surgery - Everything You Should Know!

Gastric bypass is a kind of bariatric surgery, which helps in weight loss. This surgery aims to make changes so that your stomach becomes smaller than it used to be. This limits the amount of food you consume and effectively helps you to reduce weight.

Are you fit for the surgery?

Not everybody can go in for this surgery. Your doctor will recommend this surgery after careful evaluation. These are the parameters based on which your doctor will make a decision-

• Your medical history - If you suffer from sleep apnoea, heart ailments, liver diseases, kidney stones or if you have blood clots then you might have to undergo the surgery.

• Your psychological status - Sometimes obesity is the outcome of certain psychological ailments. A doctor will first ensure that these conditions are addressed before you go under the knife.

How is the surgery performed?

Gastric bypass operation is performed under general anaesthesia so you will be asleep for the entire duration of the surgery and it will be pain-free. The surgery is done laparoscopically. Tiny incisions are made through which scope and fine surgical instruments are introduced into the abdominal cavity. The camera guides the surgeon by providing live images from inside the body. Laparoscopic gastric surgery is advantageous because the wound heals faster and does not leave any marks.

Sometimes your surgeon might opt for an open surgery where she/he makes a large incision to reach the stomach.

There are two major steps to the surgery-

• The aim of the surgery is to make the stomach smaller so the surgeon divides it into two portions with staples. The food that you eat will go into the upper part (the pouch) of the stomach. The reduced upper stomach can hold at the most 28 grams of food so you are forced to eat less than usual. This will help you lose weight.

• The other step is the bypass surgery. After the pouch is created, the surgeon links it to the small intestine through the small hole in the pouch. This way, food will pass directly from the pouch to the small intestine. The surgery takes around 3-4 hours. You will be kept under observation for a couple of days and you will be released from the hospital in a week.

Gastric bypass operation is an effective and simple surgery that can help you reach your weight goals when you have a very high BMI and most other dietary restrictions have not been successful.

3772 people found this helpful

Abdominal Laparoscopy - Effective Ways To Deal With It!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS General Surgeries, MInimal Invasive Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
General Surgeon, Kanpur
Abdominal Laparoscopy - Effective Ways To Deal With It!

Abdominal Laparoscopy is a surgical diagnostic procedure, which is used to examine the organs inside the abdomen. It is an invasive procedure, but only small incisions are made.
The procedure is usually done in the hospital and the patient is given general anaesthesia to make the procedure pain free.

The laparoscope is inserted through an incision in the abdominal wall. As it moves along, the image of the inside of your abdomen is then seen on the monitor. After the exam, laparoscope and instruments are removed and the cuts are closed. Laparoscopy is usually done as an outpatient procedure. This means that you will be able to go home the same day.

Why Is laparoscopy performed?
Laparoscopy is often used to identify the source of abdominal pain. It is usually performed when x-rays or ultrasound are unable to determine the root cause of the problem. Laparoscopy allows your doctor to see inside your body in real time and helps to diagnose or help discover what the abdominal problem is.

Tips to deal with laparoscopic surgery

Before Surgery

  1. The first and the foremost thing is to prepare yourself for the surgery by watching some videos and going through some blogs on it as doing so will help you clear your doubts
  2. Do not eat or drink anything 8 hours before the procedure
  3. Make sure someone accompanies you on the day of the surgery
  4. Fix your Pre Op appointment to ask any questions or address any concerns regarding the surgery, anaesthesia, etc
  5. Shave the area where the surgery will be performed. This will substantially reduce itchiness
  6. Lastly, prepare your hospital bag and discuss it with the person who is going to accompany you so that he/she knows what all you packed

After Surgery

  1. Don’t lie down in bed all the time. Keep yourself active by moving every two hours as it promotes healing and helps eliminate gas pain
  2. Wear comfortable clothing
  3. Do not take bath for a week. However, you can take a shower 24 hours post surgery
  4. Drink at least 1.5 to 2 litres of water per day to prevent constipation. If constipated, take a stool softener.
  5. While sneezing or coughing, hold a pillow against your stomach to lessen the pain
  6. Roll onto your side and sit up using your arms for support and then stand up
  7. Don’t drive for two weeks
  8. Refrain yourself from intercourse, douching, and swimming
  9. Make sure to visit your doctor 2 to 3 weeks post surgery to make sure your wounds are healing

It might take some time for the wounds to heal, but in case of any prolonged pain do remember to consult doctor immediately.

1 person found this helpful

Laparoscopic Gallbladder Removal Surgery - What Should You Know?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS General Surgeries, MInimal Invasive Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
General Surgeon, Kanpur
Laparoscopic Gallbladder Removal Surgery - What Should You Know?

What is Laparoscopic Gallbladder Removal Surgery (Laparoscopic Cholecystectomy)?

Gallbladder removal is one of the most commonly performed surgical procedures. Gallbladder removal surgery is usually performed with minimally invasive techniques and the medical name for this procedure is Laparoscopic Cholecystectomy or Laparoscopic Gallbladder Removal.

The gallbladder is a pear-shaped organ that rests beneath the right side of the liver. Its main purpose is to collect and concentrate a digestive liquid (bile) produced by the liver. Bile is released from the gallbladder after eating, aiding digestion. Bile travels through narrow tubular channels (bile ducts) into the small intestine. Removal of the gallbladder is not associated with any impairment of digestion in most people.

What Causes Gallbladder Problems?

Gallbladder problems are usually caused by the presence of gallstones which are usually small and hard, consisting primarily of cholesterol and bile salts that form in the gallbladder or in the bile duct.

It is uncertain why some people form gallstones but risk factors include being female, prior pregnancy, age over 40 years and being overweight. Gallstones are also more common as you get older and some people may have a family history of gallstones. There is no known means to prevent gallstones.

These stones may block the flow of bile out of the gallbladder, causing it to swell and resulting in sharp abdominal painvomitingindigestion and, occasionally, fever. If the gallstone blocks the common bile duct, jaundice (a yellowing of the skin) can occur.

Diagnosing 

  1. Ultrasound is most commonly used to find gallstones.
  2. In a few more complex cases, other X-ray test such as a CT scan or a gallbladder nuclear medicine scan may be used to evaluate gallbladder disease.

Gallstones do not go away on their own. Some can be temporarily managed by making dietary adjustments, such as reducing fat intake. This treatment has a low, short-term success rate. Symptoms will eventually continue unless the gallbladder is removed. Treatments to break up or dissolve gallstones are largely unsuccessful.

Surgical removal of the gallbladder is the time-honored and safest treatment of gallbladder disease.

What are the Advantages of Performing Laparoscopic Gallbladder Removal?

  1. Rather than a five to seven inch incision, the operation requires only four small openings in the abdomen.
  2. Patients usually have minimal post-operative pain.
  3. Patients usually experience faster recovery than open gallbladder surgery patients.
  4. Most patients go home the same day of the surgery and enjoy a quicker return to normal activities.

Are you a Candidate?

Although there are many advantages to laparoscopic gallbladder removal (cholecystectomy), the procedure may not be appropriate for some patients who have severe complicated gallbladder disease or previous upper abdominal surgery. A thorough medical evaluation by your personal physician, in consultation with a surgeon trained in laparoscopy, can determine if laparoscopic gallbladder removal (cholecystectomy) is an appropriate procedure for you.

2680 people found this helpful

Laparoscopic Surgery - Know How To Deal With Its Complications Post-Surgery!

MS - General Surgery, MBBS
General Surgeon, Jaipur
Laparoscopic Surgery - Know How To Deal With Its Complications Post-Surgery!

Laparoscopic surgery is also called keyhole surgery or minimally invasive surgery. In traditional method of surgery, large incision is a major post-operative side-effect which results in longer recovery period. The alternative technique, laparoscopy also known as minimally invasive surgery or keyhole surgery, is a modern surgical procedure in which small incisions of about 0.5-1.5 cm are made far from the location of the operation.

Laparoscopic surgeries cause smaller, lighter scars once the surgery wound heals completely. However, as with any surgery, complications may occur during the course of Laparoscopic surgery.

  1. Anesthesia-related complications: To prevent anesthesia-related complications during Laparoscopic surgery, it is essential that procedures related to the airways, ventilation, analgesia, anti-emetics are followed in the pre-operative state.
  2. Wound infection: Even though laparoscopic surgery is minimally invasive and the possibility of contracting infections is considerably less, the wound is capable of getting infected. Hence, it is essential to maintain cleanliness and hygiene recommendations provided by the medical staff concerned. It is also assumed that the surgeons would prevent this possibility by maintaining strict protocols regarding this issue on their part.
1 person found this helpful

Laparoscopy - How Is It Beneficial In Gallstone Surgery?

FAIS, FIAGES, MS - General Surgery, MBBS
General Surgeon, Noida
Laparoscopy - How Is It Beneficial In Gallstone Surgery?

Gallstones are a medical condition in which the formation of stones takes place in the bile duct or the gallbladder. One of the major factors responsible for the formation of gallstones is an elevated excretion of cholesterol by the liver, most of which remains undissolved by the bile. The undissolved cholesterol may crystallize resulting in the formation of gallstones (yellow cholesterol stones, a condition termed as Cholesterol Gallstones). In some cases, increased level of bilirubin in the bile (triggered by a liver problem, liver damage or other medical conditions), which doesn't undergo a breakdown, may lead to stone formation (known as Pigment Gallstones). Here, the stones appear black or dark brown in color.

Gallstones are common among women, especially those who are 40 years and more. Obesitydiabetes, liver disorders, unhealthy diet (rich in fats and cholesterol), certain medications (those containing estrogen) can also trigger the formation of gallstones. Gallstones left untreated and unattended can give rise to serious complications such as blockage of the pancreatic duct (resulting in Pancreatitis) or the bile duct. There may also be inflammation of the gallbladder. In extreme cases, a person may even suffer from something as serious as Gallbladder Cancer.

Laparoscopy to remove the gallstones

  • While a lot of treatments and medications are available to deal with gallstones, most people opt for Laparoscopy. What makes laparoscopic surgery superior to the other open surgeries is that it is minimally invasive with a better and quick recovery. Also termed as Cholecystectomy, the laparoscopic surgery for the removal of gallstones as well as the gallbladder involves the following steps.
  • General anesthesia is given to the patients before the surgery.
  • The surgeon makes 3-4 small incisions in the abdomen.
  • The surgeon then inflates the stomach to get a better view of the internal organs (including the organs affected). Carbon dioxide gas is passed into the stomach to inflate it.
  • In the next step, the surgeon carefully inserts a laparoscope (a narrow and long tube that comes with a high-density light and a front camera with a high-resolution) through one of the incisions (usually the one close to the belly button) to aid in the surgery.
  • Nex,t the surgeon inserts the surgical instruments needed to get the gallstones and the gallbladder removed.
  • Before the surgical removal of the gallstones and the gallbladder, an important X-ray of the bile duct called the Intraoperative Cholangiography (shows the bile duct anatomy) is done.
  • With the gallbladder and the stones removed, the laparoscope and the surgical instruments are then removed and the incisions stitched carefully.
  • The gallbladder is known to store the bile pigment. With the removal of the gallbladder, there is a small rearrangement. The bile pigments now move from the liver into the small intestine via the bile duct.
  • The patients may require spending 1-2 days in the hospital. The patient is expected to be in a better shape (less discomfort) within 2-3 weeks.
  • In case complications arise during the surgery, the surgeon may have to switch onto an open surgery. 

Laparoscopic Appendix Surgery!

Dr. Nimisha S Kantharia 87% (10 ratings)
MBBS, MS - General Surgery, DNB, FNB - Minimal Access Surgery, MRCS, FIAGES, FMAS.Laparoscopy, FALS Bariatric Surgery
Laparoscopic Surgeon, Mumbai
Laparoscopic Appendix Surgery!

Laparoscopic Appendix Surgery

The appendix is a vestigeal organ, which means that it does not have a vital part to play in the body. While it may play a small role in immune function as it produces a class of antibodies known as immunoglobulin, it is not the only organ capable of doing this. If a person is suffering from pain due to infection and inflammation of the appendix, the doctor will, in all likelihood, recommend removal of appendix by surgery, called appendectomy.

However, an appendix surgery may involve postoperative pain, long hospital stays and protracted route to recovery. One can avoid all these if one opts for Laparoscopic Appendix Surgery. In fact, this Laparoscopy is the most preferred method of removing appendix.

Benefits of Laparoscopic Appendectomy

Common benefits include:

● Less postoperative pain

● Short hospital stays

● Quicker return to normal bowel function

● Quicker return to normal activity

● Cosmetically better results

Who Should Go for Laparoscopic Appendix Surgery?

A patient may develop sudden pain in upper/right abdomen, fever, vomiting, loss of appetite. These are signs and symptoms of acute appendicitis and usually diagnosis is confirmed by ultrasonography or CT scan. Most patients with acute appendicitis will require appendix removal surgery on an emergency basis. Other patients may have repeated episodes of upper/ right lower abdomen pain with occasional nausea and vomiting due to recurrent mild infection of appendix.

These patients with recurrent mild appendicitis may require removal of appendix if the episodes are frequent. Both sets of patients would benefit from laparoscopic removal of appendix. In fact laparoscopic surgery can be done even in cases of complications such as ruptured or perforated appendix, and formation of abscess.

In very, very rare instances such as excessive bleeding, or dense scarring resulting in inability to visualise the appendix, the surgeon may revert to traditional open surgery for the patient's safety.

How Is Laparoscopic Appendix Surgery Performed?

In laparoscopic appendix surgery, the laparoscopic surgeon usually makes 3 small incisions on the abdominal wall. Through one of these incisions, she will insert a cannula, and a laparoscope is then inserted through this cannula. With the help of the laparoscope, the doctor can get a magnified view of the internal organs on a television monitor. Through the other incisions, more cannulas are inserted, and surgical instruments are passed.

The surgeon visualised the enlarged images on television monitor and manoeuvers the instruments accordingly. This helps the doctor to work inside smoothly and take out the infected appendix. In case or rupture/perforation or abscess, a drain may be placed during the procedure to remove infected fluids from the body. Finally the recovery is much quicker after laparoscopic than open surgery with much less pain, less chances of infection and better cosmesis.

3621 people found this helpful

Laparoscopy And Liver Cancer - Know All About It!

MBBS, MD - General Medicine, DM - Gastroenterology
Gastroenterologist, Delhi
Laparoscopy And Liver Cancer - Know All About It!

Today, both doctors and patient prefer minimally invasive procedures as compared to traditional open surgery. Such procedures are also known as laparoscopic procedures or keyhole surgeries. This procedure involves making a small incision through which a long, flexible tube is passed. The end that enters the body has a powerful light and a camera through which the surgeon can view the internal organs. To facilitate movement of the tube, carbon dioxide gas may also be pumped into the abdominal cavity. In case an organ needs to be operated upon, other incisions will also be made through which surgical instruments can be used.

Liver cancer is one of the conditions that can benefit from laparoscopic procedures. Laparoscopy can be used to diagnose liver cancer and determine the stage it has reached and to treat it accordingly. In order to confirm a liver cancer diagnosis, the surgeon will look for the presence of tumors in the lymph nodes and surface of the liver. In addition, tissue samples will also be collected. These will be sent to a lab to be biopsied in order to determine whether the tumor is malignant or benign.

Once a diagnosis is confirmed, surgery to remove the tumor is the most recommended form of treatment. This may be followed by chemotherapy and radiation. Small malignant tumors on the left lateral segment of the liver or anterior segment on the right side of the liver can be safely removed with laparoscopic procedures. Laparoscopy can also be used to remove multiple tumors on the liver. However large tumors and tumors that are located close to the suprahepatic junction or portal bifurcation should not be addressed laparoscopically. Laparoscopy may also be avoided if the patient has undergone open resectional procedures earlier that may have caused dense adhesions. In such cases, open surgery is preferred. However, even these procedures may be preceded by a laparoscopic exploratory procedure that allows the surgeon to get a clearer view of the tumor.
 

As compared to open surgery, laparoscopic surgery has a number of advantages. These include:

  1. Smaller scars
  2. Faster recovery
  3. Minimal bleeding
  4. Lowered risk of infection
  5. Reduced hospitalization
  6. Lesser pain and discomfort

As with any other procedure, the skill of a surgeon plays an important role in the success of the procedure. In the case of laparoscopic procedures, this skill is critical. Hence, laparoscopic surgeries of the treatment of liver cancer are not very common.

3094 people found this helpful

Laparoscopic Surgeries For Obesity!

MBBS, MD - General Medicine, DM - Gastroenterology
Gastroenterologist, Delhi
Laparoscopic Surgeries For Obesity!

Obesity is one of the biggest menaces that can jeopardize a person's happy life. From mood swings to fertility problems as well as a myriad of health complications, obesity can make life miserable. Children and young teenagers seem to bear most of the brunt. The situation turns extremely complicated when a person suffers from Morbid Obesity or severe obesity. Morbid obesity is a condition where a person's body weight is found to be nearly 100 pounds more than the healthy body weight. Morbid obesity, if not treated on time, can prove to be fatal.

Laparoscopic surgery comes as a blessing when most of the other weight loss programs fail to produce any positive outcome. There are many options available such as the Laparoscopic Gastric Banding, the Gastric Bypass as well as the Malabsorption operations to aid a severely obese person to lose weight effectively.

i) The Laparoscopic Gastric Banding
The Laparoscopic Gastric Banding is a surgical procedure extensively used to lose weight.

  1. First, the surgeon makes small incisions, around 3-4, in the belly (as part of a laparoscopic surgery).
  2. Through these incisions, an adjustable silicone band is placed around the stomach (upper half), compartmentalizing the stomach into a smaller upper half and a bigger lower half.
  3. The insertion of a silicone band significantly reduces the amount of food the stomach can hold to about an ounce.
  4. A person thus eats only a limited amount of food, which passes to the rest of the stomach (for the digestion and other associated process) via an opening in the band.
  5. Saline may be added to or removed from the band using a plastic tube (the tube runs from the band to an injection port, placed under the skin).
  6. The saline helps to keep the silicone band tight or loose as and when required.
  7. Many people have been able to lose weight using the laparoscopic gastric banding.

ii) Laparoscopic gastric bypass surgery
The laparoscopic gastric bypass surgery involves two steps.

  1. The first part involves dividing the stomach into small upper half or pouch, almost walnut-sized, that can hold a limited amount of food (not more than an ounce) and a bigger lower half.
  2. The next is the bypass step, where the surgeon will link a tiny hole in the pouch to a small part of the jejunum (small intestine). The limited amount of food that you eat will directly pass from the pouch into the opening on the jejunum.

A surgeon may also carry out the gastric bypass through an open surgery, but the laparoscopic surgery is a much better option.

iii) A person can also opt for Laparoscopic Malabsorption surgery.

  1. The surgery involves reducing the stomach size to a great extent.
  2. In addition to this, a large part of the intestine may also be bypassed.
  3. This arrangement ensures that there is a significant reduction in the calories absorbed from the intestine.
  4. Laparoscopic surgeries for obesity are not only minimally invasive but also cost-effective. The recovery is also quick with reduced chances of an infection.
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