Procedures:

 

Laparoscopic Roux-en-Y Gastric Bypass

Laparoscopic Adjustable Gastric Banding

Laparoscopic Sleeve Gastrectomy

Revisional Surgery

Robotic Surgery

Gastric Neurostimulator for Gastroparesis 

 

 

THE SURGERY:

Surgical Bariatric (weight loss) procedures are important tools to be used in the treatment of obesity.  These are powerful tools to assist in changing eating habits and behaviors over the long term, but need to be used in conjunction with nutritional and psychosocial counseling and education, and exercise therapy to be truly successful in changing behaviors and lifestyles long term.

 

 

                                  

 

 

It is possible to lose weight without surgery, but the chances of maintaining that weight loss longer than two years is significantly less than 10%, unless you happen to be lucky enough to be paid to maintain that weight loss like Jared (Subway).  For the rest, maintaining a significant weight loss with improvement in health longer than two years will require surgery.  More information regarding each procedure I perform can be obtained by clicking on the name of the procedure listed above, and by attending a free information session (sign up online or call 410 368-3003).

 

 

LAPAROSCOPIC APPROACH

 

I use the laparoscopic approach (small incisions with instruments passed through narrow hollow tubes and the operation performed by viewing a high definition video screen {similar to a video game}) for all operations, including revisional surgery.  Fig. 1 depicts the set-up for the laparoscopic procedures as opposed to open procedures.  The incisions are 1 centimeter or less.

 

 

 

                            

                                                                                 Fig. 1

 

 

ADVANTAGES OF LAPAROSCOPIC APPROACH

 

          ►   SIGNIFICANTLY LESS PAIN

          ►   ALMOST NO CHANCE OF DEVELOPING HERNIAS OR SIGNIFCANT WOUND INFECTIONS

          ►   QUICKER RECOVERY

          ►   LESS CHANCE OF POSTOPERATIVE PNEUMONIA OR LUNG COMPLICATION

          ►   BETTER VISUALIZATION (WITH MAGNIFICATION) OF INTRAABDOMINAL STRUCTURES DURING SURGERY

          ►   LESS SCARRING, INCLUDING FEWER INTRAABDOMINAL ADHESIONS

 

 

 

                                

 

 

 

Fig. 3 is a laparoscopic view of the abdomen after a previous open cholecystectomy (gallbladder removal) revealing dense scar tissue, or adhesions, causing obliteration of the space.  The first picture is the same laparoscopic view of the upper abdomen after previous laparoscopic cholecystectomy with very little scar tissue.

 

                                   

                                                                                 Fig. 3