Procedures:

 

Laparoscopic Roux-en-Y Gastric Bypass

Laparoscopic Adjustable Gastric Banding

Laparoscopic Sleeve Gastrectomy

Revisional Surgery

Robotic Surgery

Gastric Neurostimulator for Gastroparesis 

 

 

More information regarding each procedure we perform can be obtained by clicking on the name of the procedure listed above and by attending a free weight loss seminar (sign up online or call 410-368-3003).

 

 

BARIATRIC SURGERY: THE PROCEDURES

Surgical weight loss (Bariatric surgery) is the premier tool used in the treatment of the disease of obesity.  All of the procedures are powerful tools to assist a change in eating habits and behaviors over the long term.  However, they are not magic bullets, rather, they need to be used in conjunction with nutritional education, psychosocial counseling and exercise therapy to truly be successful in changing behaviors and lifestyles long term.

 

CONCEPT OF MINIMALLY-INVASIVE SURGERY

 

All surgical procedures are traumatic by nature, BUT the trauma created can be CONTROLLED and MINIMIZED, leading to FEWER complications, FASTER RECOVERY, LESS scarring, and BETTER OUTCOMES.

 

 

LAPAROSCOPIC SURGERY

 

  

 

  The Laparoscopic approach to surgical procedures was a major advance in Minimally-Invasive surgery because it allowed access to the abdominal cavity without making big incisions.  The improvements in optics and illumination (fiberoptics) in the late 1980’s allowed better visualization of all internal structures than one could get with a big incision.  Improvements in optics leading to higher magnification and higher definition (like watching the best HD TV as opposed to regular TV), as well as instrumentation, have led to significant minimization of surgical trauma and decreases in complications of surgery.

 

DEPT. OF HEALTH AND HUMAN SERVICES RECENT STUDY:

COMPLICATION RATE OF BARIATRIC SURGERY DECREASED 21% BETWEEN 2002-2006 DUE TO THE USE OF THE LAPAROSCOPIC APPROACH

 

OVERALL BENEFITS OF LAPAROSCOPIC APPROACH:

 

ö Enhanced visualization of anatomy

 

ö Minimally-Invasive: Less traumatic

 

ö Less painful: Quicker recovery

 

ö Minimal scar

 

ö Much less chance of hernia or wound infection

 

ö Fewer overall complications

 

 

ROBOTIC SURGERY

 

 

 

 

 

The daVinci Surgical System, a state-of-the-art robotic technology, is the most advanced surgical equipment in use today.  The daVinci system provides significantly enhanced visualization through higher resolution (better than the best HD TV), greater magnification, and 3-D imaging (as opposed to the usual 2-D) for greater depth perception compared to standard Laparoscopy.

 

The daVinci Robotic platform is a major step forward in minimally-invasive surgery, providing not only enhanced visualization, but improved ergonomics, allowing greater precision, dexterity, and control over instruments.  This is especially valuable in performing intricate and complex bariatric procedures like the Roux-Y gastric bypass and revisional surgery.

 

Using the daVinci Robot to perform these advanced procedures allows the surgeon to maintain precision and control over fine dissection and suturing even in patients with very thick abdominal walls, where traditional laparoscopic instruments are difficult to use effectively.

 

OVERALL BENEFITS OF ROBOTIC SURGERY (COMPARED TO LAPAROSCOPIC):

 

ö Enhanced Visualization with Improved Image Quality:

     3D-Enhanced HD-Magnified

 

ö Enhanced Ergonomics: Enhanced Maneuverability:

     Markedly Improved Dexterity, Precision, and Control

 

ö Elimination of Torque:

     Ability to Perform Intricate Operations in Patients with Thicker Abdominal Walls

 

ö Most Advanced Minimally-Invasive Approach:

     Improved Outcomes with Fewer Complications

 

ö Less Painful: Quicker Recovery