About Lap Band Surgery

Lap band surgery, also known as adjustable gastric band surgery, is the surgical process in which an adjustable band is wrapped around the upper part of a stomach, creating a small stomach pouch above the adjustable band. The little bag quickly fills up after eating. As a result of this procedure, patients:
• Feel full after eating, much sooner than they did before
• Lose from about ¼ to ¾ of their excess weight
• Are cured or achieve improvement regarding their obesity-related health concerns

After surgery, the filling and unfilling of the band is through a port located just below the skin, making the band either tight or loose, which adjusts how satisfied patients feel once they eat.

Preparing for Surgery
Your surgical physician works with you in the weeks prior to surgery and the exercises performed include:
• Health assessments that involve questions regarding your medical and surgical history as well as your medications
• Undertaking specific tests such as an ECG, as well as blood and x-ray tests
• Apart from advising you to lose as much weight as you possibly can before surgery, the surgeon will additionally establish a pre-surgery dietary regimen, which includes:
A) Increased protein and vegetables, a lot of fluids, no sugar, and lower carbs two weeks before surgery.
B) Broth, clear liquids, and one protein shake daily two days before surgery.
C) No food, drinks, or tobacco 12 hours before surgery.

The reason you are advised to reduce the highest possible weight is:
• The more weight you succeed in losing prior to operation, the more weight you will eventually lose after surgery
• The lower your weight prior to surgery, the lower the risk of complications
• The sooner you can develop and sustain healthy dietary and exercise habits, the likelier you are to maintain them after the surgery, slipping into old habits means you will regain weight.

Performing Lap Band Surgery
The lap band procedure is conducted in a laparoscopic fashion, taking between one and two hours. You will carry out the usual pre-surgery routine before operation, which involves:
• Removal of all clothes and jewelry
• Donning of the assigned hospital gown
• Meeting with both your anesthesiologist and nurse
• Starting your IV
• Receipt of relaxation and sleep medication

Two different techniques can be employed by your surgeon to place the band, namely:
• The Pars Flaccida Technique (PFT)
• The Perigastric Technique (PGT)

The Pars Flaccida technique (PFT) has been verified as safer by three different studies, resulting in lower rates of band slippage compared to The Perigastric Technique (PGT).

The Lap-Band surgeon will place a silicone rubber band around the top part of your stomach during surgery. A tube leading to a round port the size of half a dollar and located just below the skin connects to a balloon around the inner side of the silicone band. Through this port, your physician will either add or remove saline solution during the follow-up visits, making the band either tighter or looser. The looser the band, the more hungry you will feel and vice-versa. This band causes the top part of your stomach to fill up faster than usual, which will make your feel full a lot sooner, resulting in long-term weight loss.

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