Gastric sleeve surgery is performed by laparoscopic method. Laparoscopic surgery is a closed surgical technique. As with open surgeries, 10-15 cm incisions are not opened. Instead, a few holes of about 0.5 cm are drilled, and the camera and treatment tools are sent through these holes to the abdominal area.
On the one hand, the surgeon monitors the area of the operation from a high-resolution monitor in front of it, on the other hand, the treatment is performed. Thanks to this technique, the operation is more comfortable and safe, and the post-operative process is more painless and faster.
In an operation performed under general anesthesia, 80 percent of the stomach is taken with the help of stapler and the light of the sent tube. The most important point of the operation is to control the bleeding in the suture line after the stomach is removed.
The stomach is inflated with the help of special dyes to determine if there are any leaks in the sewing line. After the checks, the tube sent at the beginning of the operation is removed and the drainage system is placed.
Gastric sleeve surgery is basically an operation in which approximately 3/2 part of the stomach is removed and the eating and drinking and digestive part continues physiologically, removing hormones that cause weight gain.
In other words, the aim of the technique is to help overweight people achieve the ideal weight and to try to gain the habit of eating.
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Steps of gastric sleeve surgery
The duration of the operation can vary from 30 to 90 minutes, with an average of 1 hour. The patient’s condition and the surgeon are the main factors in changing this period. The issue that should be considered before the duration of this operation is how the operation occurs.
- Gastric sleeve surgery is performed by closed surgery technique. In surgery performed under general anesthesia, large incisions are not opened. Instead, a few holes are drilled to be less than 1 cm, allowing the camera and treatment tools to enter the abdominal area. This technique allows the operation to be more reliable and the patient to undergo a more painless healing process after the operation. In the operation, 80% of the stomach is removed with the help of stapler. The most important process of surgery is the control of bleeding on the suture line. In the stomach inflated with special dyes, stitches are checked and the tube sent in the first stage of the operation is removed. Then the drainage system is placed.
- Gastric sleeve surgery does not disrupt the normal course of food passage during feeding. In this way, it is a surgical way more suitable for the functioning of the digestive system. Technically, it is an easier and shorter operation. Although the duration of anesthesia is short, there are fewer complications that may be associated with anesthesia.
- The most common obesity surgery technique in the world is gastric sleeve surgery.
- Complications encountered in such operations can also be observed in gastric sleeve surgery. The clot is also called an embolism. The probability of leakage in gastric sleeve surgery is 1%, but this leakage must be managed by an experienced obesity surgeon. Otherwise, the consequences can be very severe. Post-leakage treatment can be achieved by placing a catheter together with the USG and placing a bariatric-stent with an endoscope.
- Weight gain after Gastric sleeve surgery is directly related to the patient’s eating habits, alcohol addiction and stomach growth. 3-5% of post-operative patients may have some weight gain, but long-term studies have shown that obesity surgery results in sustainable permanent weight loss in patients. Professional dietitian and psychologist follow-up minimizes the risk of weight gain.
How many steps do you take after gastric sleeve?
After gastric sleeve surgery, you should start to take steps and walk slowly. This also speeds up the healing process. You shouldn’t spend time in bed all the time. Start taking steps 1 day after the operation and increase it every day. Take into account the doctor’s recommendations for walking.
You can walk 500 meters first, then 1 km. If the operation was successful, the patient can stand up at the fourth hour of the operation. Of course, at this stage it is necessary to seek the help of a nurse.
After this process, he can go to the toilet alone, take a walk in the hospital. But remember; stepping or walking is not an exercise. It is imperative that you wait for the doctor’s instructions to start sports and exercise.
Laparoscopic Sleeve Gastrectomy
A laparoscopic sleeve gastrointestinal surgery is a relatively simple procedure in which a portion of the stomach is removed. The new stomach will contain less food and less liquid than the old one, and this will allow your body to regulate your weight and blood sugar levels naturally.
You will experience less hunger and a greater feeling of fullness at mealtime. The surgery does not involve bypassing the intestines, meaning it is completely safe and does not cause any complications.
In addition to a laparoscopic procedure, gastric sleeve gastrectomy surgery can be staged, making it a safer option for patients who have a high BMI or are at risk for complications of anesthesia.
This procedure can be performed before or after a gastric bypass, and it is performed with five or six small incisions in the abdomen. The doctor uses a video camera and long instruments to insert a laparoscope into the abdomen.
The procedure is performed under general anesthesia and sterile drapes. After the patient has been sedated, the abdomen is prepped with an obturator and a laparoscope. The surgeon begins the procedure by operating on the patient’s right side, with a second assistant on the left side.
This second assistant is the camera holder. The surgeon then performs a multitrocar approach on the stomach, using a 15mm port. After establishing pneumoperitoneum, the surgeon uses a 30-degree laparoscope to decompress the stomach. This is followed by an ultrasonic dissector to divide the short gastric vessels.