Laparoscopic gastric band

The surgery is performed in an operation theatre under general anaesthesia and lasts about 1-2 hours. The procedure involves insufflation of the abdominal cavity with CO2 under standardized, precisely determined conditions, which allows for insertion of an endoscopic camera and several long special operation tools through the abdominal wall with which it is possible to move aside the left liver lobe and encircle the upper part of the stomach with a ring-shaped sleeve. An adjustable silicon band, a product of renowned specialized companies, is linked through a tube to a metal chamber (port) placed just under the skin. The adjustment of the band after the surgery is performed through this port.  The device is to be left implanted in the body for the rest of the patient’s life. After the surgery, the usual procedure is to keep an abdominal drain and a thinner drain leading to the port inserted for one day.

What happens after the surgery?

On the evening after the procedure, patients may usually drink, sit up, get up and even walk with the help of other persons. The usual total hospitalization time is 3 days at the maximum. Pain occurring in the post-operative phase is mostly insignificant and, of course, it is suppressed, so the patient does not have to feel any pain at all.  

What complications may occur?

Complications during a laparoscopic gastric band surgery occur very rarely, nevertheless they may occur – just like in case of any other surgery. Possible complications are: abdominal bleeding, perforation of internal hollow organs, infections, wound healing disorder, venous thrombosis and lung embolism, allergic reaction or any other complication during surgery under general anaesthesia. The patient has to consent to performance of a traditional invasive procedure instead of laparoscopy or to his/her transfer to a larger hospital or, as the case may be, to blood or plasma transfusion, if necessary.

Can the risk of complications be reduced?

To ensure a smooth progress before and after the surgery we carry out many preventive examinations. During hospitalization, the patient is given an antibiotic, anti-stress ulcer medication, analgesics for pain and heparin for thrombosis and embolism. Statistics have shown a lower occurrence of complications and a shorter operation time in patients who managed to lose weight before the surgery. Therefore all patients are recommended to reduce their weight before the surgery by keeping a strict low-fat diet with energy intake of 4,000kJ, increased proportion of proteins up to 40-50% and a significant reduction in the proportion of carbohydrates to 30% from the usual 50-60%. Elimination of carbohydrates will lead to the consumption of the reserves in the liver and, by extension, to reduction of the size primarily of the left liver lobe, which will give a much better access to the stomach during the surgery. To avoid reduction of muscle mass, the diet has to be rich in proteins. The intake of liquids, minerals and vitamins must not decline. This is a concrete way how patients themselves can contribute to a safe progress of their bariatric surgery.

Further post-operative treatment

The patient is discharged (as a rule on 3rd day after the surgery) with the recommendation of a liquid diet therapy – liquid food taken in small portions about 5 times a day. Patients with diabetes, who were on medication reducing blood sugar levels, usually have their glucose values dropping to the limit, therefore they have to consult their further therapy with their nutritionists. Also in case of insulin-treated diabetes the dosage has to be adjusted after gastric band procedure. Hypertension does not usually require any immediate change of treatment after a bariatric surgery. After gastric band procedure it is recommended that you inform your general physician, nutritionist and also an internist – obesity specialist about your condition. 

Post-operative checks involve: removal of stitches 7-14 days after the surgery; adjustments which should be made with respect to the patient’s condition within outpatient care each 3 months during the first year and each 6 months in the following years.

If you have any further questions, please don´t hesitate to contact us.

To know if you are a suitable candidate for this procedure, please fill in the medical questionnaire. After having information about you we will be able to offer the best procedure, the best price and the operation date for you. Thank you for your cooperation.

Your SurGal Clinic team