Serious Complications Rarely Happen With Lap Band Surgery
During the after weight loss surgery, the surgeon will use laparoscopic techniques (making tiny incisions and inserting long-shafted instruments, including a narrow camera through “ports”) to wrap the LAP-BAND System around the patient’s stomach. Like a wristwatch, the band is (Online Pharmacy No Prescription) fastened around the upper stomach to create the new stomach pouch that limits and controls the amount of food you eat. The band is then locked securely in a ring around the stomach and sewn into place. In extreme cases, the procedure may be converted to an open procedure instead of laparoscopic. Surgery will typically take about an hour, but sometimes less. Improvements in the device and surgical technique have resulted in a very safe and effective procedure. The procedure is completely reversible.
Once placed around the stomach, tubing connects the LAP-BAND System to an access port fixed beneath the skin of your abdomen. This allows the surgeon to change the stoma size by adding or removing saline (salt water) inside the inner balloon through the access port. Adjustments are performed without any additional surgery. The average patient will have 4-6 adjustments in their first year after surgery, and 1-3 per year after that. The average patient will have 3 adjustments before reaching the “Green Zone” (optimal adjustment volume). Patient sensitivity to the device varies, and some may require far more, or far fewer adjustments than the average, but all patients should come in for regular follow up visits. The port is sutured (sewn) to the muscle layer beneath the patient’s skin and fat. It is generally not visible at the time of surgery. For patients who lose significant weight, the port may eventually become visible as a “little bump” beneath the skin.
The most commonly discussed complications are slips and erosions. Slips occur when the lower part of the stomach “slips” up through the band, creating an enlarged upper portion. Erosions occur when the band erodes into the stomach. The rate of serious complications with the LAP-BAND System is 0.2%, and is significantly decreasing with improvements in the device, surgical technique and patient care.
If the lap band System surgery, which is a procedure performed for patients who have recently lost a lot of weight, is performed laparoscopically, as it most frequently is, patients typically spend less than 24 hours in the hospital. It takes most patients about a week before they can return to work, and 4-6 weeks before they can resume exercising. In the case of open surgery or complications (which are rare), recovery may take longer. High risk patients (High BMI, older patients, patients with many severe comorbidities) are may require more time and the hospital and may take longer to recover. Outpatient settings typically have different patient selection criteria and different protocol for length of patient stay.
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