LAP-BAND Surgery: LAP-BAND surgery is conducted laparoscopically, which procedure doesn’t require incisions. Laparoscopic surgery usually offers a precise operative time, less scarring and a quicker recovery; patients generally can turn to work after one week.
In the LAP-BAND surgery -a laparoscopic adjustable gastric band is an inflatable silicone device fixed around the top of the stomach to manage obesity, that is aimed to slow consumption of food and therefore reduce the amount of food consumed.
Adjustable gastric band surgery is an part of bariatric surgery intended for overweight patients with a body mass index (BMI) of 40 or greater, in circumstances of patients with certain comorbidities that are associated to improve with weight loss, such as diabetes, sleep apnea, osteoarthritis, GERD, hypertension, metabolic syndrome, among others.
The United States Food and Drug Administration (FDA) extended permission In the month of February 2011, of adjustable gastric bands to patients among a BMI between 30 and 40 and one weight-related conditions, such as high blood pressure or diabetes. The adjustable gastric band usually did only after other approaches such as diet and exercise must be tried.
LAP-BAND Surgery Procedure
First, patients are placed under general anaesthesia for their comfort and safety. The surgical insertion of an adjustable gastric band is mentioned as a lap band procedure. First, a small incision ( less than 1.25 cm or 0.5 in.) is performed near the belly button. Carbon dioxide is entered into the abdomen to produce a workspace for the surgeon. Next, a small laparoscopic camera is placed within the incision into the abdomen. The laparoscopic camera provides a picture of the stomach and abdominal cavity to a video informant. It provides the surgeon with a good view of the key structures in the abdominal cavity. A few extra small incisions are done in the abdomen. The surgeon observes the video monitor and works within these small incisions applying instruments with long handles to perform the lap band surgery. The surgeon builds a small, orbicular tunnel behind the stomach, enters the gastric band within the tunnel, and locks the band throughout the stomach.
In lap band surgery -a hollow band built of special material is fixed around a small portion of the overhead stomach, forming a small pouch and a narrow passage. The band is later inflated with a saline water solution through a reservoir implanted beneath the skin throughout surgery. The band can be stretched or loosened over time to adjust the size of the passage by increasing or decreasing the quantity of saline solution. While a patient eating, the pouch, or “new” stomach, loads quickly with food and empties slowly to decrease hunger and provide a feeling of fullness.
Overeating issues in pain or vomiting. Successful outcomes depend on the patient’s willingness to ratify a long-term plan of salutary eating and daily physical activity.
Clinical studies of minimally invasive laparoscopic bariatric surgery patients noticed that they seemed better, benefited from enhanced productivity and economic opportunities, and became more self-confidence than they made prior to surgery.
After lap band surgery, maximum cases patient spend roughly 24 hours in the clinic. Throughout this period, patients are able to rest and under close medical supervision to secure that no dangerous post-surgical complications occur. Utmost gastric banding patients spend a week or two at home resting and recovering following being released from the clinic. It is necessary to exactly follow doctors’ guidance during this recovery time in order to avoid unnecessary distress and complications. After approximately a week, most people feel ready to return to some regular activities and also light exercise. During the recovery manner, it is necessary to stay well hydrated by sipping water frequently within meals.
Diet: During nearly two weeks after lap band surgery, patients will be limited to an all-liquid food. This intake enables the body to adapt to the new stomach pouch while jumpstarting the weight loss manner. Within a few weeks, doctors may begin to suggest pureed or soft foods, and in six weeks it is habitually safe to start eating solid foods. Nevertheless, many patients after lap band surgery, find that certain foods just do not agree with them following surgery, making heartburn and indigestion even in tiny amounts.
Exercise: As early as possible, patients should involve in light walking. Walking is the best approach to avoid difficulties such as blood clots that may result in the recovery phase, and it is a significant step to establishing healthy long-term attitudes. Before the operation, patients will become set an exercise plan with a fitness instructor. Though it can especially follow this plan in the before and weeks after surgery, exercise is fundamental to effective weight loss.
Many bariatric specialists provide counselling and assistance groups to help patients stay motivated. Counsellors concentrate on improving patients confront depression and other difficulties that may arise during the weight loss manner.
Weight Loss from Lap Band Surgery
After lap band surgery, weight loss is gradual but steady. You become routine visits with your physician to check how you are working. The surgeon can adjust the gastric band if you are not losing weight as demanded or if you become problems with the gastric band. Some successes continue to lose weight toward up to 3 years following surgery.
Lap band surgery has a record of good long-term weight loss based on the clinical recording. Nonetheless, some patients lose slight or no weight from lap band surgery. Typically, it is because of dietary guidelines are not followed.
- Within the first Year expected -40% excess weight loss
- Within the three Years expected- 43% excess weight loss
Obesity-related comorbidities are further improved following surgery:
- Type 2 diabetes
- Acid Reflux Disease
- Sleep Apnea
Adjustable gastric banding is usually slower Weight loss less than with gastric bypass.
LAP-BAND Surgery Risks
All surgeries for weight loss have the common complication- an infection in the incision, bleeding, and a blood clot in the legs or pulmonary embolism. Some people have developed after lap band surgery such as- gallstones or a nutritional insufficiency status such as anaemia or osteoporosis.
Other complications of lap band surgery include:
- Erosion – The gastric banding may gradually migrate through the stomach wall. This will happen in the band moving from the outside of the stomach. Urgent hospitalization may be needed if there is an internal leak of gastric contents.
- Slippage – An unexpected incident in which the lower part of the stomach may prolapse throughout the band producing an enlarged upper pouch.
LAP-BAND Surgery Cost & Insurance
Actual prices of lap band surgery vary broadly from state to state and also surgeon to surgeon, utmost patients can assume to pay within $15,000 and $30,000 for their lap band surgery and also postoperative care.
The obesity-related conditions such as hypertension, diabetes, and heart disease are high costs, for this reason, many insurance providers are willing to cover the cost of a weight loss scheme. In most cases, bariatric surgery clinics are practices happy to support patients with paperwork and other insurance resolutions in sequence to help them get the treatment they require.
Most states in the U.S. become laws in place that require insurance firms to cover the price of weight loss surgery for patients who meet the conditions. This typically suggests that patients are likely to be included if they should body mass index (BMI) of above 40, have attempted and failed to weight loss through a non-surgical weight loss program.