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Lap-Band surgery in Guatemala
Lap-Band Surgery in Guatemala
The Lap-Band, or laparoscopic gastric banding surgery is currently the most common bariatric operation performed outside the United States. It is certainly the most common bariatric surgery in Latin America.
The Lap-Band works by creating restriction of the amount of food that you can eat at a time. With small portions of food you will feel full for long periods of time.
The inflatable balloon allows the surgeon to adjust the inside diameter of the Lap-Band to your needs so that you will lose weight by eating very little, not feeling hungry, and not having the urge to eat between meals.
The Lap-Band or gastric banding procedure is usually recommended if you eat large amounts of food. In addition, it is at present the only bariatric surgery performed in adolescents. It is not indicated if you have a large hiatal hernia, severe esophagitis, peptic ulcers, or some eating disorders.
With small portions of food you will feel full for long periods of time.
The advantages of the Lap-Band surgery include:
- It is a less traumatic surgery
- It does not involve cutting or stapling of the stomach
- The anesthesia time is shorter
- The recovery is faster
- There is no need for nutritional supplements
- It is adjustable to your needs
- It is less expensive
- It is completely reversible
The Lap-Band surgery
The Lap-Band is the newest and the only adjustable surgical treatment for morbid obesity in the United States. It consists of a ring that is placed around the stomach in order to hold back the transit of food through the stomach, producing a feeling of fullness with small portions of food.
The Lap-Band has an inner inflatable silicone balloon that can be adjusted depending on your needs. It does not contain latex or any natural rubber materials.
The Lap-Band is the newest and the only adjustable surgical treatment for morbid obesity in the United States.
Dr. Gonzalez uses the Lap-Band® System, which was approved by the FDA (Food and Drug Administration) in June 2001.
For more information visit: www.lapband.com
The Lap-Band surgical technique
The Lap-Band operation is completed using the laparoscopic surgical technique. It requires general anesthesia and it takes about one hour to complete the entire procedure.
All patients are given blood thinners and IV antibiotics before surgery. Additionally, you will have compressive stockings and an intermittent compressive device in your legs until you are completely recovered.
The surgical technique for the Lap-Band placement involves four really small incisions and an additional incision of about one inch through which the gastric band is introduced and the reservoir is fixed to the abdominal wall muscle.
The gastric band is placed around the most proximal portion of the stomach, in other words, close to where the esophagus ends and the stomach begins. It creates a shape in the stomach similar to that of an hourglass. It is fixed with sutures so it will not be displaced in the future. There is no cutting or stapling of the stomach. The reservoir is also fixed with sutures to the muscle, underneath the skin and fat tissue. No portion of the Lap-Band is left outside the skin.
The Lap-Band surgery creates a shape in the stomach similar to that of an hourglass. There is no cutting or stapling of the stomach.
Recovery of the Lap-Band surgery
The same day of your Lap-Band surgery you will be able to get out of bed and drink water in small amounts (one ounce every 15 minutes). Your IV fluids will be discontinued the night of your surgery and you will be discharged from the hospital the next morning.
The average hospital stay is about 23 hours. You will be back to your routine physical activity on an average of 4 to 5 days following your surgery.
The average hospital stay following your Lap-Band surgery is about 23 hours. You will be back to your routine physical activity on an average of 4 to 5 days following your surgery.
Diet after Lap-Band surgery
Your diet will be advanced according to the recommendations of the dietitian to a full liquid diet on the morning following your Lap-Band surgery. Once you are able to drink sufficient amounts of liquids in order to avoid dehydration you will be discharged from the hospital. You will have a liquid diet including protein supplements for one week.
Afterwards you will be advanced to a pureed-type diet for two weeks. You will be able to eat solid food at three weeks after surgery. No additional nutritional supplements or special diets are required thereafter.
Fills or adjustments following Lap-Band surgery
During the operation, the Lap-Band is placed completely deflated. To modify the internal diameter of the Lap-Band, in other words tighten the band around the stomach, saline solution is introduced into the balloon.
This is achieved by introducing a special needle through the skin into the reservoir. The first fill or adjustment is done about 4 to 6 weeks following surgery. Thereafter, the fills are scheduled according to your needs.
They are indicated if you stop losing weight, if you start eating larger amounts of food, or if you feel hungry all the time. On average, patients require 3 to 4 fills per year.
Our experience with Lap-Band Surgery
Dr. Rodrigo Gonzalez started his experience in gastric banding as a Fellow in Gastrointestinal Surgery at the University of Louis Pasteur in Strasbourg, France. He is certified both in the Lap-Band and Sweedish Adjustable Gastric Band (SAGB)(REALIZE band).
His training involved the evaluation and preparation of clinically significant obese patients for bariatric surgery. He has performed hundreds of Lap-Band operations. He also received training in converting failed or complicated gastric bandings to Roux-en-Y gastric bypass.
Since his return to Guatemala, Dr. Gonzalez has dedicated most of his practice to bariatric surgery and has done well over hundreds of bariatric operations including Roux-en-Y gastric bypass, gastric banding, sleeve vertical gastrectomy, and revision of complicated or failed weight-loss operations to Roux-en-Y gastric bypass.
Dr. Gonzalez dedicated a significant amount of his time to study and research the field of Bariatrics. He has published over 25 papers in the most prestigious medical international journals and has been asked to write chapters for 5 books published in the United States and Great Britain. He has also been invited to publish review articles in renowned medical journals Publications By Dr. Gonzalez .
(For a complete view of Dr. Gonzalez’s CV please click here). He is considered by the international medical community as an expert in bariatric surgery and is therefore frequently asked to give talks in bariatric courses and meetings in order to present his experience in weight-loss surgery.