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LAPAROSCOPIC SLEEVE GASTRECTOMY

APASICON 2010 VIJAYAWADA. LAPAROSCOPIC SLEEVE GASTRECTOMY. Dr. G. SURESH CHANDRA HARI M.S FICS FAIS FMAS SIGMA HOSPITALS-SECUNDERABAD. Dr.Wlifred Mui Hongkong. Dr.Wlifred Mui Hongkong. Safe Major weight loss Easily performed

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LAPAROSCOPIC SLEEVE GASTRECTOMY

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  1. APASICON 2010 VIJAYAWADA LAPAROSCOPICSLEEVE GASTRECTOMY Dr. G. SURESH CHANDRA HARI M.S FICS FAIS FMAS SIGMA HOSPITALS-SECUNDERABAD

  2. Dr.Wlifred Mui Hongkong

  3. Dr.Wlifred Mui Hongkong

  4. Safe Major weight loss Easily performed Short operation times Short hospital stay Minimal blood loss Easily reversed Short recovery time Low risk of ulcer Few adhesion or hernia Lasting weight loss Low failure rate Minimal pain Rapid return to work Desirable Feature Of An “ideal” Weight Loss Operation

  5. SLEEVE - INDICATIONS

  6. Cont’d

  7. RISKS • STAPLING SITE LEAKS – SEPSIS • BLEEDING • GASTRIC ISCHEMIA • PROLONGED VOMITINGS • PORT SITE INFECTION • PORT SITE HERNIA • GALL STONE FORMATION • THROMBOEMBOLISM • VITAMIN DEFICIENCIES

  8. Obesity Surgery 2005;15:1469-1475Results of Laparoscopic Sleeve Gastrectomy (LSG) at 1 Year in Morbidly Obese Korean PatientsSang Moon Han, MD,et al.

  9. SLEEVE GASTRECTOMY • BENEFITS: • Low rate of complications, • Avoidance of foreign material, • Maintenance of normal gastro-intestinal continuity, • Absence of malabsorption and the ability to convert to multiple other operations • Ghrelin Factor Sleeve gastrectomy for morbid obesity. Obes Surg. 2007 July17(7):962-9.

  10. O R ROOM SETUP

  11. PORTS POSITION

  12. INSTRUMENTS

  13. SLEEVE GASTRECTOMY

  14. SLEEVE GASTRECTOMY - STEPS • MOBILISATION • INITIAL STAPLING • CALIBRATION • FINAL STAPLING • HEMOSTASIS • LEAK TEST • RETREIVAL

  15. STEP I - MOBILISATION

  16. STEP II –INITIAL STAPLING

  17. STEP III - CALIBRATION

  18. STEP IV – FINAL STAPLING

  19. STEP V – INSPECT STAPLE SITE

  20. STEP V –SPEC EXTRACTION

  21. STEP VI – DYE TESTING

  22. P.O.DIET • DAY 1 - NBM • DAY 2 – LIQUIDS ONLY • DAY 3 – 3 WKS – SOFT DIET • 3 WKS - NORMAL DIET • HIGH PROTEIN • LOW CARBOHYDRATES • NO FAT DIET

  23. Kob Khun Kap Xie xie ni Ramba Nandri Salamat Po Terima kasih Shukran Dank U wel Merci beaucoup Thanks a million Gracias Arigato Gozaimasu DHANYAVAD

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