This video shows the vertical sleeve gastrectomy, a new option for surgical treatment of severe and morbid obesity. It does not require rerouting of the bowel, and is therefore safer than the gastric bypass. It has a very low complication rate; most patients can go home within 24 hours of the procedure. For more information go to www.laparoscopy.com/pleatman
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good job
Very nice procedure. The only comment is the use of electrocautery right upon the staple line at the end of the procedure. Some people believe that this is not a safe technique because the current can travel along the metal staples causing tissue necrosis in this area with a following leak. I think that it would be better to cover this place by a running seromuscular suture with EndoStitch.
how much does the procedure cost?
I just had this operation myself and don’t know who goes home within 24 hours! I was in hospital for a week and on pain relief for 6 days of that.
It is a fantastic aid for obese people though and well worth the small amount of pain for the wonderful gains.
Total cost is about $11,000.
Thanks for your comments. Most patients stay for 2 days, though some do go home after one. Pain is rarely the cause of delayed discharge; usually it is prolonged nausea. I don’t know why you had so much pain.
I understand your concern. I use bipolar cautery to reduce this risk. The current goes between the jaws of the instrument instead of through the patient’s body to the grounding pad. I size the VSG with a 32 Fr. bougie, which makes the sleeve very narrow. Oversewing it might make it too narrow. Endostitch is a clever but expensive unnecessary gadget that would jack up the price of the surgery.
thank you so much, i am having this surgery in may and no matter how many articles i read, i still needed to know visually how it will go. I have a better understanding now thank you!
I just had this done on 11/16/09 and have lost 18 lbs so far. There is some soreness, but otherwise I am fine. I watched this before my procedure and it was very informative.
Thank you for not only posting the video, but taking the time to effectively commentate.
absolutely amazing… I can’t wait!!!
First thing that got my attention was the “healthy liver”. I was under the assumption that those of us having this done would have a fatty liver, yet that one looked good.