Doctor insights on:
What Surgical Instrument Do They Use For Gastric Bypass
What procedure do you doctors here reccommend for curing lpr .tif procedure or that surgical one where they make 3-5 incisions? Which one has best suc
Lap Nissen: Depends not only on the procedure but on the expertise of the Surgeon. The best results are at USC-LAC in LA by the Demeester group ...Read more
Bypass and band: Gastric bypass is the gold standard, been around for 50yrs, results in the greatest weight loss, highest cure rates for diabetes, hypertension, etc, but has a slightly higher risk. It is an excellent operation and accounts for the majority of weight loss operations done in the us. It is safe if done by a surgeon who has done thousands of cases. ...Read more
Can you tell me about surgical procedure for esophagectomy. what skin prep and meds are used during surgery?
Ivor Lewis procedure: Esophagectomy is usually performed for lesions of lower esophagus and require esophagogastrectomy usually performed thoracoabdominally. thru abdomen and right chest. A transesphageal ultra sound is performed to define penetration of mucosal tumor into muscularis and nodes. Pre op RT and chemo are essential to get best chance for cure. ...Read more
Re operation: usually the slipped Nissen needs repeat surgery to fix. ...Read more
Having gallbladder surgery, what would make them change their mind and do an open surgery as opposed to a lap procedure?
Unclear: I am not sure what you're asking. Please clarify your question. ...Read more
Scarring: Adhesions are the formation of scar tissue after surgery. This scar tissue can cause abdominal problems, including intestinal blockage. Adhesions can occur with any surgical procedure in the abdomen, including any form of bariatric surgery. Consult with your surgeon on the incidence of this complication. ...Read moreSee 1 more doctor answer
Recommended for C6/Copectomy & C5-C7/ACDF. What are the differences between corpectomy and discectomy? How do surgeons choose which procedure to use?
Disc or vertebra: Corpectomy refers to the removal of the vertebra while discectomy refers to removal of the disc which is located between the vertebra. What structure is removed is determined by what is needed to adequately relieve nerve root/spinal cord compression or correct structural deformity. ...Read more
Pre op labs: Blood tests before surgery are basically safety checks. A hematocrit, white cell count, platelet count and electrolyte panel give a lot of information to the surgery team about how the patient's organs are functioning. Surgery and recovery are hard work for the organs, so any dysfunction (yet without symptoms) is important to know. ...Read more
Many factors: Primary factors include how much weight you need to lose and the presence or absence of diabetes and other comorbidities. Gastric bypass and sleeve gastrectomy tend to be better in patients with higher bmis and diabetes. In any event would consult with a bariatric surgeon in your area to help you decide. ...Read moreSee 2 more doctor answers
Various: There are many metal types used. Most are alloys and are not one metal. Some plates are stainless steel. Some are titanium. Most nails or rods are made of titanium. Joint replacements are made of many different alloys and there are too many to list here. Most common is cobalt chrome. ...Read moreSee 1 more doctor answer
Gastric bypass safe: The the bypass is the gold standard for weight loss operations. It's been around for over 50 yrs and is a proven operation. It is the best in terms of overall weight loss. It is a safe operation but should only be done by an experienced gastric bypass surgeon. There are many lap band surgeons out there, but few are good gastric bypass surgeons. I have recommended bypass for family members. ...Read moreSee 1 more doctor answer
Band to sleeve: It is acceptable to have a revision from a band to sleeve gastrectomy or gastric bypass in a single stage operation. I routinely perform this. However, it really depends on how difficult the band removal is and how much scar tissue is present. There are times where i will choose to only remove the band and do the sleeve or bypass at a later date. ...Read more
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