The Weight Loss Clinic

The Weight Loss Clinic

 
RNY Procedure
 
   

 
  What is Laparoscopy?
 
  Laparoscopic surgery first began to be performed widely in the U.S. in the early 1990's as a procedure for the removal of the gallbladder. The surgeon views on a TV monitor what is inside the abdomen by using a thin tubular telescope and a high-resolution video camera. This telescope, and other instruments are passed through "portal" in the abdominal wall to do the actual surgery. Lasers can also be used laparoscopically. The surgeon must learn to move the various instruments based on what is shown on the TV monitor. This requires a high degree of eye-hand coordination. A wide variety of instruments have been developed, including sophisticated stapling and suturing devices, which permit laparoscopy to be used for many surgical operations, one being laparoscopic gastric bypass. These more complex operations, in which the stomach or bowel is cut and re-connected, is called "Advanced Laparoscopy".  
   

 
  What is Laparoscopic Gastric Bypass, Roux en-Y?
 
  The gastric bypass procedure referred to as Roux en-Y has become the standard operation for the treatment of morbid obesity, for several years. The procedure can be broken down into three areas:
 
 
  • Partitioning of the stomach into two parts - an upper small pouch, and a lower large pouch
  • Cutting the small intestine and creating of a Y-connection in the small intestine, to connect the small upper stomach pouch to the original small intestine exiting the lower portion of the stomach
  • Connection of the new small intestine end to the upper small stomach pouch
 
 
A more detailed description of the procedure can be found at this web site by clicking
Procedure Overview
 
   

 
  Does Laparoscopic Surgery decrease the risk?
 
  No. Laparoscopic operations have the same risks as the similar "open" procedure. The benefits of laparoscopy are  
 
  • Shorter hospital stay
  • Quicker recovery from procedure
  • Less discomfort
  • Earlier return to work
  • Reduced scarring
 
   

 
  How long is the operation?  
  Normally, the procedure requires 2 - 3 hours in the operating room with the procedure itself taking 60 - 90 minutes. These are the norms and many factors can contribute to the need for additional time.  
   
     

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