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What
is Laparoscopy?
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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". |
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What
is Laparoscopic Gastric Bypass, Roux en-Y?
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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:
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- 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
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A
more detailed description of the procedure can be found at this
web site by clicking
Procedure Overview
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Does
Laparoscopic Surgery decrease the risk?
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No.
Laparoscopic operations have the same risks as the similar "open"
procedure. The benefits of laparoscopy are |
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- Shorter hospital
stay
- Quicker recovery
from procedure
- Less discomfort
- Earlier return
to work
- Reduced scarring
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How
long is the operation? |
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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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