Revision Bariatric Surgery
- It is performed under general anesthesia and with a minimally invasive laparoscopic approach (4-5 small incisions from 3 mm to 10 mm)
- Includes all those surgical treatments performed on patients who have already undergone bariatric surgery.
- The type of intervention varies greatly from patient to patient, depending on the needs of the same and the previous intervention performed.
For example, a patient operated ten years before Gastric Banding, with weight gain (weight gain), may be eligible for revision surgery which generally consists of removing the bandage and converting it into a Gastric Bypass surgery laparoscopic.
Laparoscopic Inguinal Hernia Treatment (TAPP)
- It is performed under general anesthesia and with a minimally invasive laparoscopic approach
- Provides three small 5 mm and 3 mm incisions
- The content of the hernia is reported in the abdomen and the ostium in which it was engaged is obliterated with a net
- The net is fixed with absorbable glue or Tacks to avoid postoperative pain and allow easy recovery
- In a short period of time, the net will be integrated into the fabric
- The hospitalization is 24 hours
Minimally Invasive Treatment of Rectus Muscle Diastasis (REPA)
- It is performed under general anesthesia and with a minimally invasive endoscopic approach
- Diastasis of the rectus muscles is a removal of the straight muscles from the midline of the abdomen, this reduces the waist and gives a swollen appearance of the abdominal wall
- Provides for a pre-aponeurotic endoscopic repair (R.E.P.A.).
- 3 incisions are made (10 mm and 5 mm) above the pubis
- The bands of the rectus abdominal muscles are sutured, reconstructing the middle line of the abdomen and repairing the diastasis
- This repair is stabilized and strengthened by positioning a net which significantly reduces the risk of recurrence.
- With the endoscopic technique, anterior plication is performed, exactly as in traditional abdominoplasty, but without the abdominoplasty scar.
The net has a fundamental function of “scaffolding”, and favors the formation of fibrous tissue that stabilizes the suture of the fascia of the rectum. It is precisely this fibrous tissue that makes repair stable: the suture alone, over time, would be destined to be reabsorbed or fragmented.
Laparoscopic treatment of hiatal hernia
- The abdominal and thoracic cavities are separated by a muscle, called the diaphragm. The latter has a hole in the center, through which the esophagus passes, which becomes stomach in abdomen.
- The hiatal hernia is an enlargement of this hole, called “esophageal side”, inside which the stomach can rise from the abdomen to the chest
- The main symptoms and signs are: reflux, cough, palpitations, nausea, etc.
- The operation is performed under general anesthesia and with a minimally invasive laparoscopic approach (From 4 to 5 incisions from 3 mm to 10 mm)
- The surgical procedure involves the repositioning of the stomach in the abdomen, the narrowing of the esophageal hiatus through points and the affixing of an absorbable net
- The treatment gives excellent immediate results
Laparoscopic cholecystectomy
- It is performed under general anesthesia and with a minimally invasive laparoscopic approach
- Provides four small incisions from 3 mm to 10 mm
- The intervention is performed in the case of gallbladder stones or polyps
- The surgical procedure involves the total removal of the gallbladder
- The function of the gallbladder is to be the reservoir of bile that will continue to be produced by the liver
- In fact, it is not essential for the body, which immediately adapts to its absence
- The hospitalization is 24 hours
Plastic Surgery (Optional)
- Plastic surgery is not always necessary after bariatric surgery, it depends on the patient
- It is performed, if necessary and if requested, after about 12 months after the bariatric treatment, when the weight loss (weight loss) is finished
- The procedures, in addition to the tummy tuck (most common), are manifold, and will be assessed on a case-by-case basis, according to the patient’s needs, helping him along his path
