The Sasse Guide: How Outpatient Surgery is Revolutionizing Weight Loss
For something new to truly revolutionize , the breakthrough treatments would have to be both safe and effective. They would have to produce short-term gains but long-term sustainable results. They would have to be minimally invasive and require a minimum of inconvenience and recovery time to become widely accepted. Is it possible that such a new treatment has arrived? According to the American Society of , which reports a rocketing growth of procedures performed annually, it appears the revolution has arrived.
Modern outpatientconsists of a highly effective yet minimally invasive surgical procedure that takes about an hour. In the vast majority of cases, the patient can return home on the same day and expects to recover to full activity within a week. Because of these factors, unprecedented numbers of people are taking advantage of . In 2008, over 200,000 Americans will undergo . An increasing number of these will be minimally invasive outpatient procedures.
There are two primary outpatient weight loss surgical procedures. The most commonly performed outpatient procedure is the laparoscopic adjustable gastric band or the Lap-Band. In this procedure, a soft silicone-based polymeric band or belt is placed around the upper stomach with laparoscopic or minimally invasive technique using five small ½ inch incisions. A 1-inch access port is then placed beneath the skin and subcutaneous tissues of the abdominal wall. In most cases, the procedure can be performed in 30 to 45 minutes. Recovery is rapid. 85% of people can be discharged from the outpatient surgery center within four to six hours. Most people return to work within a week. The second procedure that is emerging as an outpatient option is laparoscopic Roux-en-Y gastric bypass procedure. In the gastric bypass, the same minimally invasive technique with five small ½ inch incisions is utilized, but the stomach itself is partitioned and a small 1-ounce stomach pouch is created. The small stomach pouch is then connected directly to the intestine. The results in both procedures is a sense of early satiety, push smaller portion consumption and weight loss. Long-term studies of patients after both of these procedures demonstrate a high percentage of patients keep the weight off long-term. More importantly, studies demonstrate that individuals undergoingexperience dramatic health improvement and gains in longevity when compared to similarly overweight individuals who choose not to undergo weight loss surgery.
Yet, there are pros and cons of outpatient weight loss surgery. Both Lap Band surgery and laparoscopic adjustable gastric banding surgery have risks, both short term at the time of the surgical procedure and anesthesia, and long term. Dr. Sasse discusses all of these potential adverse events as well as steps that can be taken to avoid them.
It is more important than ever to choose carefully the surgeon and program that provides bariatric surgery.discussed how to go about finding an excellent bariatric surgeon and bariatric surgical program, and he outlines what questions to ask in order to be well informed about the surgeon and the procedures.
describes the important steps one should take in preparing for outpatient . He describes preoperative education and preoperative weight loss preparation programs. He then describes the essential tools for success after surgery.