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Codification of techniques for reoperation after Lap-Band
Francesco Furbetta1, Elisabetta Coli
1Department of Surgery, Ospedale di Pescia (PT)-ASL3, Pistoia, Italy. f.furbetta@virgilio.it
Obesity Surgery
|May 13, 2003
Summary
Laparoscopic Adjustable Gastric Banding (Lap-Band) complications like pouch dilation or band erosion can be successfully managed with minimally invasive re-operations. Specific techniques for port and tubing issues can prevent future problems.
Area of Science:
- Bariatric Surgery
- Minimally Invasive Surgery
- Gastroenterology
Background:
- The Lap-Band is a reversible, minimally invasive bariatric surgery.
- Common late complications include pouch dilation, band erosion, and adjustment system issues.
Purpose of the Study:
- To describe surgical timing and techniques for managing principal Lap-Band complications.
- To codify re-operation techniques for Lap-Band users.
Main Methods:
- Laparoscopic treatment of 540 patients between 1995-2001.
- Management of late complications: adjustment system issues (n=35), pouch herniation/dilation (n=14), band erosion/migration (n=3).
Main Results:
- All complications were successfully treated using minimally invasive techniques.
- Pouch dilation required 15 repositionings and 2 removals.
- Band erosion/migration treated with endo-laparoscopic removal.
- Adjustment system issues corrected laparoscopically in 17 patients.
Conclusions:
- Minimally invasive re-operations effectively manage Lap-Band complications.
- Transverse subcutaneous port positioning can prevent adjustment system issues.