A simple technique to fix the reservoir in laparoscopic gastric banding

Laparoscopic gastric banding is an established approach for the surgical correction of morbid obesity. Fixation of the reservoir to the anterior abdominal wall is a cumbersome procedure that invariably involves an extension of the skin incision and rather tedious suturing in the depth of the wound. Inadequate completion of this step may lead to tilting of the reservoir, which may hinder future band inflations. This paper describes a simple technique to overcome this difficulty.