[Laparoscopic reoperations after gastric banding for alimentary--constitutional obesity]

There were the literature data studied up and the results of own observations summarized about the patients after laparoscopic gastric banding and laparoscopic reoperations after gastric banding interventions in 72 persons, suffering obesity. Two procedures were used for gastric banding operation: in 1992-1999 yrs a "small" stomach was formed 50-100 ml in volume, the diameter of stenosed segment had constituted 10-11 mm, the ring was placed through the omental bursa; from 1999 yr--suprabursal placement of the bandage and formation of a "small" stomach 20-25 ml in volu me. In the immediate and late follow-up period the body mass was reducing adequately in up to 80% of the patients. The complications in the early postoperative period, demanding reoperation, had occurred in 4 (5.5%) of patients and in the late period--in 6 (8.3%). All of them laparoscopic reoperation was conducted. We consider, that in occurrence of early and late postoperative complications their correction is mandatory using laparoscopic technologies.