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HERNIA SURGERY

Hernia surgery is a surgical treatment that involves returning an organ to its original position when it protrudes through a weak region of muscle. Hernias affect both children and adults. Some hernias cause pain, while others do not. The goal of hernia surgery is to offer the best and strongest repair possible with the least amount of discomfort and the quickest recovery time.

Over the course of 12 to 18 months, laparoscopic sleeve gastrectomy results in a 65 to 75% decrease of extra weight. Laparoscopic sleeve gastrectomy also significantly improves associated co-morbidities such as type 2 diabetes, high blood pressure, high cholesterol, gout, obstructive sleep apnea, and joint problems. Laparoscopic sleeve gastrectomy is one of the most prevalent operations performed in India nowadays.

Eligibility for Laparoscopic Adjustable Gastric Banding

  • Laparoscopic Sleeve Gastrectomy, is recommended for Asian candidates with a BMI of ≥ 35 kg/m2 and no accompanying disorders.
  • For Asian candidates with a BMI ≥ 30 Kg/m2, bariatric/metabolic surgery should be explored for the treatment of type 2 diabetes or metabolic syndrome if lifestyle changes and medical treatment are insufficient.
  • For Asian patients with a BMI ≥ 27.5 Kg/m2, Laparoscopic Adjustable Gastric Banding surgery can be a non-primary option for treating poorly controlled type 2 diabetes or metabolic syndrome.

Preparing for surgery

  • The first step is a consultation with the doctor and team to determine your eligibility for gastric sleeve surgery. At this point, a detailed medical history, diet recall, and a comprehensive physical and psychological evaluation will be conducted.
  • Once we've decided to proceed with gastric sleeve surgery, you'll need to go through a battery of testing. Depending on your clinical profile and co-morbidities, you may also need to consult a diabetologist, endocrinologist, nephrologist, or chest physician.
  • A pre-operative upper GI endoscopy is required before any bariatric treatment.
  • You will also need to follow a high protein liquid diet for 5 to 7 days before the treatment. Most obese people have fatty, enlarged livers. The surgeon finds it difficult to perform surgery on the liver due to swelling. Pre-operative high protein liquid diet shrinks the liver, making surgery easier and safer for the patient. Patients who strictly adhere to the pre-operative liquid diet have been shown to lose more weight following bariatric surgery.

On the Day of Surgery

  • Once all of the tests have been completed and you are medically fit to undergo gastric banding surgery, you must be admitted to the hospital the evening before your scheduled procedure.
  • All preoperative drugs, including venous thromboembolism prevention, will be administered in the hospital.
  • You will fast for 6 to 8 hours before the surgery.
  • Sleeve gastrectomy surgery usually takes 45 minutes to an hour to complete and is performed under general anesthesia.
  • You will be encouraged to walk around on the same day and use the restroom alone.
  • The next day after surgery, you will begin taking liquids. If all goes well, you will be discharged to go home the day after surgery.

What to expect after Laparoscopic Sleeve Gastrectomy

  • The day after surgery, you will begin a clear liquid diet.
  • If you can tolerate liquids and have no other clinical difficulties, you will be discharged the day after surgery.
  • All drugs, including venous thrombo-embolism prevention, will be explained to you before to discharge.
  • Following sleeve gastrectomy surgery, you will be on a liquid diet for about 15 days, followed by a soft and mashed diet for another 15 days. You will be allowed to eat normal home-cooked food after one month of surgery, but the quantity will be limited.
  • You will also need to take nutritional supplements as recommended by the team, and the team will coach you through the entire process of nutritional supplementation and diet.
  • It takes a few months to develop new dietary habits. Please don't worry. We are available at all times to answer your inquiries.

Expected weight loss after Laparoscopic Sleeve Gastrectomy

  • Following a sleeve gastrectomy, patients may shed up to 65-75% of their extra weight. Weight loss is influenced by a variety of factors, including the patient's baseline weight, age, gender, associated co-morbidities, behavioural changes made by the patient, and so on.
  • Patients who embrace the lifestyle shift and follow the team's behavioral adjustment instructions perform better following any weight loss operation, including gastric sleeve surgery.
  • Weight loss techniques should not be viewed as a shortcut. Both the doctor and the patient must be deeply committed. To attain the best results, follow the team's diet and exercise for at least 30 to 45 minutes every day.

Downsides of Laparoscopic Sleeve Gastrectomy

  • Gastric sleeve operation should not be performed on patients with hiatus hernia or acid reflux. Sleeve gastrectomy is a refluxogenic procedure that might exacerbate reflux symptoms in certain patients. This can be especially problematic if the patient smokes.
  • Some patients have seen varying degrees of weight recovery in the long term following this procedure. Following any bariatric treatment, it is critical to embrace lifestyle and behavioral changes. Surgery is simply a tool for enormous weight loss; nevertheless, long-term weight maintenance requires commitment from both the patient and the team.
  • In terms of complications, this surgery is comparable to any other procedure. In this day and age of the internet and Google physicians, there is a lot of unneeded information available on the internet. We strongly advise you not to be swayed by misleading material on the internet. During your appointment, the doctor and his colleagues will be open and honest about the complication rates of each procedure.
  • If you smoke, please cease at least three weeks before your surgery. It is not suggested to get a bariatric procedure if you want to continue smoking after the surgery.

Follow up after surgery

  • Bariatric surgery has the best benefits in patients who follow up on a regular basis.
  • We urge you to rigorously adhere to the follow-up program that will be provided to you upon discharge from the hospital.
  • You will need to see the doctor and the team on a frequent basis for the first year, then once a year for the rest of your life.
  • Please complete your tests as directed by the staff. This contributes significantly to the prevention of dietary deficits.
  • An upper GI endoscopy must be performed once a year following any bariatric treatment.