The majority of weight-loss operations at NYU are performed using a minimally invasive technique
called laparoscopic surgery. Laparoscopic surgery is performed
with the aid of a laparoscope, which is a fiberoptic tube with a small video camera. The camera
sends images
to a TV monitor, allowing the surgeon to see the internal abdominal
organs from the outside. The surgery can then be performed by inserting surgical instruments
through small incisions in the abdominal wall.
This
technique is less invasive than the alternative "open" surgery, which requires large incisions.
Laparoscipic surgery reduces pain, reduces
the risk of wound complications such as infections and hernias, and
allows for early ambulation. Recovery is usually faster, which shortens the
hospital stay. Laparoscopic operations have
been used in general surgery for over a decade and they are now the standard
way of removing gallbladders (laparoscopic cholecystectomy) and performing
tying of the tubes (tubal ligation).
It is extremely important
that any surgeon performing laparoscopic bariatric surgery be fully trained
in both advanced laparoscopy and in the field of bariatric surgery.
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The number of incisions used in bariatric surgery range from 5 to 7, but 6 incisions are typically
needed, all measuring between 1/4" to 1" long.
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