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Surgeons complete the first Lap-Band weight-loss surgery in Texas using single incision as entry point
June 16, 2008UT Southwestern Medical Center surgeons have completed the first single-incision Lap-Band weight-loss surgery in Texas.
Rather than the traditional five small incisions used for traditional laparoscopic gastric banding surgery, surgeons used a single 8-centimeter incision, reducing future scarring and accelerating healing.
"There's a current revolution in minimally invasive surgery: Can we make laparoscopic surgery better by decreasing the number of incisions?" said Dr. Daniel Scott, associate professor of surgery and director of the Center for Minimally Invasive Surgery at UT Southwestern. "The theory behind this, not yet proven, is that fewer scars are better cosmetically and for pain control. The pain may be less because you alleviate additional cuts, and therefore the recovery may be hastened."
The trend has taken two paths. With SILS, or single-incision laparoscopic surgery, surgeons make one incision instead of several through the abdominal wall. NOTES, or natural orifice transluminal endoscopic surgery, involves instrumentation access through an existing orifice such as the mouth, colon or vagina.
"SILS may be an appropriate compromise between conventional laparoscopic surgery that uses multiple incisions and multiple access ports, and NOTES, which strives to do away with all incisions on the abdominal wall and go through alternative natural access points of the body and therefore hide all the scars," Dr. Scott said.
Dr. Scott and Dr. Homero Rivas, assistant professor of surgery, completed the 2˝-hour procedure April 1 at
UT Southwestern University Hospital - Zale Lipshy. Surgeons used a special camera to see around obstructions and special graspers with a curved tip.
"We have a track record of innovations here," Dr. Scott said.
UT Southwestern surgeons were the first in a three-state area to perform laparoscopic gastric-bypass surgeries in the late 1990s. They also performed the region's first Lap-Band procedures.
UT Southwestern surgeons have achieved several firsts in single-incision surgery, including the nation's first single-incision kidney removal, North Texas' first single-incision gallbladder surgery and the first single-incision hysterectomy in Durango, Mexico. UT Southwestern surgeons have also performed single-incision colectomies and appendectomies.
UT Southwestern surgeons are part of a national group evaluating the feasibility and safety of single-incision surgeries and have a joint academic venture with surgeons in Shanghai, China, to develop the techniques.
UT Southwestern's Center for Minimally Invasive Surgery has been named a Bariatric Surgery Center of Excellence by the American Society for Bariatric Surgery and is one of only 27 facilities in North America, and the only one in Texas, to be accredited by the American College of Surgeons for its $2 million training lab.
The surgeons at UT Southwestern's Clinical Center for the Surgical Management of Obesity perform more than 350 bariatric and related procedures annually in addition to overseeing more than 1,500 annual clinic visits.
Visit http://www.utsouthwestern.org/bariatrics to learn more about UT Southwestern's clinical services in bariatrics.
The University of Texas Southwestern Medical Center at Dallas
The trend has taken two paths. With SILS, or single-incision laparoscopic surgery, surgeons make one incision instead of several through the abdominal wall. NOTES, or natural orifice transluminal endoscopic surgery, involves instrumentation access through an existing orifice such as the mouth, colon or vagina.
"SILS may be an appropriate compromise between conventional laparoscopic surgery that uses multiple incisions and multiple access ports, and NOTES, which strives to do away with all incisions on the abdominal wall and go through alternative natural access points of the body and therefore hide all the scars," Dr. Scott said.
Dr. Scott and Dr. Homero Rivas, assistant professor of surgery, completed the 2˝-hour procedure April 1 at
UT Southwestern University Hospital - Zale Lipshy. Surgeons used a special camera to see around obstructions and special graspers with a curved tip.
"We have a track record of innovations here," Dr. Scott said.
UT Southwestern surgeons were the first in a three-state area to perform laparoscopic gastric-bypass surgeries in the late 1990s. They also performed the region's first Lap-Band procedures.
UT Southwestern surgeons have achieved several firsts in single-incision surgery, including the nation's first single-incision kidney removal, North Texas' first single-incision gallbladder surgery and the first single-incision hysterectomy in Durango, Mexico. UT Southwestern surgeons have also performed single-incision colectomies and appendectomies.
UT Southwestern surgeons are part of a national group evaluating the feasibility and safety of single-incision surgeries and have a joint academic venture with surgeons in Shanghai, China, to develop the techniques.
UT Southwestern's Center for Minimally Invasive Surgery has been named a Bariatric Surgery Center of Excellence by the American Society for Bariatric Surgery and is one of only 27 facilities in North America, and the only one in Texas, to be accredited by the American College of Surgeons for its $2 million training lab.
The surgeons at UT Southwestern's Clinical Center for the Surgical Management of Obesity perform more than 350 bariatric and related procedures annually in addition to overseeing more than 1,500 annual clinic visits.
Visit http://www.utsouthwestern.org/bariatrics to learn more about UT Southwestern's clinical services in bariatrics.
The University of Texas Southwestern Medical Center at Dallas
Lap-band weight-loss surgery can reverse metabolic syndrome in obese teens
A new study of obese adolescents has shown that laparoscopic gastric banding surgery -- the "Lap-Band" procedure -- not only helps them achieve significant weight loss but can also improve and even reverse metabolic syndrome, reducing their risk for cardiovascular disease and diabetes.
Minimally-invasive weight loss surgery improves health and morbidly obese teens
Teenagers' obesity-related medical complications improve just six months after laparoscopic gastric banding surgery, according to outcomes data presented this week.
Laparoscopic weight-loss surgery improves health of morbidly obese teens
Teenagers' obesity-related medical complications improve just 6 months after laparoscopic gastric banding surgery, a new study found. The preliminary results will be presented at The Endocrine Society's 90th Annual Meeting in San Francisco.
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The Success Habits of Weight-Loss Surgery Patients by Colleen M. Cook (Author) These time and people tested principles are the results of years of research of long-term weight loss surgery patients. They work regardless of the particular type of weight-loss surgery you may have had. Whether you are investigating weight-loss surgery, a new patient, out a few years, or a bariatric professional, you'll find this book educational and motivational. |
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The LAP-BAND Solution: A Partnership in Weight Loss by Paul O'Brien MD (Author) This book has been written for two groups of people. Firstly, it is a guide to those who are obese on the extent of the problem, the benefits of weight loss, the options for achieving weight loss, the LAP-BANDâ„¢ as one of those options and an analysis of whether it is your best option. Secondly, it is written for you if you have made the decision to proceed with the LAP-BANDâ„¢ procedure and need to know what will happen at the time of surgery, what are the guidelines for eating, exercise and lifestyle, and how you can contribute to achieving an optimal outcome. |
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Success Habits Workbook (Success Habits of Weight Loss Surgery Patients) by Colleen M. Cook (Author) BSCI is pleased to provide you with this excellent new resource, designed with you in mind. This workbook has been organized to help you through the various phases of your weight-loss. A companion to the "Success Habits of WLS Patients" book, the Final Success Workbook includes exercise logs, food diaries and journaling opportunities as well as many helpful Success Habit (tm) suggestions and challenges. Get yours today! Set your goals, track your progress and stay focused andcommitted to the principles that will bring you lasting success. |
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