Perioperative Considerations

General anesthesia is necessary for this operation. Each patient receives a single dose of broad-spectrum antibiotic. Sequential compression devices are placed to decrease the risk of deep venous thrombosis. A Foley catheter is used to decompress the bladder and monitor urine output during the operation.

We place the patient in low lithotomy position, which allows the surgeon to stand between the patient's legs during the procedure. To secure the patient in steep reverse Trendelenburg position, a seat is fashioned using a beanbag. The monitor is placed over the patient's head so it can be viewed by the whole operating team. An additional monitor is used to show the anesthesiologist the operative field as he or she is manipulating the esophageal bougie during the operation. The assistant stands on the patient's left side. A self-retaining retractor is secured to the right side of the bed to hold the liver retractor, minimizing the need for a second assistant.

Virtual Gastric Banding

Virtual Gastric Banding

Virtual Gastric Band Hypnosis Audio Programm that teaches your mind to use only the right amount of food to keep you slim. The Virtual Gastric Band is applied using mind management techniques, giving you the experience of undergoing surgery to install a virtual gastric band or virtual lap-band, creating a small pouch at the top of the stomach which limits how much food can be eaten. Once installed, the Virtual Gastric Band creates the sensation of having a smaller stomach that is easily filled and satisfied with smaller amounts of food.

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