Saturday, December 15, 2012

What Will Happen During Your Lap Band Surgery

By Kate Jones


After you get to the operating room for the lap band procedure, the nurse is going to have you move to the operating room bed. The anesthesiologist or CRNA will then begin placing sensors on you, and the circulating nurse may be placing SCD's onto your legs or feet. Soon after all monitors are positioned, the anesthesiologist or CRNA will then begin having you breath oxygen through an oxygen mask. Soon after, you'll start to get medication through your IV to make you become unconscious. You will be receiving general anesthesia for this particular procedure, therefore you will need to have a breathing tube placed. As soon as the medication is taking effect and you're unconscious, the anesthesiologist or CRNA will put in the breathing tube. After the breathing tube is secure, you are going to be positioned and prepped for surgery. If you are male, your abdomen might be shaved. You might have a catheter placed in your bladder to empty urine. The circulating nurse will then "prep" your belly utilizing betadine or "CHG" - a germ-killing antimicrobial skin cleaning solution.

Once your abdomen is prepped with the skin cleanser, the surgical team will begin to place sterile drapes over you. You will be covered completely with these sterile drapes except for the area in which they will be making the incisions. After all the drapes are on, and all the equipment the surgeon will be using is hooked up and ready to go, the lap band procedure will begin.

The surgeon will start by making various small cuts in your abdomen. These incisions will be used to put the laparoscope and laparoscopic instruments through. Co2 gas is pumped within in order to inflate your abdomen; this is done so it will be much easier for the surgeon to see. The surgeon uses the laparoscope to see within your abdomen without needing to make a major incision and open your belly. The surgeon will be viewing a monitor which the video coming from the laparoscope will be sent to through the lap band procedure.

A unique adjustable round band will be introduced through one of the little incision sites, and precisely placed surrounding the top part of your stomach utilizing the laparoscopic instruments. After the band is positioned at the appropriate position, it is fastened in place. An access port that's connected to the band with special tubing will then be placed into the abdomen wall. This access port is placed to where it can be later utilized to regulate the band. By using a special needle and syringe to increase or take away saline, the band will become tight or loose. Once the band and port are secured, the incisions are closed with either staples or stitches.

When the lap band procedure has ended the anesthesiologist or CRNA will wake you up. You may hear them requesting that you open up your mouth or squeeze their hand. They do this to ensure that you are alert enough to breath without any help before they remove the breathing tube. They should then take the breathing tube out. You are going to be moved on to a stretcher and they'll wheel you in to the recovery area or PACU (post anesthesia care unit).




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