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Abdominoplasty is a commonly performed body-contouring procedure to improve the shape and tone of your abdomen. This operation is often referred to as a ‘tummy tuck’. The operation is suitable for people with loose abdominal skin following pregnancy or significant weight loss, or if you have fatty bulges in the lower tummy that you just can’t get rid of with exercise. An abdominoplasty removes any excess skin and fat as well as improving the abdominal contour by tightening the muscle layer. Liposuction is often performed at the same time to optimise the result. The surgery results in a firmer abdomen with a more flattering contour. It is not a weight loss surgery (Bariatric Surgery). PRE OPERATIVE ASSESSMENT It is important for you to tell your surgeon the specific areas that concern you. These may include loose skin, stretch marks, fatty bulges, loose abdominal wall muscle tone and also other medical problems which can affect wound healing, such as smoking and diabetes, as well as risk factors for deep venous thrombosis (DVT or leg vein clots). People contemplating future pregnancies or significant weight loss are best to defer surgery. The expected scars, as well as the other risks of the operation will be explained. THE SURGERY Abdominoplasty is performed under a general anaesthesia. The surgical scar is at the lower most part of the abdomen thus hiding the scar. There are many variations on the procedure ranging from a mini-abdominoplasty with laparoscopic abdominal wall tightening to a full abdominoplasty involving removal of excess skin and fat, tightening of the abdominal wall muscles and repositioning of the umbilicus (belly button). AFTER THE SURGERY After the operation your abdomen or stomach will feel very tight and you may have a slightly flexed posture for a couple of weeks. This means you will be slightly bent over, not able to stand up completely straight. Most patients stay in Hospital for 2-4 days. Recovery times vary with most people being able to return to work in two to four weeks, with no sport or heavy lifting for 6-8 weeks. https://youtu.be/-PABGxNAIG4
Tips to reduce and maintain healthy weight Do not skip meals Eat balanced diet. Include cereals , pulses, green leafy vegetables, other vegetables, moderate vegetable oil(un saturated), fruits, restricted sugar, skimmed milk and its products daily in proper quantities to meet the requirements of carbohydrates, protein, fat, vitamins, minerals and fibre by the body. Calorie reduction is the most important requirement for weight loss. Cut down of 100 calories per day leads to 4.5kg weight reduction per year.The total calories from food should be 25-30% from fat in the form of unsaturated fat, 15% from protein and 50-60% from carbohydrates in the form of complex carbohydrates like wholegrains, vegetables and fruits.Reduction of 500calories from Basal energy expenditure helps to reduce 9 kg weight per year. Go for whole cereals and pulses like wheat, ragi, jowar, millets rather than refined ones like maida and its products like bread, biscuits, refined noodles, pastries etc Don’t be over restrictive like avoiding one or two meals and replacing it with fruits or juices. Regular physical exercise(brisk walking for 45 minutes for 5 to 7 days a week) Physical activity contributes to weight loss, decreases abdominal fat, increases cardio respiratory fitness. Exercises like aerobic exercise, swimming, bicycling, jogging, dancing leads to these benefits. Brisk walking is one of the easiest ways applicable to almost all age groups. Weight lifting can also be helpful to loose weight. You should be more active everyday by doing routine work like climbing up stairs rather than taking elevator or walking somewhere rather than driving , engage yourself in gardening, household work rather than using electronic gadgets and this can help you to burn calories without much difficulty. Watch your food portion size Inclusion of liberal amount of fresh vegetables and fruits reduces hunger pans, maintains your blood sugar and prevent constipation because of its fibre content and it is abundant in phytochemicals , antioxidants which prevent against cancer Try to include fruits with skin because deskinning removes fibre. No fat or low fat dairy and its products can be used. Drink liberal amounts of water frequently like one glass of water once in two hours intervals. Get rid of deep fried items and calorie dense foods. Avoid fatty items like mutton, beef, pork, crab, prawns. Include fish or fish oil , soya and its products weekly twice because of its omega3fatty acid content. Eggwhite can be taken daily. Healios Obesity and Diabetes Center Nutritive sweeteners: White and brown table sugars, molasses, honey, syrups are nutritive sweeteners.In addition sugar alcohols derived from fruits (or) commercially made are also nutritive sweeteners.The most common sugar alcohols include sorbitol, mannitol, xylitol and maltitol.All nutritive Sweeteners provide calories to the body and may affect your blood glucose. Non nutritive sweeteners are the true artificial sweeteners. They do not provide calories and will not influence blood glucose. These include Saccharin, Neotame, Aspartame, Sucralose, Stevia Acesulfame Potassium(Ace-k)
Liposuction is a surgical procedure aimed at removal of fat from your body. Though you can lose some weight this is not primarily intended at weight reduction and it is not a bariatric surgery. Patients with following problems are good candidates for this procedure. It helps to get rid of excess of fat from localized areas like abdomen, buttocks, hips, love handles, saddlebags, thighs, calves, back, arms and neck. Liposuction is equally effective in both men and women. Improves the contours Can be done in post bariatric patients who want body contouring. Can be done in combination with abdominoplasty. The procedure can be done in OPD basis under local anesthesia for small areas, or else regional or general anesthesia where patient needs to get admitted on the day of the procedure and can be discharged on the same day evening or on the next day. Liposuction Technique: The basic technique of liposuction involves the removal of fat via a hollow metal tube (cannula) that is passed through the fatty tissue. One of the most common types of liposuction involves the aspiration of fat by attaching a pump that generates a vacuum. This is known as suction assisted lipoplasty (SAL). In addition, a motor may be used on the cannula that causes the cannula to vacillate back and forth thus performing much of the “work” of liposuction known as power assisted liposuction (PAL). In tumescent liposuction, local anesthetic and other medications are injected into the fatty layer before suctioning excess fat. Risks & Complications The subject of risks and potential complications of surgery is best discussed on a personal basis between you and your plastic surgeon. Some of the potential complications that may be discussed with you include bleeding, infection, changes in sensation, scarring, allergic reactions and damage to underlying structures. https://youtu.be/CBFjYpUMQ8w
CARDIOLOGY ASSESSMENT: An accurate assessment of your health is needed before surgery. The best way to avoid complications is to understand their potential in the first place. It is important to know because surgery increases cardiac stress, your heart will be thoroughly evaluated with: ECG: as apart of routine pre-operative investigation it is necessary for all cardio and non-cardiopathic patients. 2D Echo: Morbidly obese patients are at risk of cardiovascular events and their optimal assessment before surgery is necessary. A transthoracic echocardiography was routinely performed in non-cardiopathic patients to rule out cardiovascular risk Two-Dimensional Echocardiogram (2D Echo) is a test in which ultrasound is used to picture out the heart. It is capable of displaying a cross sectional “slice” of the beating heart, including the chambers, valves and the major blood vessels that exit from the left and right part of the heart. TMT(STRESS TEST): The TMT involves exercising on a treadmill while you are closely monitored. The test is used to: Determine your likelihood of having coronary artery disease Identify abnormal heart rhythms Evaluate the effectiveness of your cardiac treatment plan Help you develop a safe exercise program https://youtu.be/tdOeFQiY4Bg
Banded Bypass: I am text block. Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. I am text block. Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. I am text block. Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.I am text block. Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. I am text block. Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. I am text block. Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. I am text block. Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. I am text block. Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo. https://youtu.be/t9nTOZHP_yY
Ileal Interposition In this procedure a segment of ileum is interposed to jejunum or duodenum.This results in rapid exposure of the the ileal endocrine cells to undigested nutrients. This in turn results in marked increase in the synthesis of PYY and GLP-1.These stimulate the pancreas to produce more insulin and improved insulin sensitivity. The ileal interposition is also combined with sleeve gastrectomy.If the ileum is interposed to duodenum it is called as Duodeno ileal Interposition with Sleeve Gastrectomy and if it is interposed to the jejunum it is called as Jejuno ileal Interposition with Sleeve Gastrectomy. https://youtu.be/7IT6Q_6lk6U
Does Reading Food labels help you? Yes, Reading food labels can help you to make wise food choices.Most packed foods in the grocery or departmental stores list nutrition information on the package in a section called the Nutrition Facts. The nutrition facts tells you the serving size and the amount of various nutrients such as total fat, saturated fat, cholesterol, Polyunsaturated fat, Mono unsaturated fat, electrolytes like sodium, potassium, carbohydrates like simple sugar, nutritive sweeteners, artificial sweeteners with name, carbohydrate and protein sources like wheat, ragi, whey, milk solids(fat/non fat), soy protein, fibre per serving. The foods that are exempt from the label include foods in very small packages, foods prepared in the store and foods made by small manufacturers.
Banded Sleeve: It has been found and reported that 30 to 60% of patients with a sleeve gastrectomy will have progressive weight regain after two years of follow up. There are many causes for weight regain following sleeve gastrectomy such as overeating, irregular follow up etc. This results in dilatation of the sleeve with increase in the gastric reservoir and increased calorie intake. In this operation, staples are applied and a sleeve gastrectomy operation is performed.Then at about 4-5 cms below the esophagus a ring is applied around the sleeved stomach and fixed with stitches to the stomach. In our patients who have undergone this procedure, we have found that laparoscopic banded sleeve gastrectomy results in greater weight loss and also helps in maintaince of lost weight. https://youtu.be/Zu2s87LhUyg
Sleeve Gastrectomy In this procedure, the fat stomach is converted into a long, thin tube ( like small intestine) by using staplers which simultaneously cut and staple the stomach on either side. The redundant portion of the cut stomach (which accounts to about 75% of its volume) is removed through the small key hole. The continuity between the esophagus (food pipe), stomach and small intestine is maintained. This is a restrictive type of operation. Malabsorption rarely occurs. https://youtu.be/GltjI9GxRVU
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