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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.
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.
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.
Bariatric surgery (weight loss surgery) includes a variety of procedures performed on people who have obesity. Weight loss is achieved by reducing the size of the stomach with a gastric band or through removal of a portion of the stomach (sleeve gastrectomy or biliopancreatic diversion with duodenal switch) or by resecting and re-routing the small intestine to a small stomach pouch (gastric bypass surgery).
Bariatric Surgery includes all the surgical procedures which assist in rapid weight loss in highly overweight or obese people. Bariatric Surgery in Bangalore
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.
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.
Join Support system for long term weight loss success Bariatric surgery does not only require a person to undergo a major surgery, but it also involves the person’s mental determination for a lifestyle change. “Bariatric surgery is an emotional roller coaster. Developing a support network is key, ” says Michelle Lewis, LCSW, of Salt Lake Weight Counseling. Post surgery, develop a strong support group system, be it at home with family, or at workplace with colleagues, or at a support group with people who have undergone a similar procedure. Support groups helps you discuss your concerns freely, and find solutions from people who have been through a similar situation, and how they combat it. These groups also provide you with methods to manage plateaus & emotional eating. It will give you fresh ideas to manage your weight, and more determination to follow the set instructions given by your Surgeon.
New research indicates that people suffering from insulin shots (patients with Type 2 Diabetes) can benefit long term by undergoing Bariatric Surgery. In the Obesity Week 2017 held this month in Washington DC, Shanu N Kothari, MD, director of the minimally invasive Bariatric Surgery program at Gundersen Health System, La Crosse, Wisconsin said " We know the chances of remission are much higher when we intervene with either procedure sooner as opposed to later…preferably for patients with type 2 Diabetes before they get to the point where they're on insulin, because as the diabetes duration and severity increases over years, the pancreatic reserve goes down." So, If a person who has been diagnosed by Type 2 diabetes, and still on medication and not yet on Insulin shots, has better chances of having a successful remission of Diabetes in the long term through Bariatric Surgery.