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What Will Happen During Your Lap Band Surgery

By Kate Jones


When you get to the operating room for your lap band procedure, the nurse will have you transfer onto the operating room bed. The anesthesiologist or CRNA will then begin placing sensors on you, plus the circulating registered nurse might be placing SCD's onto your legs or feet. After all monitors are placed, the anesthesiologist or CRNA will start having you breath oxygen using an oxygen mask. Soon after, you are going to start to get medication through your IV to make you unconscious. You're going to be receiving general anesthesia for this procedure. This means you will need to have a breathing tube put in. Once the medication has taken effect and you are unconscious, the anesthesiologist or CRNA will place the breathing tube. After the breathing tube is secure, you will be positioned and prepped for surgery. If you are a male, your abdomen will probably be shaved. You may have a catheter placed into your bladder to empty urine. The circulating nurse should then "prep" your abdominal area with betadine or some other antiseptic antimicrobial skin cleaning solution.

After your abdominal area is prepared using the skin cleanser, the surgical team will start to put sterile drapes over you. You're going to be covered completely with all of these sterile drapes other than the location of which they'll be making the cuts. Soon after the drapes are on, and all of the equipment the surgeon will be utilizing is connected and operational, the lap band procedure will commence.

The surgeon will begin by making several small incisions in your abdomen. These incisions will be used to put the laparoscope and laparoscopic tools through. Carbon dioxide gas is then pumped in to inflate your abdomen; this is done to make it much easier for the surgeon to see. The surgeon will use the laparoscope to see inside your abdomen without having to make a large incision and open your belly. The surgeon will be looking at a monitor which the video from the laparoscope will be sent to throughout 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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