26 August 2008

The surgery is typically performed in a hospital or a surgery center, using general anesthesia. Surgeries are performed laparoscopically, which allows the surgeon to work using long instruments placed in the body via incisions a few centimeters long. In some cases, the surgery will performed “open,” with the larger traditional incision, or a surgery that begins laparoscopically may be converted to the open procedure when the surgeon determines it is necessary.

The surgery begins with multiple half-inch long incisions in the area of the stomach. The instruments are inserted through these incisions, and the surgeon begins by removing up to 85% of the stomach. The sides of the stomach are then joined by staples, leaving the stomach smaller and tubular in shape, but retaining the sphincter muscles at the top and the bottom of the stomach.

Once the surgeon determines that the staples are holding the stomach closed and no areas are leaking, the instruments are withdrawn and the incisions are closed, typically absorbable sutures and sterile tape.

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