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Single Incision Laparoscopic Surgery (SILS): gastric banding removal for acute gastric pouch dilatation

Epublication WebSurg.com, Oct 2009;09(10). URL: http://websurg.com/doi/vd01en2748

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  • 2009-10-15
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In a significantly short time, Laparoscopic Adjustable Gastric Banding (LAGB) for morbid obesity has become a common operation in Europe and elsewhere. Recent series show a high percentage of patients re-operated on, almost always with excision of the banding system. The reasons for re-operation are esophagitis, band erosion, pouch dilatation, leakage from the balloon, and esophageal dilatation. This video demonstrates the removal of a gastric band for acute gastric pouch dilatation. The procedure was completed using a single access technique, with conventional laparoscopic instrumentation. A 2cm incision is performed on the port site and the same one is removed first maintaining the connection tube on site in order to place traction on the band. A 10mm port is inserted using an open technique, and two further 5mm ports are placed anteriorly just to the left and to the right side of the previous one.