Surgical Treatment of Adiposity
- For Women
- For Men
Gastroplasty with the Lap–Bаnd system
Two hours of watching television increases the risk of adiposity by 23% – say the scientists of the Harvard University. Quite probably. According to the World Health Organization (WHO), in recent years the general excess weight of the globe population has grown 3 times and has approached menacing figures. One of three adult people in the world suffers from excess weight, and one of the ten – adiposity. Journalists have given a name to this illness – "virus XXL". Gastroplasty with the system Lap–Bаnd can serve a lifebuoy for corpulent women who have despaired of ineffectual attempts to throw off the weight. It is a surgical change of the abdomen form without a removal of any part of it.
What is your problem?
- Your body mass index parameter (BMI) is over 35–45 kg/m2 (BMI calculator is a body weight index).
- Superfluous body weight is more than 40 kg.
- Diseases, connected with excess weight (arterial hypertension, diabetes, diseases of joints, the backbone, veins of the lower limbs, respiratory insufficiency, atherosclerosis, ischemic heart disease, etc.).
- An extreme form of adiposity: it is impossible to leave the house and serve yourself.
- Conservative methods of weight reduction have not brought a positive result.
- Adiposity of the 2nd degree – BMI is 35–40 kg/m2 (with accompanying diseases).
- Adiposity of the 3d degree – BMI is from 35–40 kg/m2 (with accompanying diseases).
- The body weight quickly increases.
What age is good for operation?
If you have 10–15 kg of excess weight, we do not recommend a surgical treatment. There are other ways to normalize weight (eutrophy, sports, massages, apparatus procedures, reflexotherapy, psychotherapy and etc.). The basic contingent of girls and women with adiposity problems is 18–60 years. Minors have the same problems, as adult people. Women older than 60, can count on an operation but taking into account their state of health. Women with a pronounced cardio and respiratory insufficiency require a long preoperative preparation.
Contraindications
BMI parameter is less than 45 kg/m2, age less than 20 or more than 70, problems with blood coagulability and disease of blood, uncontrollable high arterial pressure, severe cardiovascular diseases, any chronic and infectious diseases in a stage of aggravation, autoimmune disease of conjunctive tissue, disease of the gastroenteric tract, erosions or ulcers of the stomach or duodenum mucous tunic, operations on the stomach which you had, a deformed lumen, alcoholism, narcotism, mental diseases.
In our clinic
In 1999 our clinic was the first in Latvia to perform a unique endoscopic operation in abdominal cavity (on the stomach) which resulted in recovery from a general adiposity. The effective minor invasive technology (endoscopic gastroplasty) for 10 years successfully relieves people of a general adiposity.
Notice
Surgical treatment of adiposity is not an excision of fat surpluses. The purpose is a general reduction of weight and influence on the diseases accompanying adiposity. The operations aim is at reducing the amount of accepted and acquired food.
Operation
The purpose – reduction of the volume of food eaten by the patient. During the operation the organs are not injured and the physiological continuity of the digestive tract remains.
Anesthesia
General combined.
Postoperative period
3 days in hospital. Drinking water is possible in 5–8 hours after an operation (taking sips). Any liquids without sugar and gas are possible. In the evening (on the day of operation) it is necessary to get up, do respiratory exercises; it is a preventive measure to avoid a formation of blood clots in veins of the legs and pneumonia. Unpleasant sensations are stopped by medications. There is no special diet but a special regime is observed. It is impossible to accept simultaneously firm food and to drink a liquid. Drinking is possible before a meal or in 1–1,5 hours after it. Semi liquid food for 2 weeks, from the 3–rd week it is grated. Usual food from the 4–th week. It is necessary to chew the food carefully (a meal of 30–40 minutes). More detail information about food you can get from the surgeon. Physical activities are welcomed. You can come back to work in a week. Hard physical work and heavy sports are forbidden for 3–4 months after an operation. An average period of weight reduction is 12–24 months.
Complications and risks
Most of the patients bear the operation well, however... An inflammatory process in the operative zone is possible, increased bleeding, formation of blood clots in vessels, development of pulmonary complications (pneumonia, atelectasis). We take all necessary measures to prevent such complications.