México Bariatric Surgery Center

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Gastric Sleeve Surgery – Steps Involved

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Mexico Gastric Sleeve Frequent Asked Questions

  1. The patient is lying on the operation table with the face-up.
  2. The anesthesiologist administers general anesthesia and a breathing tube inserted into the windpipe.
  3. The surgeon makes small incisions (normally 5) in the abdomen to access abdominal cavity.
  4. Trocars are placed through the incisions as a passageway for surgical instruments.
  5. The abdomen is filled with carbon dioxide (CO2) gas to separate the stomach wall from the small intestine.
  6. The surgeon inserts a probe equipped with a built-in specialized camera (laparoscope) along with other small pencil-like surgical instruments.
  7. The liver is lifted from the stomach with a retractor. (This is why the importance of the pre op diet, the liver size decreases with it)
  8. The tissue that attaches the stomach to the omentum is separated to have access to the area under the stomach.
  9. The cutter/stapler cuts and staples the stomach simultaneously along the 32F bougie inserted through the mouth as a guide.
  10. ALO Bariatrics surgeons reinforce the staple line with non-absorbable suture.
  11. A drain is placed through the small lateral incision.
  12. Incisions are closed with absorbable suture.