Indications prior to operation
From an ideal point of view, for the pre-operative check-up during a first hospitalisation, in a specialised structure, apart from specialised consultations one or several blood tests will be carried out. Doctors will take -rays and ultra sounds of the vesicle to look for gallstones, a cardiological examination, and a pulmonary examination, a gastric fibroscopy (under light general anaesthesia). At the end of the check-up, if some anomalies are detected, they might be corrected if it is possible before the intervention, and there be other specialised medical visits. In any case, a week to ten days before the intervention, the surgeon and the anaesthetist responsible for the operative act will have to be consulted by the patient. The hospitalisation for the intervention itself will take place the day before most of the time, or many days before, if a preparation, especially a respiratory one in particular is deemed necessary by any member of the medical team. The duration of the pre-operative hospitalisation, after circling by coelioscopy is an average of two days, but more if an opening is deemed necessary. .The period of convalescence varies from 8 (after coelioscopy) to 30 days after opening.
What does the surgical act consist of ?
The intervention requires a team of surgeons and intensive care anaesthetists
for several hours including the installation of the patient, the anaesthesia,
the intervention itself, the waking and the stay in the post-operation room.
The coeloiscopic intervention, in itself, at the present time lasts less than
one hour.
The intervention is carried out in most cases by coelioscopy (a camera
and surgical instruments are introduced via small tubes by means of incisions
from five small tubes by means of incisions from 5 to 15 mm diameter), the
abdominal cavity swollen by carbonic gas). It may be continued by conventional
surgery, with an abdominal opening, if technical anaesthetic or surgery is
required.
The intervention consists in placing a silicone ring around the upper
part of the stomach, about 2cm under the oesophagus. This ring is composed
of an interior part, which can be inflated at a later time and thus reduces
the size of the ring.
This inflation can be carried out according to the salt solution physiological
rings or by using a X-ray opaque product, by means of an injection point,
or container-reservoir, linked to the ring by a tube, a reservoir placed under
the skin of the belly.
Feeding will be gradually taken up after the intervention, first liquid feeding, then semi liquids, then finally solids, under medical supervision.
