What is minimally invasive surgery?

It is surgery performed by making several small incisions in the abdominal wall and inserting a camera called a laparoscope and small instruments in order to perform a surgical procedure.

How is minimally invasive surgery performed?

Laparoscopic surgery, also referred to as minimally invasive surgery, is the performance of surgical procedures with the assistance of a video camera and several thin instruments. During this surgical procedure, small incisions are made and plastic tubes called trocars are placed through these incisions. The camera and the instruments are then introduced through the trocars which allow access to the internal organs.

The camera transmits an image of the organs inside the abdomen onto a television monitor. The surgeon is now able to see into the patient without the traditional large incision. The video camera becomes a surgeon’s eyes in laparoscopic surgery, since the surgeon uses the image from the video camera to perform the procedure. Many innovations in instrumentation have allowed a wide range of procedures to be done laparoscopically.

What are the benefits of minimally invasive surgery?

The benefits of minimally invasive surgery include the following: (a) Less pain, decreased need for post-surgical pain medication, (b) Minimal scarring, (c) Less likelihood of complications related to the incision, (d) Quicker recovery and return to full activity.

How do patients feel after minimally invasive surgery?

There is usually pain at the incision site and often a sense of general discomfort over the abdomen. Many patients report pain at their shoulder tip, which is due to the indirect effect of small amounts of carbon dioxide remaining in the abdomen. Most patients are recovering well within 48 to 72 hours.

Metabolic and Bariatric (Weight Loss) Surgery

The term bariatric surgery comes from the Greek words baros meaning weight. Recent changes in the types of surgeries and how they work have led to a change in how we discuss weight loss surgery. It is more common to hear it referred to as metabolic and bariatric surgery. These surgical procedures help the patient lose weight and improve metabolic function and disease processes.

What is a designated Metabolic and Bariatric SUrgery Accreditation Quality Improvement Program (MBSAQIP)?

On April 1, 2012, the American College of Surgeons (ACS) and the American Society for Metabolic and the Bariatric Surgery(ASMBS) combined their respective national bariatric surgery accreditation programs into a single unified program to achieve one national accreditation standard for bariatric surgery centers, the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). MBSAQIP works to advance safe, high-quality care for bariatric surgical patients through the accreditation of bariatric surgical centers. A bariatric surgical center achieves accreditation following a rigorous review process during which it proves that it can maintain certain physical resources, human resources, and standards of practice. All accredited centers report their outcomes to the MBSAQIP database.

What is required for a hospital to be designated as a MBSAQIP facility?

The program accredits inpatient and outpatient bariatric surgery centers in the United States and Canada that have undergone an independent, voluntary, and rigorous peer evaluation in accordance with nationally recognized bariatric surgical standards. Bariatric surgery accreditation not only promotes uniform standard benchmarks, but also supports continuous quality improvement.

How long will it take me to recover from LAP-BAND® surgery?

Everyone is different and so is there recovery from surgery. Our general guidelines are no driving for 1 week, and no lifting more than 20 pounds for 2 weeks.

How long will it take me to recover from a sleeve gastrectomy or a gastric bypass surgery?

Everyone is different and so is there recovery from surgery. Our general guidelines are no driving for 2 weeks, and no lifting more than 20 pounds for 4 weeks

How long until I can go back to work?

You can return when you feel able to go back within the above restrictions.

How will I have to change my eating habits after this surgery?

The surgical tools are designed to slow down your eating and take away your hunger. You will eat a small, nutritious meal, very slowly three times a day. You should focus on protein and produce for your food choices.

When can I start to exercise after surgery?

Although you should start slow, with your surgeon’s approval, you can start becoming physically active shortly after surgery.Your duration and activity level will gradually increase as you recover.

When will I get a LAP-BAND adjustment?

At first, your surgeon usually leaves your LAP-BAND® System at the post-surgical volume. This gives your body time to get accustomed to your LAP-BAND® System during the first few weeks. It also allows any postoperative swelling to resolve and healing to take place. During this time, be especially careful to avoid regurgitation, as it puts unwanted pressure on this area. Your first adjustment will usually take place about four weeks after surgery. The exact time will vary from patient to patient.

How do you adjust the LAP-BAND?

The adjustment is a simple process. Once it is determined that you need an adjustment, we will locate the access port underneath the skin of your abdomen — either by feeling for it on the surface of your skin, or using an X-ray. A fine needle is inserted into the access port. You may feel a pricking sensation similar to when you give blood. Sterile saline fluid is added to the band in your LAP-BAND® System.

How many adjustments will I need?

Every patient is different. Some patients may not need any adjustments while others need to have several adjustments to help control their hunger. As you gradually lose weight, it’s not unusual for you to need more than one adjustment. During the first year, most patients get between four to six adjustments (adding or removing fluid).

Is there someone available to me if I have a question or address problems or concerns after hours?

Yes. After hours, you should call the emergency room. They will help answer your questions or have a staff member call you to address your needs. You can always come to the emergency department after hours to be evaluated by a physician.

Do you hold routine support groups?

Yes. The “Lean Team” meets quarterly. Click here to learn about our upcoming events. http://allegsurg.com/seminars

When can I attend a Weight Loss Surgery Seminar?

Our seminars are anytime and any where.  You can attend an online seminar by clicking here:
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About Alleghenies Surgical

Alleghenies Surgical is proud to serve the Johnstown area to include the surrounding Cambria and Somerset counties. We have a team of highly trained professional staff members that are dedicated to handling your surgical needs. Our surgeons are highly experienced and caring surgeons. They offer weight loss (bariatric) surgery, minimally invasive (laparoscopic) general surgery procedures, as well as endoscopy (scopes) services. In addition to providing scheduled and emergency general surgical services for patients, we also specialize in anti-reflux surgical procedures like the LINX procedure.

Alleghenies Surgical specializes in a variety of metabolic and bariatric surgical procedures like the Lap-Band, Gastric Sleeve, and Gastric Bypass procedures for weight loss.

Contact Us

Alleghenies Surgical
999 Eisenhower Blvd.
Suite D-1
Johnstown, PA 15904
Fax (814) 467-4751