Conference Name: FIAGES Hyderabad 2023
Conducted by: Dr. Ravindranath, Dr. Bharat Nara, Dr. T V Aditya & Dr. Kona Lakshmi
Surgeon(s)/Speaker(s): Dr. Lakshmi Kona
Surgical Procedure: Bariatric-Mini Gastric Bypass
Location: Gleneagles Global Hospital Hyderabad
1. Enter the lesser sac at Crows feet : Enter the lesser sac at Crows feet
2. Horizontal staple stomach at Incisura : Horizontal staple stomach at Incisura.
3. Vertical sleeve over 36F : Vertical sleeve over 36F.
4. Loop GJ 200 cm from DJ : Loop GJ 200 cm from DJ.
5. Measuring bowel : Bowel Measurement
1. Port Position MGB : Port Position MGB.
1. SCD (Sequential compression Device) : For DVT prophylaxis
2. SCD (Sequential compression Device) : Secure strapping of patient
1. Preoperative investigations : HOMOCYSTEINE :new:Haemogram :new:ELECTROLYTE PROFILE :new:HOMA IR :new:Liver Function Profile :new:Activated Partial :new:Thromboplastin Time (APTT) :new:INSULIN -FASTING SERUM :new:PHOSPHORUS SERUM :new:Calcium Total :new:TESTOSTERONE TOTAL :new:Thyroid Profile-1
2. Preoperative measures : Liquid diet for about 2 weeks @ 800 kcal per day :new:Pre operative optimization of co morbidities (eg: glycemic control , hypertension, hypothyroid etc) :new:Pre operative spirometry
3. Preoperative measures : Intravenous venous fluids. :new:DUF prophylaxis (SCD, Stockings) :new:Start thromboprophylaxis with after 6 hours :new:Early ambulation :new:Incentive Spirometry
4. Warning signs in the postoperative period : :new:Tachycardia :new:Hypotension :new:Drain output (constituency, amount) :new:Fever :new:Shortness of breath
1. Veress needle
2. 12 mm Trocar
3. 5 mm Trocar
4. 45 degree telescope
5. Harmonic Scalpel
6. Stapler
7. Suture
8. 9.8 mm Gastroscope
9. Grasper
10. Maryland Dissector
11. Energy source
12. Staple-line reinforcers
13. Orogastric tube
14. Bariatric Endostapler
15. Laproscopic 45 cm length instruments
16. Bougie 36 fr size
17. Liver Retractor
18. Visiports 12mm 3 nos