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Your Surgery Path
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The Operation
Which operation we perform depends upon what you and your surgeon have decided.

The following bariatric surgery options are available at Midwest Bariatric Solutions:
1. Roux-en-Y (open)
2. Roux-en-Y (laparoscopic)
3. Revision surgery of previous bariatric surgery
 
After you are asleep, the nurses and technicians will position your body on the operating table and will prepare your skin with a special antiseptic to decrease the chance of infection. Sterile surgical drapes will then be placed over your body, leaving only a small window over the upper abdomen through which the operation is performed. A foley catheter will be inserted into your bladder at this time to measure your urine output.

If you are having an open operation, your incision will be made from the lower end of the sternum, or breastbone, directly downward about 4 to 5 inches. It is deepened through the fatty tissue over the front of the abdomen, down through the tendon-like fascia, which holds the muscles of the abdomen together.

If your surgery is done laparoscopically, we will start by making a small incision above the navel (umbilicus), and we insert a special spring-loaded needle through which carbon dioxide is "insufflated" until the abdomen is blown up like a balloon. We can then safely insert "introducers" and the "ports" which allow us to see and to operate.

Gastric bypass performed by laparoscopy is a "limited access" technique and the operation is performed the same way. We can look around the whole abdomen but we cannot feel your organs the way that we could with an open incision.

After the open operation, your incision is closed with very strong suture which restores the anatomy of the fascia precisely to minimize the chance of hernias to form. We then close the skin with an absorbable suture, hidden just below the skin level, after which the skin edges are closed with staples. Later, when we remove the staples and tape the skin, the suture underneath provides a margin of extra strength.
 
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