Total Guide by Dr. Mohit Bhandari
No weight loss surgery is not like liposuction. We do not remove fat from some parts of the body for temporary inch loss but we actually resize your stomach by a minimally invasive technique. This gives weight loss that is sustained and substantial.
Yes you can and you should surely do that but this effort has a limitation. Maximum weight loss by these efforts can be 20kg but morbidly obese patients need excessive weight loss around 70kg which is not possible by diet and exercise. Most of the patients cannot even move to do proper exercise.
At Mohak Bariatrics and Robotics, various weight loss procedures are conducted at a very modest budget. We offer the surgeries at the most reasonable rates compared to centres throughout the country.
Bariatric surgery is the name given to a group of surgeries for permanent weight loss in severely obese people. It is a painless, minimally invasive, stitchless procedure. The patient has to be in the hospital for three days.
In extreme cases, the redundant skin needs to be trimmed out. In these cases tummy tuck is a small exercise patient has to undergo. This is done at our centre and also at other centres very commonly.
Most of the bariatric procedures except banding are of permanent nature and food restriction is meant to lose weight. You can surely eat throughout your life but in limited quantity.
Diabetes Surgery is done as a metabolic surgery for even low BMI diabetics. A gastric bypass is the best procedure for high BMI morbidly obese diabetics, but for low BMI low weight diabetics which are the maximum in our country, the following procedures have come into existence
Lap duodenal jejunal bypass with Sleeve Gastrectomy.
Lap ileal transposition with sleeve gastrectomy
Lap roux-en-y gastric bypass
Lap biliopancreatic bypass with dsAll these procedures are directed at treating diabetes without excessive weight loss in low BMI diabetics. This shall turn out to be a boon for people with diabetes.
The plication is a very safe and economical procedure, but we don’t recommend it as a first choice, because it is still new and long term results are not available. Initial reports are encouraging, but that is all we can say. Now, if you need bariatric surgery and cannot afford the standard procedures like the bypass or the sleeve, then this may be considered as a cost-effective procedure that is better than not doing bariatric surgery.
Gastric bypass is a well tested and proven procedure. It has superb results in terms of weight loss and remission of diabetes, hypertension, sleep apnea, lipid disorders, etc. In addition, it is an anti-reflux procedure par excellence.
Blood can clot in the leg veins in the obese and those undergoing prolonged lying down, as in many post-surgical states. The clot can then migrate to the heart’s right side and into the pulmonary arterial system, where it gets trapped. This blocks the outflow of blood from the heart’s right side and can cause sudden and fatal cardiac arrest.
Therefore, it seems logical to say that deep vein thrombosis (dvt) and pulmonary embolism (pe) are better prevented than managed.
The three ways we prevent dvt are:
Give low-molecular heparin that keeps the blood thin and prevents it from clotting.
Use sequential compression devices that pump the calf’s veins to keep blood from stagnating in the veins.
Mobilise the patient from the day of surgery.
This last is crucial, especially in the patient who cannot move easily on account of joint or spine problems or even excessive weight.
