Once you arrive in the operating room for your lap band procedure, the nurse will have you move onto the operating room bed. The anesthesiologist or CRNA will start placing monitors on you, and the circulating nurse might be placing SCD’s on your legs or feet. After all monitors are placed, the anesthesiologist or CRNA will start having you breath oxygen through an oxygen mask. Soon after, you will start getting medication through your IV to make you unconscious. You will be receiving general anesthesia for this procedure which means you will have a breathing tube placed. Once the medication has taken effect and you are unconscious, the anesthesiologist or CRNA will insert the breathing tube. After the breathing tube is in place, you will be positioned and prepped for surgery. If you are a male, your abdomen will probably be shaved. You may have a catheter placed in your bladder to drain urine. The circulating nurse will then “prep” your abdomen with a betadine or chlorhexidine gluconate antiseptic antimicrobial skin cleanser.
After your abdominal area is prepared using the skin cleanser, the surgical team will start to put sterile drapes over you. You’re going to be covered completely with all of these sterile drapes other than the location of which they’ll be making the cuts. Soon after the drapes are on, and all of the equipment the surgeon will be utilizing is connected and operational, the lap band procedure will commence.
The surgeon begins by making several small cuts in your abdomen. These incisions will be used to place the laparoscope and laparoscopic equipment through. Carbon dioxide gas is then pumped in to inflate your abdomen; this is to make it easier for your surgeon to see. The surgeon uses the laparoscope to look inside your abdomen without the need to make a significant incision and open your abdomen. The surgeon is going to be looking at a monitor that the video coming from the laparoscope will be transferred to through the entire lap band procedure.
A unique adjustable round band will be introduced through one of the little incision sites, and precisely placed surrounding the top part of your stomach utilizing the laparoscopic instruments. After the band is positioned at the appropriate position, it is fastened in place. An access port that’s connected to the band with special tubing will then be placed into the abdomen wall. This access port is placed to where it can be later utilized to regulate the band. By using a special needle and syringe to increase or take away saline, the band will become tight or loose. Once the band and port are secured, the incisions are closed with either staples or stitches.
As soon as the lap band procedure is over the anesthesiologist or CRNA will begin to wake you up. You may notice them requesting you to open up your mouth or perhaps to squeeze their hand. They execute this to make sure you are awake enough to breath independently before they remove the breathing tube. They should then take the breathing tube out. You are moved onto a stretcher and they will wheel you into the recovery area or PACU (post anesthesia care unit).
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Source: www.thehealthdirectoryonline.com
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