Single Incision Sleeve Gastrectomy

Until a few years ago, having surgery was a daunting experience. Surgery resulted in a large scar that required a long time to heal, as well as a lot of pain, bed rest, and a significant amount of time away from work. The advent of laparoscopic and less invasive surgery altered this perception. Major gastrointestinal surgeries could now be performed through microscopic incisions. This reduced the healing time and allowed for a much faster recovery.

Single incision laparoscopic surgery is a step forward of traditional laparoscopic procedures. In 2008, the first single-incision laparoscopic surgery for bariatrics was performed. Single incision sleeve gastrectomy is a "scarless" method of doing sleeve gastrectomy. This procedure involves making a small 2 cm cut in the belly button and doing the entire surgery through this little cut. There will be no more wounds or scars on your abdomen. Once healed, there is almost no visible scar or indication of operation.

Single incision sleeve gastrectomy for weight loss is a weight loss surgery that divides the stomach longitudinally. This results in the construction of a long, narrow banana-shaped stomach with a significantly limited capacity for food intake. Single incision sleeve gastrectomy surgery operates mostly on the basis of food restriction. A single incision sleeve gastrectomy also enhances the rate at which the stomach empties and raises the levels of some gastrointestinal hormones. These, together with a reduction in the hunger-inducing hormone "Ghrelin," result in weight loss and other metabolic benefits following sleeve gastrectomy surgery.

Eligibility for Single Incision Laparoscopic Sleeve Surgery

Single Incision Laparoscopic Surgery, is recommended for Asian candidates with a BMI of ≥ 35 kg/m² and no accompanying disorders.
For Asian candidates with a BMI ≥ 30 Kg/m², bariatric/metabolic surgery should be explored for the treatment of type 2 diabetes or metabolic syndrome if lifestyle changes and medical treatment are insufficient.
For Asian patients with a BMI ≥ 27.5 Kg/m², Laparoscopic Adjustable Gastric Banding surgery can be a non-primary option for treating poorly controlled type 2 diabetes or metabolic syndrome.

We propose one incision laparoscopic sleeve surgery for relatively youthful patients who are determined to maintaining a healthy diet and exercise regimen after surgery. Single incision laparoscopic surgery is also effective for volume eaters and obese patients with newly diagnosed diabetes. This procedure is often advised for patients with a BMI < 50 kg/m² and no history of previous abdominal surgery.

Preparing for surgery

The first step is a consultation with the doctor and team to determine your eligibility for gastric sleeve surgery. At this point, a detailed medical history, diet recall, and a comprehensive physical and psychological evaluation will be conducted.
Once we have decided to proceed with single incision sleeve gastrectomy surgery, you will be required to undertake a battery of tests. Depending on your clinical profile and co-morbidities, you may also need to consult a diabetologist, endocrinologist, nephrologist, or chest physician.
A pre-operative upper GI endoscopy is required before any bariatric treatment.
You will also need to follow a high protein liquid diet for 5 to 7 days before the treatment. Most obese people have fatty, enlarged livers. The surgeon finds it difficult to perform surgery on the liver due to swelling. Pre-operative high protein liquid diet shrinks the liver, making surgery easier and safer for the patient. Patients who strictly adhere to the pre-operative liquid diet have been shown to lose more weight following bariatric surgery.

On the Day of Surgery

Once all of the tests have been completed and you are medically fit to undergo gastric banding surgery, you must be admitted to the hospital the evening before your scheduled procedure.
All preoperative drugs, including venous thromboembolism prevention, will be administered in the hospital.
You will fast for 6 to 8 hours before the surgery.
Single incision sleeve gastrectomy surgery usually takes 45 minutes to an hour to complete and is performed under general anesthesia.
You will be encouraged to walk around on the same day and use the restroom alone.
The next day after surgery, you will begin taking liquids. If all goes well, you will be discharged to go home the day after surgery.

What to expect after Single Incision Laparoscopic Surgery

The day after surgery, you will begin a clear liquid diet.
If you can tolerate liquids and have no other clinical difficulties, you will be discharged the day after surgery.
All drugs, including venous thrombo-embolism prevention, will be explained to you before to discharge.
Following sleeve gastrectomy surgery, you will be on a liquid diet for about 15 days, followed by a soft and mashed diet for another 15 days. You will be allowed to eat normal home-cooked food after one month of surgery, but the quantity will be limited.
You will also need to take nutritional supplements as recommended by the team, and the team will coach you through the entire process of nutritional supplementation and diet.
It takes a few months to develop new dietary habits. Please don't worry. We are available at all times to answer your inquiries.

Expected weight loss after Single Incision Sleeve Gastrectomy for weight loss

Following a sleeve gastrectomy, patients may shed up to 65-75% of their extra weight. Weight loss is influenced by a variety of factors, including the patient's baseline weight, age, gender, associated co-morbidities, behavioural changes made by the patient, and so on.
Patients who embrace the lifestyle shift and follow the team's behavioral adjustment instructions perform better following any weight loss operation, including gastric sleeve surgery.
Weight loss techniques should not be viewed as a shortcut. Both the doctor and the patient must be deeply committed. To attain the best results, follow the team's diet and exercise for at least 30 to 45 minutes every day.

Downsides of Single Incision Sleeve Gastrectomy

For patients with a BMI more than 50 kg/m², single-incision weight loss surgery is not suggested.
Single incision bariatric surgery is also not an option for those who have previously undergone many abdominal procedures.
Gastric sleeve operation should not be performed on patients with hiatus hernia or acid reflux. Sleeve gastrectomy is a refluxogenic procedure that might exacerbate reflux symptoms in certain patients. This can be especially problematic if the patient smokes.
Some patients have seen varying degrees of weight recovery in the long term following this procedure. Following any bariatric treatment, it is critical to embrace lifestyle and behavioral changes. Surgery is simply a tool for enormous weight loss; nevertheless, long-term weight maintenance requires commitment from both the patient and the team.
In terms of complications, this surgery is comparable to any other procedure. In this day and age of the internet and Google physicians, there is a lot of unneeded information available on the internet. We strongly advise you not to be swayed by misleading material on the internet. During your appointment, the doctor and his colleagues will be open and honest about the complication rates of each procedure.
If you smoke, please cease at least three weeks before your surgery. It is not suggested to get a bariatric procedure if you want to continue smoking after the surgery.

Follow up after surgery

Bariatric surgery has the best benefits in patients who follow up on a regular basis.
We urge you to rigorously adhere to the follow-up program that will be provided to you upon discharge from the hospital.
You will need to see the doctor and the team on a frequent basis for the first year, then once a year for the rest of your life.
Please complete your tests as directed by the staff. This contributes significantly to the prevention of dietary deficits.
An upper GI endoscopy must be performed once a year following any bariatric treatment.

Why consult Dr. Jenit Gandhi, best single incision sleeve gastrectomy surgeon in Ahmedabad

Patients should choose Dr. Jenit Gandhi for single incision sleeve gastrectomy for weight loss in Ahmedabad due to his expertise in advanced, minimally invasive bariatric procedures. Dr. Gandhi's proficiency in performing this surgery through a single small incision reduces scarring, postoperative pain, and recovery time. His commitment to personalized care ensures each patient receives a comprehensive treatment plan tailored to their individual needs, promoting successful weight loss and long-term health improvements.