Gone are the times when an operation left an ugly scar on your body. Single incision bariatric surgery in mumbai or Single Incision Weight Loss Surgery in India is a technique in which the entire surgery can be performed through a 2 cm cut in your belly button. Once this cut heals, it gets buried deep into the navel and leaves no tell-tale signs of surgery. It is practically a scar-less procedure. Single incision sleeve gastrectomy can easily be performed for selected patients.
(Scar of open surgery) (Scars of laparoscopic surgery) (No visible scar in single incision weight loss surgery)
Sleeve Gastrectomy is one of the most popular bariatric surgery procedures being performed all over the world and also in India presently. It was started in the late 90s as the first stage of a duodenal switch surgery and has emerged as a reasonable standalone option for weight loss in morbidly obese patients.
As per the IFSO-APC guidelines, if your BMI is more than 37.5 Kg/m2 (BMI- weight in kg/height in m2), you can undergo a Single incision laparoscopic sleeve gastrectomy in mumbai in the absence of any associated illnesses. You can also undergo this procedure if your BMI is ≥ 32.5 Kg/m2 and you have 2 or more obesity associated diseases like type 2 diabetes, high blood pressure, high cholesterol etc. As per the new DSS guidelines formed by a group of international diabetes federations in London, any kind of metabolic surgery /bariatric surgery may also be considered as a treatment option for control of diabetes in patients with class I obesity (BMI- 27.5-32.5 Kg/m2) if their diabetes is poorly controlled.
Single incision sleeve gastrectomy Surgery in India
Single incision sleeve gastrectomy surgery india is a surgical procedure in which the abdomen is entered through a 2 cm cut in the belly button. The stomach is then divided vertically over a 38 to 40 Fr gastric tube using surgical staplers. This results into a long, narrow, banana shaped stomach. The other cut part of the stomach is removed out of the body. Once the small cut in the navel is stitched up and heals, there are practically no scars on the patient’s body.
Who should undergo a single incision bariatric surgery in india?
Generally, patients with a BMI less than 50 kg/m2 can be taken up for single incision bariatric surgery in india. It is also important that the patient has not undergone a major abdominal surgery in the past and must not have too many surgical scars on the abdomen. Internal adhesions can make single incision bariatric surgery very difficult. Generally, younger patients especially younger women, are more keen to undergo single incision bariatric surgery. Not only is it cosmetically superior to laparoscopic surgery but it also gives the patient an option to keep the surgery “confidential”. Once the patients lose weight, they are free to wear any attire that exposes their waist line without revealing that they have undergone surgery.
Mechanism of weight loss after single incision sleeve gastrectomy surgery in india
Single incision laparoscopic sleeve surgery in India is a good weight loss surgery procedure and leads to weight loss by a combination of multiple mechanisms. First of all, as the stomach tube is very small, you will not be able to eat too much and your intake will be restricted. Secondly, you will feel full even after eating small quantities and will feel satiated much earlier. Thirdly, “ghrelin” the hunger inducing hormone which is produced from the fundus of the stomach, reduces considerably and hence the sensation of hunger is curbed to a large extent. Single incision sleeve gastrectomy surgery also results in increased speed of gastric emptying, and the food is pushed into the intestine much faster than before. This may result into an early release of gut hormones which also plays a role in weight loss as well as control of diabetes.
How is a single incision sleeve gastrectomy surgery different from conventional laparoscopic surgery?
Conventionally a Single incision laparoscopic sleeve gastrectomy surgery in india is performed by making 5 tiny cuts on your tummy. Most of these cuts are less than half a cm in size and the largest is about 1 cm. The visibility of these cuts depends on the quality of your skin and its healing capabilities. In some patients the scars may be minimally visible whereas in the others they may be much more obvious.
Single incision laparoscopic surgery is a scar-less technique. Single incision sleeve gastrectomy surgery entails one single cut in the belly button and the entire surgery is performed through this cut. Once this cut is stitched and healed, it practically leaves no scar on the abdomen. Main advantage of a single incision Lap sleeve gastrectomy surgery is cosmetic as it leaves no tell-tale signs of surgery. Patients who undergo single incision laparoscopic surgery have also been seen to have lesser pain as compared to patients who undergo a 5 incision laparoscopic lap sleeve gastrectomy surgery.
Single incision laparoscopic lap sleeve surgery is safe in good hands and Best Bariatric Surgeon in Mumbai, India- Dr. Aparna Govil Bhasker has one of the largest series of this surgery. She is one of the few surgeons in Mumbai who offer scarless surgery to her patients.
Expected results after Single incision Bariatric Surgery in India
Bariatric/metabolic surgery is the only proven method for sustained weight loss in people suffering from clinically severe obesity. Most bariatric procedures will lead to an excess weight loss to the tune of 65 to 75% over a period of 18 to 24 months. This weight loss journey is a partnership between the doctor and the patient and the results depend on the level of commitment from either party. All bariatric procedures lead to a significant improvement in type 2 diabetes, high blood pressure, high cholesterol, gout, obstructive sleep apnoea, venous thrombo-embolism, PCOD, infertility and many other diseases related to obesity. Weight loss leads to a significant decrease in the risk for heart disease also. Overall, bariatric/metabolic surgery leads to a marked improvement in health, quality of life and confidence of the patient.
Single incision laparoscopic sleeve gastrectomy surgery FAQs ((FREQUENTLY ASKED QUESTION)
Weight loss is a gradual process after a single incision laparoscopic sleeve gastrectomy surgery in india. You will lose weight quite fast in the first 3 to 4 months after which, weight loss slows down. You will continue to lose weight for about 12 to 18 months after your surgery and can expect to lose about 65 – 75% of your excess weight with help of a single incision laparoscopic sleeve gastrectomy surgery india.
It is important to note that bariatric/metabolic surgery is a tool that pushes you into a lifestyle change. While bariatric/metabolic surgery helps to lose massive amount of weight, it is also important to exercise every day and follow a healthy diet. Our experience shows that patients who embrace the lifestyle change along-with surgery, tend to do much better in terms of weight loss and weight maintenance in the long term.
Single incision sleeve gastrectomy surgery in india is known to lead to improvement in type 2 diabetes. It has been observed that a lot of patients do not need to go back on their anti-diabetic medications after the surgery. For those who need to continue medications, the dose is reduced considerably and a lot of times patients who have been on insulin may not require it post-operatively. The outcomes of diabetes remission depend on a lot of factors like the duration of diabetes, type of diabetes (type 1/type 2), age of the patient, c-peptide levels, use of insulin etc. Early diabetics tend to do better with sleeve gastrectomy and patients with more severe and longer duration of diabetes have been seen get better results with a Roux-en y gastric bypass Surgery.
It also leads to improvement in other associated diseases like high blood pressure, high cholesterol, obstructive sleep apnoea, gout, joint diseases PCOD, infertility etc. The overall risk for heart disease goes down considerably due to significant weight loss and overall improvement in associated co-morbidities.
Once you see the doctor, you will need to undergo investigations and medical checks for fitness. Additionally, you may need to see a chest physician, an endocrinologist, a nephrologist or a cardiologist, based on your clinical profile. You will also need to be on a high protein liquid diet for about 5 to 7 days prior to Single incision sleeve gastrectomy Surgery. We would want you to lose atleast 3 to 5 kg before you undergo any bariatric/metabolic surgery. This helps to reduce the swelling on the liver, and makes surgery easier for the surgeon and in turn, safer for you. In a way, it is also a test of your compliance for long term follow up. It has been seen that patients who follow the pre-operative diet well, they tend to get better results after any bariatric/metabolic surgery.
You will be admitted to the hospital one day before the Single Incision Weight Loss Surgery india or in special cases as per the advice of the doctor. The surgery typically takes about 45 to 60 minutes to perform depending on the grade of difficulty. Time taken for single incision weight loss surgery in india may be marginally higher than conventional laparoscopic surgery. You are encouraged to walk within 4 to 6 hours of surgery. Most patients get discharged the next day, of course it will depend on your clinical condition and the doctor’s decision.
Follow up is the most important part of any bariatric/metabolic surgery. You will need to see Dr. Aparna Govil Bhasker 7 days after your Single Incision Laparoscopic Sleeve Surgery india. After this in the first year, you need to do your tests and visit at 3 months, 6 months and at the end of 1 year. Post 1 year, all patients need to get investigated once a year and visit the centre for a check up. Life long follow up is advised after all bariatric/metabolic surgeries.
After the single incision weight loss surgery in india, you will be on liquid diet for 15 days followed by soft diet for 15 days. You can commence normal home food after a month of single incision weight loss surgery india but it will be restricted in quantity. The nutritionists will guide you at every step and will be there to answer all your queries. You will need to avoid high calorie foods, fired food, sweets and alcohol.
After any bariatric/metabolic surgery, you need to be on nutritional supplements. There are two reasons for that. Firstly, your intake will reduce considerably and secondly you may not absorb certain nutrients due to the nature of the single incision bariatric surgery . You may also need to be on other medications as advised by the doctor based on your clinical profile. It is compulsory to take nutritional supplements for the first 6 months after a sleeve gastrectomy. After that the doctor will guide you regarding supplementation based on your reports and clinical profile at the time of follow up visits.
Single incision sleeve gastrectomy india is as safe as a laparoscopic gall bladder surgery or a knee replacement surgery. Its complication rates are much lower when compared to other major surgeries like cardiac bypass or surgery of the food-pipe or many other cancer surgeries. In the internet savvy world of today, google search will bring up a host of complications but its best if the doctor discusses this in person with you during your consultation.
Single Incision Laparoscopic Lap Sleeve Surgery is a good operation and it is being performed for more than 10 years in India. It is still one of the most popular surgeries being performed across the world. However, as mentioned earlier, all bariatric surgeries are just a tool to push the patient into a lifestyle change. After a Single Incision Laparoscopic Lap Sleeve Surgery, some degree of weight regain is expected in the long term. However, this can be curtailed with a strict diet and exercise regime as well as behavioural modification. Some patients can also experience an increase in acid reflux levels after this surgery. This can be especially troublesome if the patient is a smoker.
As the entire surgery is done through the belly button, sometimes a hernia may occur through the navel. This depends on a lot of factors such as the healing capability of the tissues, avoiding straining immediately post surgery, presence of an umbilical hernia pre-operatively, surgical technique for closure of the wound etc. We take a lot of care to close this cut very carefully and the incidence of hernia from the navel after single incision weight loss surgery in india our hands is very low.
Single incision laparoscopic surgery does require a higher skill set from the operating surgeon. The learning curve for single incision laparoscopic surgery is longer and that is why a lot of surgeons do not prefer to do this. Single incision laparoscopic surgery must be performed by an experienced surgeon. Dr. Aparna Govil Bhasker has one of the highest experiences in the country with this technique.
Smoking is a contra-indication for any bariatric/metabolic surgery. If you are a smoker, you need to give up smoking completely atleast 15 days prior to undergoing surgery. If you are not confident about being able to stop smoking altogether, then our advice is that you must not undergo bariatric surgery, in order to avoid serious complications in future.
Single incision bariatric surgery in india must be avoided in super-super obese patients as the grade of difficulty is much higher and it may not safe for such patients. Single incision bariatric surgery india must also be avoided for patients who have multiple scars on their abdomens from previous surgeries. In such patients, we expect multiple intra-operative adhesions and single incision bariatric surgery may be difficult.
Patients suffering from hiatus hernia and reflux esophagitis (GERD) must not undergo a sleeve gastrectomy as this operation may lead to an increase in the reflux levels in future in such patients. It is also important for all patients to undergo a pre-operative upper GI endoscopy to rule out pre-existing GERD and hiatus hernia. Other contra-indications are the same as any other bariatric surgery and the doctor will explain them to you during consultation.
Cost of single incision laparoscopic sleeve surgery in Mumbai, India
Dr. Aparna Govil Bhasker has been performing this procedure for more than 8 years and she has one of the highest experiences in single incision laparoscopic surgery. Cost of single incision bariatric surgery in india is marginally higher. This surgery requires a lot of disposable equipment in the forms of stapler guns, trocars, cartridges, energy sources etc. In single incision laparoscopic sleeve surgery india, a special trocar is also used. This increases the single incision sleeve gastrectomy cost in india. Single incision sleeve gastrectomy surgery cost in mumbai also depends on the number of days you need to stay in the hospital, type of room that you select as well as the hospital in which you get operated. The doctor will guide you about single incision laparoscopic sleeve surgery cost in mumbai after assessing and evaluating all the above details.
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About Dr. Aparna Govil Bhasker
Dr. Aparna Govil Bhasker is an accomplished Bariatric Surgeon and Laparoscopic GI Surgeon. Extremely passionate about her field of specialization. She completed her MBBS and MS in General Surgery in 2006, from Mahatma Gandhi Institute of Medical Sciences (MGIMS), Sewagram. Set up in 1967 by none other than the first health minister of India, Ms. Sushila Nayar, MGIMS is deeply rooted in Gandhian ethics. Read more