Laparoscopic Minimal Gastric Bypass
Education event Sponsored by: Medtronic
Conference Name: Bariatric 360 degrees
Conducted by: Medtronic & Dr. Magan Mehrotra.
Surgeon(s)/Speaker(s): Dr. Magan Mehrotra and Dr. Praroop Gupta
Surgical Procedure: Bariatric-Mini Gastric Bypass
Location: Apex Hospital, Moradabad
Indexsteps
1. Enter the lesser sac at Crows feet : Enter the lesser sac at Crows feet
2. Horizontal staple stomach at Incisura : Horizontal staple stomach at Incisura.
3. Vertical sleeve over 36F : Vertical sleeve over 36F.
4. Loop GJ 200 cm from DJ : Loop GJ 200 cm from DJ.
5. Measuring bowel : Bowel Measurement
port positions
1. Port Position MGB : Port Position MGB.
precautionary_measures
1. SCD (Sequential compression Device) : For DVT prophylaxis
2. SCD (Sequential compression Device) : Secure strapping of patient
pre_post_measures
1. Preoperative investigations : HOMOCYSTEINE :new:Haemogram :new:ELECTROLYTE PROFILE :new:HOMA IR :new:Liver Function Profile :new:Activated Partial :new:Thromboplastin Time (APTT) :new:INSULIN -FASTING SERUM :new:PHOSPHORUS SERUM :new:Calcium Total :new:TESTOSTERONE TOTAL :new:Thyroid Profile-1
2. Preoperative measures : Liquid diet for about 2 weeks @ 800 kcal per day :new:Pre operative optimization of co morbidities (eg: glycemic control , hypertension, hypothyroid etc) :new:Pre operative spirometry
3. Preoperative measures : Intravenous venous fluids. :new:DUF prophylaxis (SCD, Stockings) :new:Start thromboprophylaxis with after 6 hours :new:Early ambulation :new:Incentive Spirometry
4. Warning signs in the postoperative period : :new:Tachycardia :new:Hypotension :new:Drain output (constituency, amount) :new:Fever :new:Shortness of breath
Surgical Instruments
1. Signia™ Stapling System
2. Tristaple Reloads
3. ValleyLab FT10 Energy Platform
4. Ligasure Maryland jaw
5. I-Drive
6. Endo GIA Stapler
7. Endo GIA legacy reloads
8. Veress needle
9. 12 mm Trocar
10. 5 mm Trocar
11. 45 degree telescope
12. Harmonic Scalpel
13. Stapler
14. Suture
15. 9.8 mm Gastroscope
16. Grasper
17. Maryland Dissector
18. Energy source
19. Staple-line reinforcers
20. Orogastric tube
21. Bariatric Endostapler
22. Laproscopic 45 cm length instruments
23. Bougie 36 fr size
24. Liver Retractor
25. Visiports 12mm 3 nos
