After you get to the operating room for the lap band procedure, the nurse is going to have you move to the operating room bed. The anesthesiologist or CRNA will then begin placing sensors on you, and the circulating nurse may be placing SCD's onto your legs or feet. Soon after all monitors are positioned, the anesthesiologist or CRNA will then begin having you breath oxygen through an oxygen mask. Soon after, you'll start to get medication through your IV to make you become unconscious. You will be receiving general anesthesia for this particular procedure, therefore you will need to have a breathing tube placed. As soon as the medication is taking effect and you're unconscious, the anesthesiologist or CRNA will put in the breathing tube. After the breathing tube is secure, you are going to be positioned and prepped for surgery. If you are male, your abdomen might be shaved. You might have a catheter placed in your bladder to empty urine. The circulating nurse will then "prep" your belly utilizing betadine or "CHG" - a germ-killing antimicrobial skin cleaning solution.
When your belly is prepared with the skin cleanser, the surgical team will put sterile drapes over you. You're going to be covered completely using these sterile drapes except for the area of which they'll be making the incisions. Soon after the drapes are in place, and all of the devices the surgeon will be using is hooked up and ready to go, the lap band procedure will start.
The surgeon will begin by making several small incisions in your abdomen. These incisions will be used to put the laparoscope and laparoscopic tools through. Carbon dioxide gas is then pumped in to inflate your abdomen; this is done to make it much easier for the surgeon to see. The surgeon will use the laparoscope to see inside your abdomen without having to make a large incision and open your belly. The surgeon will be looking at a monitor which the video from the laparoscope will be sent to throughout the lap band procedure.
A special adjustable round band will be inserted through one of the small incision sites, and carefully placed around the top part of your stomach using the laparoscopic tools. Once the band has been placed in the correct position, it will be fastened in place. An access port which is connected to the band with special tubing is then placed in the abdominal wall. This access port is placed to where it can be later used to adjust the band. By using a special needle and syringe to add or remove saline, the band will become tighter or looser. After the band and port are secured, the incisions are closed with either staples or suture.
When the lap band procedure has ended the anesthesiologist or CRNA will wake you up. You may hear them requesting that you open up your mouth or squeeze their hand. They do this to ensure that you are alert enough to breath without any help before they remove the breathing tube. They should then take the breathing tube out. You are going to be moved on to a stretcher and they'll wheel you in to the recovery area or PACU (post anesthesia care unit).
When your belly is prepared with the skin cleanser, the surgical team will put sterile drapes over you. You're going to be covered completely using these sterile drapes except for the area of which they'll be making the incisions. Soon after the drapes are in place, and all of the devices the surgeon will be using is hooked up and ready to go, the lap band procedure will start.
The surgeon will begin by making several small incisions in your abdomen. These incisions will be used to put the laparoscope and laparoscopic tools through. Carbon dioxide gas is then pumped in to inflate your abdomen; this is done to make it much easier for the surgeon to see. The surgeon will use the laparoscope to see inside your abdomen without having to make a large incision and open your belly. The surgeon will be looking at a monitor which the video from the laparoscope will be sent to throughout the lap band procedure.
A special adjustable round band will be inserted through one of the small incision sites, and carefully placed around the top part of your stomach using the laparoscopic tools. Once the band has been placed in the correct position, it will be fastened in place. An access port which is connected to the band with special tubing is then placed in the abdominal wall. This access port is placed to where it can be later used to adjust the band. By using a special needle and syringe to add or remove saline, the band will become tighter or looser. After the band and port are secured, the incisions are closed with either staples or suture.
When the lap band procedure has ended the anesthesiologist or CRNA will wake you up. You may hear them requesting that you open up your mouth or squeeze their hand. They do this to ensure that you are alert enough to breath without any help before they remove the breathing tube. They should then take the breathing tube out. You are going to be moved on to a stretcher and they'll wheel you in to the recovery area or PACU (post anesthesia care unit).
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