How I do it - Sleeve Gastrectomy Uncut BMI 50 _ Surgery at its Best
Sleeve gastrectomy is the most popular, elegant and simple bariatric surgery today. However, heartburn and weight regain are the most common problems. Operating on large patients is also not very easy. In my desire for perfection, to reduce problems and achieve best results, with my technique I pursue three main goals – 1. Dissection of the hiatus and posterior crural proximation as most of hiatal hernias in obese patients are difficult to diagnose; 2 Uniform and narrow gastrectomy on the entire length of the stomach – less than 5-6 x 60mm cartridges is inadequate in my hands, and 3. Most important, accurate re-attachment of the omentum to restore the “C-shape” outlook of the stomach preventing obstructive complications from kinking or torsion.