Digestive_Bariatric_Surgery_43775_slide_13.pdf

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1 Documentation Dissection PREOPERATIVE DIAGNOSIS: Morbid obesity with comorbidities. POSTOPERATIVE DIAGNOSIS: Morbid obesity with comorbidities |1| . PROCEDURE: Laparoscopic gastric sleeve resection |2| . ANESTHESIA: General. DRAINS: None. SPECIMEN: Portion of stomach to Pathology. BLOOD LOSS: Minimal. COMPLICATIONS: None. INDICATIONS FOR PROCEDURE: The patient presents with morbid obesity and comorbidities having failed medical manage- ment and is brought to the operating suite for a gastric sleeve resection. DESCRIPTION: After the risks, benefits, alternatives and potential complications were explained in detail to the patient, consent was given. Patient was identified, brought to the operative suite and placed supine on the bed. After adequate anesthesia was obtained, the patient’s abdomen was prepped with chlorhexidine and draped in a normal fashion. A stab incision was made to the left of the umbilicus and a bladeless trocar was inserted intraperitoneally. Pneumoperitonuem was created with CO 2 insuf- flation to 15 mmHg with good-four quadrant tympany. Under direct vision with the laparoscope, a subxiphoid 5 mm, two right
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  • Spring '19
  • NONE
  • laparoscopic surgery, morbid obesity, Peritoneum

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Christopher Reinemann
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