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Sleeve gastrectomy for morbid obesity

Sleeve gastrectomy for morbid obesity.
Professor A.Forgione is performing an operation (2017).

In this video the technique of bariatric operation-standard sleeve gastrectomy-is demonstrated. The first stage presents the positioning of troacars. For dissection of gastroesophageal isthmus a 10 mm Liga Sure MEDTRONIC COVIDIEN instrument is used. Sleeve gastrectomy is performed by means of stitching and transection of stomach by a 60 mm Endo GIA MEDTRONIC COVIDIEN apparatus with blue casettes. Preparation is placed into a special plastic container MEDTRONIC COVIDIEN, that is removed at the end of operation through the expanded access.

Gastroplication operation is converted into sleeve gastrectomy.

The author: Evdoshenko V.V. and Fedenko V.V.

Tags: Evdoshenko V.V Fedenko V.V. Sleeve gastrectomy

Gastroplication operation is converted into sleeve gastrectomy.
D-r Evdoshenko V.V. and D-r Fedenko V.V. are performing an operation. (2017)

The aim of bariatric gastroplication operation is to reduce the volume of stomach by means of “screwing in” the greater curvature of stomach into the big sulcus inside the stomach and to fix that sulcus, starting from Giz angle until the pyloric part of stomach. This operation is not a standard bariatric one and has a big percentage of unfavourable outcomes - rupture of stitching or the sulcus is straightened of its own. Naturally, this situation promotes weight gaining. The same thing has happened to this patient whose repeated operation we are demonstrating now. We separated all the adhesions that had been formed after the previous operation. Then we have performed a standard sleeve gastrectomy.

Sleeve gastrectomy, hiatal hernia, reconstruction of esophageal-diaphragmatic membrane

Sleeve gastrectomy, hiatal hernia, reconstruction of esophageal-diaphragmatic membrane.
D-r Evdoshenko V.V. and D-r Fedenko V.V. are performing an operation.

While performing an operation for sleeve gasterectomy, it has been found out that a patient has hiatal hernia. It is known that sleeve gasterectomy can promote development of hiatal hernia in 30-50 % of cases. So, an operation for hiatal hernia is compulsory when you are performing an operation for sleeve gasterectomy. Thus, cruroraphy has been performed, as well as reconstruction of esophageal-diaphragmatic membrane as a kind of circular esophagophrenopexy.

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