Laparoscopic Gastric Bypass Revision (Links to Full Procedure)

Laparoscopic Gastric Bypass Revision (Links to Full Procedure)


So the problem is that she has a hole between
her remnant and whatever that is. I think that’s the small bowel, but I can’t
really tell. There’s a hole there though. But we’re going to come across the roux limb
early because coming across it actually gives us a huge benefit in that the roux limb will
then become necrotic and change color, and then we can figure out where we are. And we can – we can identify between roux
limb… Now that we have the roux limb off, the next
step is to cut the stomach, and that will give us access to the pouch. And then we’ll complete our dissection of
the pouch. Now if we convert to open, this is usually
the stage where we end up converting because – that’s going to give us a great
view of where we – you know, of all this stuff and where we need to go, okay? So you’re going to hold this up like that. And I just want to make sure I have enough
room to get through here, and I can get into the same plane. It adds a huge amount of work onto this operation. Alright, so there should be closure. Okay, so that’s where we’re going to pass
the roux limb. That’s where we’re headed. Looks pretty good. So this is kind of like a running Lembert
suture. You could do interrupted Lemberts, and a lot
of people do.With the Endo Stitch, you know, it just doesn’t make sense. It’s easier to just run it. We used to run this with a…

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