Revision Surgeries
surgical procedure that is performed on patients who have already undergone a form of bariatric surgery, and have either had complications from such surgery or have not achieved significant weight loss results from the initial surgery
What are Revision surgeries?
Referred to surgery to correct any failure or problem that occurred after surgery bariatric treatment, and the most operations that need correction is the process of linking the stomach, and the most famous procedures to correct the obesity operations:
Operation in order to restore the normal shape of the stomach and digestive system and cancel all the steps taken in the first operation.
The process of adjusting the steps of the treatment of obesity surgery so as to enhance the results of weight loss and so on.
Change the type of operation to another form of bariatric surgery to another form such as changing the process of linking the stomach to turn the stomach.
The following correction surgeries can be performed:
Transformation of the juicer of yellow and pancreas
Operation Sadie
The process of switching the duodenum
Correcting obesity surgeries does not have any luxury, but is a compulsory decision to ensure the continuity of life in a normal and healthy away from diseases on the one hand and to repair the mistakes of previous surgeries that have been without experience or techniques less than that should have been done
One of the most corrected procedures is stapling the old stomach and gastric band. Gastric laparoscopy is done to correct these operations. We do not recommend gastric sleeve operations to correct previous unsuccessful obesity operations. And stomach belt. While other processes have very high success rates, such as gastric sleeve transformation and gait transformation
Reasons for resorting to corrections
Failure to comply with the doctor’s instructions after bariatric surgery.
The wrong choice of the type of operation best suited to the weight and general condition of the person.
Poor selection of a qualified surgeon specialized in this type of surgery
Return the lost weight again.
Some deficiencies in the first surgery, and not performed properly or according to the standards of the World Association of Bariatric Surgery.
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– Some complications after obesity such as persistent vomiting, peptic ulcers, low iron level in the blood and the inability to absorb nutrients.
– Gastric dilatation may occur as a result of not following post-operative instructions.
– Lack of commitment to diet and a new lifestyle after the operation, sometimes it is the main reason for the failure of obesity operations.
– The patient has a big role in the success of obesity and reaches the ideal weight safely without any complications by following the instructions and advice after the operation accurately and regular follow-up with the doctor.
The obesity surgeon, of course, is responsible for the success of the operation and takes all necessary precautions to pass the patient safely without any complications.
Confirmatory procedures to avoid complications
1 – Test the leak inside the operating room before the completion of the operation to ensure that there is no problem with pins or any possibility of diversion.
2 – work to avoid strokes by giving the patient injections of liquidity and wearing a compressor drink and urge him to move after two hours of the operation.
3 – the use of the finest and most efficient types of surgical instruments and the use of the latest American staplers now worldwide. Also, follow quality and safety standards before and during the process to ensure that no infection occurs.
Revision Bariatric Surgeries are not a luxury — they are sometimes a necessary decision to help patients live a normal, healthy life free from disease.
In many cases, they are performed to correct mistakes from previous surgeries that were done by inexperienced surgeons or using techniques that were less advanced than what should have been used.
Reasons for Undergoing Revision Bariatric Surgery:
The patient did not follow the doctor’s instructions after the initial bariatric surgery.
An incorrect choice of surgery type that didn’t suit the patient’s weight or overall health condition.
Choosing an unqualified or inexperienced surgeon for the original procedure.
Regaining weight after the initial surgery.
Errors in the first surgery or failure to meet international standards (as set by the World Federation for the Surgery of Obesity).
Post-surgery complications, such as persistent vomiting, digestive ulcers, iron deficiency anemia, or poor nutrient absorption.
Stomach enlargement due to poor adherence to post-op instructions.
The primary reason for the failure of many bariatric surgeries is the patient’s failure to adopt a healthy lifestyle.
The patient plays a key role in ensuring the success of bariatric surgery and safely reaching their ideal weight — without complications — by following post-operative instructions closely and maintaining regular follow-ups with their doctor.
Of course, much of the responsibility also lies with the bariatric surgeon — who must take all necessary measures and precautions to ensure a successful surgery and a smooth recovery for the patient.
After selecting the appropriate surgery and an experienced surgical team, the patient still has a vital role in ensuring the success of bariatric surgery and achieving an ideal weight safely, without complications — by strictly following post-operative guidelines and maintaining regular follow-ups with the doctor.
The patient should be careful not to underestimate the importance of adopting a healthy lifestyle and adhering to the diet and medical instructions recommended by the doctor. Neglecting these points may lead to stomach stretching once again, resulting in the failure of the surgery.
The bariatric surgeon carries the greatest responsibility for the success of the operation by taking all necessary precautions and measures to ensure a safe procedure without complications. These precautions include:
Performing a leak test in the operating room before completing the surgery to ensure there are no problems with the staples and no risk of leakage.
Preventing blood clots by administering anticoagulant injections, using compression stockings, and encouraging the patient to move within two hours after surgery.
Using the highest quality and most effective surgical tools, including the latest American staplers, and strictly following safety and quality standards before and during the surgery to prevent infections.
When correcting a gastric stapling procedure, a sleeve gastrectomy or either a full or mini gastric bypass may be performed.
The following revision options are also available:
For gastric band or ring corrections: the band may be removed, followed by either a sleeve gastrectomy or full/mini gastric bypass.
For sleeve gastrectomy revisions: the options include a re-sleeve procedure or conversion to a mini or full gastric bypass.
For mini or classic gastric bypass revisions: the surgery may involve repair and adjustment or conversion to another type of surgery, such as biliopancreatic diversion.
SADI-S (Single Anastomosis Duodeno–Ileal Bypass with Sleeve Gastrectomy).
Duodenal switch surgery.
The most commonly revised procedures are older gastric stapling and gastric band surgeries — and in many cases, these are corrected with a laparoscopic gastric bypass.