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Revision surgery is applied to a patient who, having already been operated on for obesity, has recovered with time a good part or all of the weight he or she had lost.
In these cases it is necessary to change the obesity operation.
These are operations where the patient is most at risk because they are working on tissues that have already been manipulated and have lost some of their properties.
That is why it is very important, in the first operation, to select the most suitable for the patient after a detailed multidisciplinary study, and that the patient follows the recommendations of the team.
If, however, you don’t select within the planned range, a change of operation can be programmed within a few constraints. In these cases, it is advisable to carry out a new detailed multidisciplinary study that tries to exclude the causes of failure of the previous operation, and therefore it is very important that the patient is absolutely sincere with the team.
When a change of operation is necessary, there are no alternatives or pre-set protocols.
A gastric banding operation can be transformed into a gastric tube or a gastric bypass. A gastric tube can be re-tubilized to a tubular form or it can be transformed into a gastric bypass or a duodenal-ileal bypass associated with the gastric tube.
These are all very complex patients who should only be treated and operated by experienced teams. The operations must be performed by laparoscopy and, whenever possible, in a single surgical time.
We have special experience in the transformation of gastric banding to gastric tube and gastric banding to gastric bypass in the same surgical act.
We also have experience in the transformation of gastric tube to gastric bypass.
We perform the interventions by laparoscopic surgery, with hospital stays of about 2 or 3 days and minimal complications.
We have not had any cases of mortality in revision surgery.
We insist that these are particularly complex cases, which require a personalized study, and which cannot be protocolized according to one type of intervention or another.
You can find more detailed information about this technique on our website.
Thank you.
Expert Opinion: Review Operations
Revision surgery, Expert OpinionIn the following video Dr. Ferrer talks about Revision Operations, previous surgery without results. He answers the following questions When an obesity operation is not effective, what alternatives exist, how can it be improved, etc.
Revision surgery is applied to a patient who, having already been operated on for obesity, has recovered with time a good part or all of the weight he or she had lost.
In these cases it is necessary to change the obesity operation.
These are operations where the patient is most at risk because they are working on tissues that have already been manipulated and have lost some of their properties.
That is why it is very important, in the first operation, to select the most suitable for the patient after a detailed multidisciplinary study, and that the patient follows the recommendations of the team.
If, however, you don’t select within the planned range, a change of operation can be programmed within a few constraints. In these cases, it is advisable to carry out a new detailed multidisciplinary study that tries to exclude the causes of failure of the previous operation, and therefore it is very important that the patient is absolutely sincere with the team.
When a change of operation is necessary, there are no alternatives or pre-set protocols.
A gastric banding operation can be transformed into a gastric tube or a gastric bypass. A gastric tube can be re-tubilized to a tubular form or it can be transformed into a gastric bypass or a duodenal-ileal bypass associated with the gastric tube.
These are all very complex patients who should only be treated and operated by experienced teams. The operations must be performed by laparoscopy and, whenever possible, in a single surgical time.
We have special experience in the transformation of gastric banding to gastric tube and gastric banding to gastric bypass in the same surgical act.
We also have experience in the transformation of gastric tube to gastric bypass.
We perform the interventions by laparoscopic surgery, with hospital stays of about 2 or 3 days and minimal complications.
We have not had any cases of mortality in revision surgery.
We insist that these are particularly complex cases, which require a personalized study, and which cannot be protocolized according to one type of intervention or another.
You can find more detailed information about this technique on our website.
Thank you.
