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HIGHLIGHTED PROCEDURE
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WELCOME TO KEYHOLE SURGICAL ASSOCIATES:-

Being overweight can shorten your life by 20 years.

Many researchers believe that after smoking, obesity is the leading preventable cause of death. Although it is often perceived as a cosmetic problem, obesity puts individuals at increased risk for many serious conditions: DIABETES, HYPERTENSION, SLEEP APNEA, CARDIOVASCULAR DISEASE, ARTHRITIS, ENDOCRINE DISORDERS and JOINT PROBLEMS. Our comprehensive surgical program for adults and adolescents is developed to provide you with expert care without the lengthy delays associated with other programs. The individualized care we provide is crucial to our success in achieving effective and long-lasting weight loss.
Our expert team of doctors, dietician and psychiatrist helps you not only achieve your ideal weight but address lifestyle changes that enable you to achieve better health.

Health Benefits Associated with Weight Loss Surgery

Morbid obesity can lead to a shorter life and many life-threatening health problems, commonly referred to as co-morbidities. Scientists have shown that those struggling with obesity are twice as likely to die an early death than someone who is non-obese. With treatment, you have a better chance to enjoy good health and a longer life.
 
Obesity-Related Health Conditions:-
If you find yourself struggling with one or more obesity-related health conditions, weight loss surgery may be right for you. A list of some of the common obesity-related health conditions follows. (Your doctor can provide a complete list.)

While these diseases may occur regardless of someone’s age, gender, or body mass, these conditions tend to be more common and/or more severe when you are obese.

Studies show that bariatric surgery can successfully improve and resolve many weight-related health conditions. A review of more than 22,000 bariatric surgery patients showed improvement in or complete resolution of conditions, including type 2 diabetes, hypertension, and sleep apnea.

Learn how bariatric surgery can affect each obesity-related health condition by submitting your information to us using the form below.
 
Laparoscopic Adjustable Banding:-
 
Placement of a Lap-BandŽ is a fairly straightforward procedure that is accomplished by placing the Band, which is a belt-like section of plastic, around the upper stomach. This converts the stomach, in essence, into an hourglass. However unlike an hourglass, the upper portion and the lower portion of the stomach are not the same size. The upper portion is much smaller and is called the pouch. Part of the stomach is then used to form a tunnel or "Belt Loops" around the Band to help prevent the band from slipping down to the middle of the stomach.

The Band creates a calibrated narrowing at the bottom of this tiny pouch, so that it fills up with small amounts of food and empties slowly like an hourglass.

The band is connected to the port, which is placed outside the abdominal mussels but under the skin and fat so that it is not visible. The band is adjusted and restricts the amount of SOLID food that can be consumed before one feels full.

The adjustment is accomplished by placing a special needle into the port (which is buried under the skin) to increase or decrease the amount of saline fluid contained in the balloon. The Band is pictured in its normal position on the upper stomach at right.
 

There are several key features that make the Lap-Band an attractive surgical technique for weight loss:

  • Laparoscopic placement
  • No division or anastomosis of stomach or bowel
  • It is removable
  • Adjustable
The first two of the features above probably reduce the risk of surgery, which is especially important when operating on patients who suffer from morbid obesity. The fact that there is no cutting or repositioning of any intestine brings the risk of leak or obstruction to very low levels (not impossible, as outlined in the risks section below). The fact that the procedure is almost always done laparoscopically may allow decreased stress on the vital organs (heart, lungs, etc.) and may allow quicker recovery in comparison to open procedures.

Risks specific to Lap-Band surgery include:

  • Band Slippage
  • Band Erosion
  • Band and/or PortSite Infection/Flipping
 
Laparoscopic Gastric Bypass:-
 

We use a surgical stapling device to divide the upper stomach and create a small stomach "pouch" This pouch is shaped to be about the size of an egg and will hold 25 ml .. This means that 2-3 tiny bites of food is all a patient can hold, and this restriction on the amount of food eaten is the main way that the Gastric Bypass promotes weight loss.

Food leaves this tiny stomach pouch into a segment of small intestine (the Roux limb), which is surgically attached to the stomach pouch. A key feature of this small intestine \ is that it cannot handle concentrated calories. If the patient consumes foods that contains high concentrated sugar or fat containing foods this segment of intestine reacts by creating a temporary illness called dumping syndrome.

The risks specific to Gastric Bypass include:

  • Risk of a leak where the intestine and stomach pouch are sewn together.
  • Dumping Syndrome
  • Malnutrition
Dumping syndrome can be caused after gastric bypass by intake of simple carbohydrates (sugar, or some starches). Dumping syndrome is characterized by palpitations (fast heart rate), a clammy feeling, queasiness and nausea, sometimes vomiting, and sometimes diarrhea. Usually the patient feels weak, and must lie down for 30-60 minutes. Dumping syndrome is not dangerous but it feels absolutely horrible. The thought of dumping syndrome seems to help change habits away from these types of food.

However with time the small intestine adapts and the symptoms of dumping are much less. This may be the reason why some post bypass patients gain 10-15% of their weight back. It is important to form healthy habits early on after Bypass surgery.


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Plastic Surgery Institute of California provides plastic surgery, reconstructive procedures and cosmetic services like breast augmentation, breast reduction , face lift, tummy tuck , male breast reduction, breast implants, botox, restylane, fat transfer and much more throughout southern California including Los Angeles, Beverly Hills, Pasadena, Newport Beach, Brea, Torrance, Encino, Irvine, Long Beach, Oxnard, Riverside, Thousand Oaks, Upland, Valencia and in Orange County, San Bernardino County, Los Angeles County, Ventura County, Riverside County and the Inland Empire.