Christopher S. Cobourn, MD

Generally it should not be a problem to have a sleeve after incisional hernia repair, even with mesh.  You do not need to worry about the insufflation of the abdomen stretching the mesh.  All laparoscopic incisions are small and do not disrupt the integrity of the mesh.  The only incision that is a little larger is the one that the resected stomach is removed through.

Should be fine.

I think you can proceed with gastric sleeve surgery within 6 months or less after your pregnancy.  You should be fully recovered and able to focus on the changes needed to be successful with the procedure.

Good luck

The two most common symptoms of erosion are either infection at the Lap Band port site, or the feeling that the Lap Band is no longer effective. With erosion the band is not inside the stomach rather than on the outside so it is effectively no longer working. Vomitting and pain are not normal symptoms of erosion. Vomitting is not a normal symptom of diverticulitis either so it sounds like you may need some more investigations to determine exactly what the problem is.

Yes, this is not a problem and is fact a fairly common situation. The tummy tuck is performed on the skin, fat and muscles outside the abdominal cavity and the Lap Band is inside the abdomen so there is no problem at all.

Both gastric bypass and gastric sleeve are possible after Lap Band and this is called revision surgery. These procedures are a little more difficult than doing the bypass or sleeve as a primary procedure so if you are considering this, you should be referred to a surgeon or clinic that is experienced with the revision type procedures. There is a slightly increased risk of revision procedures over primary bariatric surgery as well.