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It all depends on what type of revision surgery you are having. Most hernias need to be fixed with mesh and you can't use mesh if any of the gi tract is opened because of the risk of infection. I in general do not recommend revising a gastric pouch because of the very high rate of complications and leaks. I recommend Lap-band over the gastric bypass which can also be done at the same time as a hernia repair with mesh.
Most often the repair of an abdominal hernia is staged or delayed in a gastric bypass patient. This would be the best approach since reducing weight makes the repair easier and more effective over time. Also with a delayed operation one can use mesh to reinforce the repair which is required for almost all types of abdominal wall hernias. There are times when a hernia is very bothersome or as determined by the surgeon it has to be closed at the time of the operation and this repair will probably not use mesh and therefore will not be as "strong" as a repair that uses mesh. There reason for not using mesh at the same time during a bypass or some types of revision is that cutting the bowel or stomach can increase the chance of having a mesh infection after surgery.
Yes there are limitations to how much you can weight prior to bariatric surgery. The larger you are, the higher the risks. We prefer to have patients with a BMI less than 60 prior to surgery. Studies have shown increase risk with BMI greater than 60. Also our malpractice...
I was one of the first surgeons in the country to perform Stomaphyx and it doesn't work. When we rescoped patients it looked like you did nothing a few months later. We no longer perform Stomaphyx. This has been replaced with the ROSE procedure with much better results.
The combination of a gastric bypass and a tummy tuck should not be performed at the same time. The risk of infection increases significantly. In addition, the length of the procedure is increased and may increase the risks of deep venous thrombosis (clots in legs). The appropriate...
Thank you for sharing your story — and congratulations on taking the time to research your options thoroughly. With a BMI of around 40, you do meet the medical criteria for gastric bypass surgery, and your motivation to improve your health and quality of life is very valid. To answer your...
Combining procedures such as hernia repair and abdominoplasty (tummy tuck) can sometimes be done safely, but it depends heavily on your individual health, surgical history, and the specifics of the hernia. Because you have a history of gastric bypass and are now eight years out, your anatomy is...
Having had a gastric bypass 30 years ago, later reversed, and now struggling again with severe obesity and related health problems, it is understandable that you are considering another bariatric procedure. The good news is that bariatric surgery has advanced greatly in the past three decades,...