Gone are the times when an operation left an ugly scar on your body. Single incision bariatric surgery in Mumbai or Single Incision Weight Loss Surgery in India is a technique in which the entire surgery can be performed through a 2 cm cut in your belly button. Once this cut heals, it gets buried deep into the navel and leaves no tell-tale signs of surgery. It is practically a scar-less procedure. Single incision sleeve gastrectomy can easily be performed for selected patients.
(Scar of open surgery) (Scars of laparoscopic surgery) (No visible scar in single incision weight loss surgery)
Sleeve Gastrectomy is one of the most popular bariatric surgery procedures being performed all over the world and also in India presently. It was started in the late 90s as the first stage of a duodenal switch surgery and has emerged as a reasonable standalone option for weight loss in morbidly obese patients.
As per the IFSO-APC guidelines, if your BMI is more than 37.5 Kg/m2 (BMI- weight in kg/height in m2), you can undergo a Single incision laparoscopic sleeve gastrectomy in Mumbai in the absence of any associated illnesses. You can also undergo this procedure if your BMI is ≥ 32.5 Kg/m2 and you have 2 or more obesity associated diseases like type 2 diabetes, high blood pressure, high cholesterol etc. As per the new DSS guidelines formed by a group of international diabetes federations in London, any kind of metabolic surgery /bariatric surgery may also be considered as a treatment option for control of diabetes in patients with class I obesity (BMI- 27.5-32.5 Kg/m2) if their diabetes is poorly controlled.
Generally, younger patients, volume eaters and those with early diabetes tend to do well with this procedure. It is also recommended in super-obese patients as a first stage procedure. It can be revised to another procedure like a Roux-en y gastric bypass surgery, duodenal switch, Laparoscopic sleeve gastrectomy with duodeno-ileostomy with SADI or Laparoscopic sleeve gastrectomy with loop duodeno-jejunal after a couple of years or whenever the weight loss stabilises. Single incision Sleeve Gastrectomy Surgery is also popular in countries like Korea and Japan that have a high incidence for stomach cancer. This is because after the Single Incision Laparoscopic Sleeve Surgery, the stomach is still accessible to endoscopy and can be screened routinely.
Single incision sleeve gastrectomy surgery india is a surgical procedure in which the abdomen is entered through a 2 cm cut in the belly button. The stomach is then divided vertically over a 38 to 40 Fr gastric tube using surgical staplers. This results into a long, narrow, banana shaped stomach. The other cut part of the stomach is removed out of the body. Once the small cut in the navel is stitched up and heals, there are practically no scars on the patient’s body.
Generally, patients with a BMI less than 50 kg/m2 can be taken up for single incision bariatric surgery in india. It is also important that the patient has not undergone a major abdominal surgery in the past and must not have too many surgical scars on the abdomen. Internal adhesions can make single incision bariatric surgery very difficult. Generally, younger patients especially younger women, are more keen to undergo single incision bariatric surgery. Not only is it cosmetically superior to laparoscopic surgery but it also gives the patient an option to keep the surgery “confidential”. Once the patients lose weight, they are free to wear any attire that exposes their waist line without revealing that they have undergone surgery.
Single incision laparoscopic sleeve surgery in India is a good weight loss surgery procedure and leads to weight loss by a combination of multiple mechanisms. First of all, as the stomach tube is very small, you will not be able to eat too much and your intake will be restricted. Secondly, you will feel full even after eating small quantities and will feel satiated much earlier. Thirdly, “ghrelin” the hunger inducing hormone which is produced from the fundus of the stomach, reduces considerably and hence the sensation of hunger is curbed to a large extent. Single incision sleeve gastrectomy surgery also results in increased speed of gastric emptying, and the food is pushed into the intestine much faster than before. This may result into an early release of gut hormones which also plays a role in weight loss as well as control of diabetes.
Conventionally a Single incision laparoscopic sleeve gastrectomy surgery in india is performed by making 5 tiny cuts on your tummy. Most of these cuts are less than half a cm in size and the largest is about 1 cm. The visibility of these cuts depends on the quality of your skin and its healing capabilities. In some patients the scars may be minimally visible whereas in the others they may be much more obvious.
Single incision laparoscopic surgery is a scar-less technique. Single incision sleeve gastrectomy surgery entails one single cut in the belly button and the entire surgery is performed through this cut. Once this cut is stitched and healed, it practically leaves no scar on the abdomen. Main advantage of a single incision Lap sleeve gastrectomy surgery is cosmetic as it leaves no tell-tale signs of surgery. Patients who undergo single incision laparoscopic surgery have also been seen to have lesser pain as compared to patients who undergo a 5 incision laparoscopic lap sleeve gastrectomy surgery.
Single incision laparoscopic lap sleeve surgery is safe in good hands and Best Bariatric Surgeon in Mumbai, India- Dr. Aparna Govil Bhasker has one of the largest series of this surgery. She is one of the few surgeons in Mumbai who offer scarless surgery to her patients.
Bariatric/metabolic surgery is the only proven method for sustained weight loss in people suffering from clinically severe obesity. Most bariatric procedures will lead to an excess weight loss to the tune of 65 to 75% over a period of 18 to 24 months. This weight loss journey is a partnership between the doctor and the patient and the results depend on the level of commitment from either party. All bariatric procedures lead to a significant improvement in type 2 diabetes, high blood pressure, high cholesterol, gout, obstructive sleep apnoea, venous thrombo-embolism, PCOD, infertility and many other diseases related to obesity. Weight loss leads to a significant decrease in the risk for heart disease also. Overall, bariatric/metabolic surgery leads to a marked improvement in health, quality of life and confidence of the patient.
Dr. Aparna Govil Bhasker has been performing this procedure for more than 8 years and she has one of the highest experiences in single incision laparoscopic surgery. Cost of single incision bariatric surgery in india is marginally higher. This surgery requires a lot of disposable equipment in the forms of stapler guns, trocars, cartridges, energy sources etc. In single incision laparoscopic sleeve surgery India, a special trocar is also used. This increases the single incision sleeve gastrectomy cost in India. Single incision sleeve gastrectomy surgery cost in Mumbai also depends on the number of days you need to stay in the hospital, type of room that you select as well as the hospital in which you get operated. The doctor will guide you about single incision laparoscopic sleeve surgery cost in Mumbai after assessing and evaluating all the above details.
Dr. Aparna Govil Bhasker is an accomplished Bariatric Surgeon and Laparoscopic GI Surgeon. Extremely passionate about her field of specialization. She completed her MBBS and MS in General Surgery in 2006, from Mahatma Gandhi Institute of Medical Sciences (MGIMS), Sewagram. Set up in 1967 by none other than the first health minister of India, Ms. Sushila Nayar, MGIMS is deeply rooted in Gandhian ethics. Read more