Weight Loss Surgery Questions

Your surgeon will determine and explain what you need to do before having obesity surgery, but these are answers to some of the more common questions regarding tests and procedures you may be asked to do in preparation for your surgery.

[+] What are the routine tests before weight loss surgery?

We need to assess your fitness for surgery and your nutritional status. Certain basic tests, such as a full blood examination (FBE) are performed as part of your initial assessment. In addition, many patients suffer from gastric symptoms so may require a gastroscopy or barium swallow prior to surgery. Other tests, such as pulmonary function testing, chest x-ray, echocardiogram, sleep studies, or cardiological evaluation. Most of our patients will then also have an assessment by one of our physicians, especially those who have a BMI over 45, are over 45 years old, have a history of diabetes, cardiac or lung diseases or sleep apnoea. All our patients are offered a consultation with our psychologist psychologist. Almost all our patients need to see the dietitians prior to surgery, and also after surgery.

[+] What is the purpose of all these tests?

An accurate assessment of your health is needed before surgery to minimise the chance of complications and improve general outcomes, and this will be determined by your surgeon.

[+] Why do I have to have a Gastroscopy?

Patients who have significant gastrointestinal symptoms such as upper abdominal pain, heartburn, belching sour fluid, etc., may have underlying problems such as a hiatal hernia, gastroesophageal reflux or peptic ulcer.

[+] What can I do before the appointment to speed up the process of getting ready for obesity surgery?

Select a general practitioner if you don't already have one, and establish a relationship with him or her. Work with your doctor to ensure that your routine health maintenance testing is current. For example, women may have a pap smear, and if over 40 years of age, a breast exam. And for men, this may include a prostate specific antigen test (PSA).
Make a list of all the diets you have tried (a diet history) and bring it to your doctor.
Bring any pertinent medical data to your appointment with the bariatric (weight loss) surgeon - this would include reports of special tests or hospital discharge summary if you have been in the hospital.
Bring a list of your medications with dose and schedule.

Laparoscopic Bariatric Surgery

[+] Does Laparoscopic Surgery decrease the risk?

No. Laparoscopic operations carry the same risk as the procedure performed as an open operation. The benefits of laparoscopic surgeries are typically less discomfort, shorter hospital stay, earlier return to work and reduced scarring.

[+] Will I have a lot of pain?

Every attempt is made to control pain after surgery to make it possible for you to move about quickly and become active. This helps avoid problems and speeds recovery. Often several drugs are used together to help manage your post-surgery pain.

[+] How long do I have to stay in the hospital?

As long as it takes to be self-sufficient. Although it can vary, the hospital stay (including the day of surgery) can be between 1- 8 days depending on the procedure. This will be determined by your surgeon/doctor.

[+] Will the doctor leave a drain in after laparoscopic surgery?

Patients may have a small tube to allow drainage of any accumulated fluids from the abdomen post-operatively. This is a safety measure, and it is usually removed a few days after the surgery. Generally, it produces more than minor discomfort.

[+] If I have laparoscopic bariatric surgery, what can I expect when I wake up in the recovery room?

Some doctors will provide a Patient Controlled Analgesia (PCA) or a self-administered pain management system, to help control pain. Others prefer to use an infusion pump that provides a local anesthetic in the surgical site to control pain without the side effects of narcotics.

[+]How soon will I be able to walk?

Almost immediately after surgery doctors will require you to get up and move about. Patients are asked to walk or stand at the bedside on the night of surgery, take several walks the next day and thereafter. On leaving the hospital, you may be able to care for all your personal needs, but will need help with shopping, lifting and with transportation.

[+] How soon can I drive?

For your own safety, you should not drive until you have stopped taking narcotic medications. Consult your doctor as to when you are able to drive.

[+] What is done to minimize the risk of deep vein thrombosis (DVT)/pulmonary embolism (PE)?

Because a Deep Vein Thrombosis originates on the operating table, therapy begins before a patient goes to the operating room. Generally, patients are treated with sequential leg compression stockings and given a blood thinner prior to surgery. Both of these therapies continue throughout your hospitalization. The third major preventive measure involves getting the patient moving and out of bed as soon as possible after the operation to restore normal blood flow in the legs.

[+] What should I bring with me to the hospital?

Personal toiletries and clothing for your stay that are easy to put on and take off.

[+] How much does the gastric band procedure cost?

We recommend that you contact a Bariatric (weight loss) surgeon. There are surgeons listed under the "find a doctor" locator on the home page of this website. They will be able to discuss the costs of gastric band surgery.

 

Please Contact Melbourne Bariatrics on  03  9770  7189  for more information or to make an appointment
Royal Australasian College of SurgeonsAMA - Australian Medical AssociationFRACS - Fellow of the Royal Australasian College of Surgeonsmattu - Minimal Access Therapy Training Unit GuildfordIFSO - International Federation for the Surgery of Obesity and Metabolic DisordersMonash University
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