Lap-Band surgery is a laparoscopic procedure during which time a silicone band is placed around to top of the stomach, creating a small pouch. Patients must come in on a monthly basis for adjustments that will limit the amount of food a person is able to consume at one time. The more fluid in the band, the less one can eat. Care has to be taken to not overeat in which case there can be significant discomfort and/or vomiting. Adjustments are done in the office under local anesthesia by placing a needle into the port and injecting or removing saline. Weight loss tends to be less and at a slower rate compared to Gastric Bypass and Sleeve Gastrectomy. Patients must be motivated to stay away from sweets and to exercise regularly to do well with the lap-band. Complications such as slippage, erosion, leaks and infection can occur which would mean another surgery to remove or replace the band. Complications and risks will be discussed in detail at the consultation with the surgeon.
All of these surgeries are done laparoscopically whenever possible and only rarely need to do an open surgery with a larger incision.