GASTRIC SLEEVE
SURGERIES

Gastric sleeve is the most frequently performed surgical procedure all over the world within the scope of bariatric surgery. However, it has important details that should be considered during the application and that, together with the comfort of the patient, the operation can be successful and the desired weight loss can be achieved in the longterm. In this context, in our routine practice, we usually perform this surgery from 3 ports and rarely from 4 ports. Starting the dissection at a distance of 2-3 cm from the end of the stomach, not narrowing the remaining gastric fold, and performing the widening upper stomach cavity dissection are some of the points we pay attention to, which directly affect the success of the operation. Although it can be prolonged due to suturing when necessary, the average case time is 20-30 minutes. The short operation time provides early mobilization of these patients in the postoperative period, allowing them to experience less cardiac, respiratory system and pain complaints.

SCARLESS BARIATRIC
SURGERIES

Taking into account the body mass index, body shape and structure, liver size (liver size is very high and should not obstruct vision) is appropriate; It is preferred in patients who have not had previous abdominal surgery and have aesthetic concerns. The operation is performed through an incision of 2-3 cm in the umbilicus. In addition to aesthetic well-being, we observe that these patients feel significantly less pain after surgery and are mobilized more quickly. Since the Incision is made from the umblicus, it disappears in the following period without being noticed. Single incision laparoscopic surgery means less pain, maximum comfort and minimal incision scars.

REVISIONAL
SURGERIES

After a patient have a bariatric surgery before; Due to inadequate surgical technique and possible changes in the patient's diet, some patients may start to gain weight again. Resleeve surgery can be applied to a patient who has undergone resleeve (gastric sleeve) surgery, if insufficient gastric fundus dissection has been performed or it the patient reaches an enlarged stomach size again due to non-compliance with his diet. In addition, if the patient still has not lost weight due to some metabolic reasons despite the fact that the tube state of the stomach is not deteriorated, it is preferred to revise the sleeve gastrectomy surgery to mini gastric bypass. Resleeve and mini gastric bypass revision procedure can be applied in combination in our patients who have had sleeve gastrectomy surgery before but whose gastric volume has changed. Finally, we perform revision surgeries in the form of gastric pouch narrowing or converting the roux n y bypass procedure to the distal roux n y procedure for our p atents who have been operated on with the roux n y. Bypass method, an old procedure that has become less and less used allover the world.

GASTRIC
BYPASS

We technically prefer Mini Gastric BY pass because of similar results after the operation and less risk of complications. In addition, we can prefer this method in diabetic patients and in patients who we think we cannot achieve sufficient weight loss with sleeve gastrectomy.