Single Incision Gastric Sleeve

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Procedure Description

The single incision gastric sleeve, also known as single-incision laparoscopic sleeve gastrectomy (SILS), is a specialized bariatric procedure designed to aid weight loss. Unlike traditional multi-port laparoscopic sleeve gastrectomy, this technique utilizes a single incision, typically through the navel, resulting in minimal scarring and reduced recovery time. The procedure involves removing around 80% of the stomach, leaving a banana-shaped sleeve that restricts food intake and promotes weight loss.

During the surgery, a surgeon makes a small cut in the belly button area, creating an entry point for a laparoscope (a thin tube equipped with a camera) and other surgical instruments. The camera allows the surgeon to view the operation on a monitor, ensuring precision in removing a portion of the stomach. After the stomach is resized into a sleeve-like shape, the incision is closed, usually leaving little visible scarring.

Single incision gastric sleeve surgery is a preferred option for many seeking less invasive weight loss solutions. It not only facilitates rapid weight loss by reducing the size of the stomach but also helps regulate hunger hormones, contributing to long-term appetite control and sustained weight loss. Its minimal scarring and quicker recovery time make it a compelling alternative to the traditional multi-incision laparoscopic sleeve gastrectomy.

Procedure Duration

The single incision gastric sleeve procedure typically takes around 1 to 2 hours, depending on the surgeon's experience and the patient’s unique anatomy. Patients are placed under general anesthesia to ensure comfort throughout the surgery. The surgeon will begin by making a small incision near the navel, and through this single entry point, all surgical tools are carefully introduced to perform the procedure. Throughout the operation, the surgeon monitors the progress using the laparoscope, which projects live images onto a screen.

The surgery involves three main phases: incision and insertion of tools, reshaping and removal of the stomach section, and suturing the sleeve and closing the entry point. Post-surgery, patients are monitored for several hours as they wake from anesthesia, with most patients staying in the hospital for 1-2 days for initial recovery and observation.

Recovery time is generally faster than with traditional multi-incision gastric sleeve surgery. Most patients can return to normal daily activities within 1-2 weeks, with full recovery typically achieved in about 4-6 weeks. It is important for patients to adhere to a carefully planned diet post-procedure, starting with liquids and gradually moving to solid foods over the span of a few weeks. Regular follow-ups with a healthcare provider are recommended to monitor progress and ensure proper healing.

Benefits

  • Minimally Invasive Technique: With only one incision, the procedure is less invasive than traditional multi-port surgeries, reducing tissue trauma.
  • Reduced Scarring: The single incision is often hidden within the navel, resulting in minimal visible scarring.
  • Faster Recovery Time: Patients typically experience shorter recovery periods and less postoperative pain.
  • Effective Weight Loss: The procedure restricts food intake and influences appetite-regulating hormones, leading to significant and sustained weight loss.
  • Improved Quality of Life: Rapid weight loss and improved control over obesity-related health issues such as diabetes, hypertension, and sleep apnea can greatly enhance the quality of life.

Potential Destinations

1. Mexico

Mexico has emerged as a leading destination for single incision gastric sleeve procedures due to its highly qualified bariatric surgeons, state-of-the-art facilities, and competitive pricing. Proximity to the United States makes it a convenient option for North American patients seeking world-class care with shorter travel times.

2. Turkey

Renowned for its advanced medical technology and experienced surgeons, Turkey is a popular destination for weight loss surgeries. The country's high standards for healthcare services, coupled with all-inclusive packages for international patients, make it an attractive and affordable option.

3. India

India has become a medical tourism hub, offering affordable yet high-quality bariatric surgeries, including single incision gastric sleeve procedures. With an array of internationally accredited hospitals and English-speaking medical staff, India provides a comfortable and efficient experience for medical travelers.

4. Thailand

Known for its comprehensive healthcare system, Thailand is a preferred destination for medical tourism, offering highly skilled bariatric surgeons and modern hospital facilities. Patients can expect holistic care and enjoy the country’s hospitality and unique culture as they recover.

5. Spain

Spain has a strong reputation for its healthcare system, with numerous bariatric surgery experts and world-class medical facilities. The country offers high standards of care for single incision gastric sleeve surgeries, attracting medical tourists from across Europe and beyond who seek top-notch treatment combined with a pleasant recovery environment.

Risks & Considerations

  • Surgical Complications: As with any surgery, risks such as infection, bleeding, or blood clots can occur. Ensuring that the procedure is performed by a qualified surgeon reduces these risks.
  • Staple Line Leaks: After the stomach is reshaped, there is a possibility of leaks along the staple line, which may require additional medical intervention.
  • Nutritional Deficiencies: Because a significant portion of the stomach is removed, patients may face nutrient absorption issues, requiring lifelong dietary supplements and regular health checkups.
  • Anesthesia Risks: Adverse reactions to general anesthesia can occur, and patients should discuss any concerns or past anesthesia experiences with their surgical team.
  • Weight Regain Potential: While the single incision gastric sleeve is effective for weight loss, lifestyle changes and adherence to dietary guidelines are crucial for maintaining results long-term.

How to Choose the Right Doctor and Hospital

When selecting a doctor and hospital for a single incision gastric sleeve procedure, consider both qualifications and experience. Look for a surgeon who is certified in bariatric surgery, has extensive experience with laparoscopic techniques, and a proven track record of successful outcomes. It is also beneficial to choose a facility that is accredited and has modern equipment, dedicated bariatric programs, and a comprehensive aftercare plan.

Additionally, research the hospital’s support services, such as nutritional counseling, psychological support, and postoperative follow-ups. Good communication between the patient and the healthcare team is key to a successful experience, so make sure to select a provider that is responsive, transparent about costs, and willing to address any concerns or questions you may have throughout the treatment journey.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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