At LapSurgery we have a special interest in helping those who have had a previous operation for weight control which hasn’t worked as you had hoped or is giving you other problems. We offer our expertise to our own patients and also to those who have had operations with other surgeons.
What we can do depends a lot on what the previous operation has been. You should be aware, at the outset, that a further procedure is not to be entered into without very careful assessment by us and the understanding that such a procedure carries risks which may be greater than those of the initial operation.
The following is provided as a guide to the possibilities only and is not to be taken as individual medical advice.
In most cases we can offer you an alternative procedure. The option of a gastric banding procedure has been used in this situation, but in general we have not found this approach to be effective. Our advice, and that of the majority of international experts in the field, is the conversion of your stapling procedure into a gastric bypass. This is a very major operation in someone who has had previous abdominal surgery and may not be able to be performed by keyhole (laparoscopic) technique.
The risks of complications from this procedure are greater than for the same operation done where there has not been previous surgery and this will be discussed with you in full at your consultation.
The majority of patients who have had their gastric stapling converted have had very significant weight loss and a much improved quality of life.
We understand that everyone is different and we advise you to discuss your options with a Surgeon.
We have performed around 4,000 gastric banding operations and we know that some patients don’t achieve a satisfactory long term result. We have significant experience in helping patients in this situation.
As a first step we would always check to see if the Band can be made to work. This involves a consultation with one of our surgeons and assessment by our dietitian and counsellor. Tests including X-Ray and gastroscopy may be required.
If the Band cannot be made to work, then we will discuss alternatives such as newer medications, or in some cases further surgery.
We understand that everyone is different and we advise discussion of your options with one of our Surgeons.
First, don’t be embarrassed to seek help! A sleeve gastrectomy is a powerful weight loss tool, but it isn’t a magic bullet. A consultation with a bariatric surgeon is essential, to work out if there are anatomic reasons for the lack of weight loss or weight regain. From there, a number of strategies can be advised, including revision surgery if appropriate. The human body has a number of powerful mechanisms to protect against weight loss, and we can provide a multidisciplinary approach to best tackle this problem.
If you are already one of LapSurgery Australia patients, you will need only to have a current referral from your General Practitioner. If you are not a LapSurgery patient already, you will need a referral from your General Practitioner and, if at all possible, you should ask the surgeon who performed your previous operation to provide you or us with a summary of the procedure performed.
As we do not work in the public hospital system you will need to have, or to be prepared to take out, appropriate private health insurance. We will not perform these types of weight loss procedures on patients without suitable private health insurance as your hospital stay can be prolonged, further procedures may be needed and often a period in the intensive care unit may be required. This can involve very significant and unpredictable costs along with considerable stress to you and your family.
Revisional bariatric (weight loss) procedures are complex and time consuming. At LapSurgery we have the experience, expertise and multidisciplinary setup and staffing to perform these types of procedures.
Although some of the hospital costs will be covered with your private health insurance, there will be significant out of pocket (OOP) costs if your previous weight loss procedure has not been performed by us. Discounts apply to those who have had previous procedures performed by LapSurgery surgeons.
As costs may vary depending on the type of procedure performed and your health fund we can only give guidelines. Contact us for more information. For patients of LapSurgery Australia who have had previous weight loss surgery please speak to our staff regarding your out of pocket costs as these will vary depending on what type of surgery you have had previously.