Task Analysis of Laparoscopic and Robotic Procedures

Post-Operative Diet After Sleeve Gastrectomy
Robotic Surgery / Feb 7th, 2018 11:23 am     A+ | a-

Post Oerative Diet After Sleeve Gastrectomy

1st Week – Clear Liquids Only

In 1st week the patient is limited to clear liquids only. The patient has very less desire to eat. The hunger hormone ghrelin is almost non-existent after surgery. The part of the stomach that produces the majority of ghrelin is removed during surgery.
Clear fluids that can be consume during 1st week are listed below, and all the item should be Sugar Free.
  1. Water
  2. Broth
  3. Jell-O
  4. Decaf Tea
  5. Decaf Coffee
  6. Sugar free  Popsicles
  7. Sugar free drinks that are not carbonated.
Food that need to be avoided
  1. Carbonated Beverages
  2. Very sweet Beverages
  3. Sugar
  4. Caffeine
2nd Week- Full Liquid Diet with Protein

During 2nd week the patient may feel some hunger pain. The patient should stick with their recommended diet. The diet in the 2nd week include all item from the 1st week plus
  1. Protein powder mixed with a sugar free non-carbonated clear fluid
  2. Sugar free Pudding
  3. Soup with soft Noodles
  4. Non Fat Yogurt
  5. Carnation instant breakfast
  6. Very thin creamed soup. No chunks
  7. Sugar free Sorbet
  8. Very watery hot oat meal.
  9. Diluted no-sugar added juice
  10. Sugar free, Non fat ice cream
  11. Thinned Applesauce.
3rd Week- Soft Pureed Foods

The 3rd week after the gastric sleeve surgery is tough. But the good news is that the patient can start adding some real food in their diet. Limitation of sugar and fat should be continued. The goal for 3 weeks includes:
  1. 60 grams of protein per day
  2. Eat Slowly
  3. Introduce new foods one by one.
Food may taste differently and will be tolerated differently than they were before surgery. The patient may find that dairy is harder to digest. It is recommended that patient introduce news foods slowly and should provide some time to the body to react to each new food. By doing this it is easy to identify the food that causes Gas, Stomach upset and diarrhea.
The Foods listed below are for 3rd week after surgery.
  1. 1 protein shake per day. It can be blend with the yogurt or non-fat milk.
  2. Almond milk or coconut milk
  3. Hummus
  4. Cottage Cheese (Low Fat)
  5. Soft cereals
  6. Soft Vegetables
  7. Soft Cheese
  8. Ground Chicken
  9. Soup
  10. Scrambled Egg
  11. Soft (Steamed) Fish
  12. Canned Tuna and Salmon
  13. Mashed Fruit- Banana, Avocados and canned fruit
The following food should be avoided
  1. Sugar
  2. Starchy foods like pasta, rice and bread
  3. Fibrous vegetables like celery, broccoli, asparagus, raw leafy greens.
 4th Week: After 4th week of surgery it’s now time to start introducing real foods. The Sleeve and the stomach are still sensitive so the food should be taken slowly and it should be chewed thoroughly.

The Foods listed below are for 4th week after surgery:
  1. Protein Shake to be continued
  2. Introduce chicken and red meat very slowly. Ensure it is chewed thoroughly
  3. Any type of fish
  4. Fruits
  5. Vegetables ( It is recommended that food is cook till it get soften)
  6. Sweet Potatoes
  7. Mashed and baked Potatoes
  8. Cereal
  9. Caffeine can be introducing but it should be limited.
The food that need to be avoided
  1. Sodas
  2. Fried Food
  3. Fibrous Vegetables
  4. Sugary Drinks
  5. Candy
  6. Dessert
  7. Pastas and other high carbohydrate, low nutrient foods(Pizza)
  8. Whole milk and other whole milky dairy foods
  9. Nuts
Healthy Snacks for 4th week
  1. Hummus with rice crackers or softened carrots
  2. Hard Boiled egg
  3. Quarter cup of Oatmeal
  4. Quarter of a baked sweet potato
  5. Banana
  6. Strawberries or fresh fruit
5Th Week and beyond

The food should be introducing one by one to see how they are tolerated. Patient should be careful about constipation, diarrhea, and upset stomach.
  1. Eat three small meals every day.
  2. Hydrate throughout the day.
  3. Stop Drinking fluids 30 minutes before each meal.
  4. Avoid snacking. Choose nutrient-dense food( Fruits, Vegetables, Nuts)
  5. Recommended Vitamins Should be taken
  6. Ensure 60 gram protein is taken
  7. Supplement daily with a protein shake
  8. Incorporate exercise into your daily routine, a habit should be developed.
  9. Avoid Sodas.
Dr. Rajiv Ranjan Kumar
May 23rd, 2020 5:50 pm
You’re a great teacher Dr Mishra! This content is very useful to review topics Post-Operative Diet After Sleeve Gastrectomy ,Very good Article with a clear and simple explanation! keep up the good work!
Dr. Tariq Aziz
May 23rd, 2020 5:57 pm
This Article is very helpful for doctors and patients. Thanks for sharing Post-Operative Diet After Sleeve Gastrectomy Surgery. You’re an amazing teacher! Thank you very much for the impact you’re making in our lives as Laparoscopic surgeon.
Dr. Bhaskar Chakravarti
May 23rd, 2020 6:03 pm
Excellent Task Analysis of Post-Operative Diet After Sleeve Gastrectomy surgery. This is very informative Task analysis for laparoscopic surgeon's. I have benefited after reading this Article.
Thanks for Sharing.
Dr Nitish Kumar Yadav
May 23rd, 2020 6:08 pm
Dr. Mishra is a very knowledgeable professor with much experience in his field. His lectures are very interesting and full of information. Thanks for uploading the Task analysis of Post-Operative Diet After Sleeve Gastrectomy.It's really helpful for Laparoscopic surgeon's.
Dr. Ram Chandra Solanki
May 23rd, 2020 6:13 pm
Dr. R.K. Mishra is perfect in his explanations and demonstrations of the techniques using in Laparoscopy surgery. He's far far better than any other Laparoscopic surgeon's. I'm very grateful for these my.Task analysis of Post-Operative Diet After Sleeve Gastrectomy. Thanks for sharing this Article.

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How to Perform and Implement Task Analysis of Laparoscopic and Robotic Procedures

Task analysis is a critical component of any complex surgical procedure, including laparoscopic and robotic surgeries. It involves breaking down the procedure into its constituent tasks, identifying the steps, skills, and cognitive processes required. Task analysis not only enhances the understanding of these intricate surgeries but also serves as a foundation for training, skill assessment, and continuous improvement in healthcare. In this essay, we will delve into how to conduct and implement task analysis for laparoscopic and robotic procedures.

Task Analysis of Laparoscopic Surgery

Understanding the Significance of Task Analysis

Before we explore the procedure for task analysis, it's essential to recognize why it is of paramount importance in the realm of surgery, particularly for laparoscopic and robotic procedures.

1. Enhanced Learning and Training: Task analysis helps in developing structured training programs. It breaks down complex procedures into manageable components, making it easier for trainees to learn and practice each step methodically.

2. Skill Assessment: By understanding the tasks and sub-tasks involved, it becomes possible to assess the competence of surgeons and surgical teams. This is crucial for ensuring patient safety and quality care.

3. Workflow Optimization: Task analysis can reveal inefficiencies in surgical workflows. Identifying these bottlenecks allows for process improvements, potentially reducing surgical times and enhancing outcomes.

4. Error Reduction: Recognizing potential points of error is vital for preventing surgical complications. Task analysis can highlight critical steps where errors are more likely to occur, leading to proactive measures to mitigate risks.

Procedure for Task Analysis of Laparoscopic and Robotic Procedures:

Task analysis for laparoscopic and robotic procedures involves several steps:

Step 1: Define the Surgical Procedure

Begin by clearly defining the surgical procedure you wish to analyze. Whether it's a laparoscopic cholecystectomy or a robotic prostatectomy, having a specific procedure in mind is essential.

Step 2: Gather Expert Input

Engage experts in the field, including experienced surgeons, nurses, and other surgical team members. Their input is invaluable in identifying and detailing the tasks involved.

Step 3: Identify the Tasks and Sub-Tasks

Break down the surgical procedure into tasks and sub-tasks. For instance, in a laparoscopic cholecystectomy, tasks could include trocar placement, camera insertion, gallbladder dissection, and suturing. Sub-tasks under "trocar placement" might involve choosing trocar sizes, making incisions, and inserting trocars.

Step 4: Sequence the Tasks

Establish the chronological order of tasks. Determine which tasks are dependent on others and identify any parallel processes. Sequencing tasks is essential for understanding the flow of the procedure.

Step 5: Define Task Goals and Objectives

For each task and sub-task, define the goals and objectives. What should be achieved in each step? For instance, in gallbladder dissection, the goal might be to safely detach the gallbladder from the liver while preserving nearby structures.

Step 6: Skill and Equipment Requirements

Specify the skills and equipment required for each task. Consider the level of expertise needed, such as basic laparoscopic skills or advanced robotic manipulation. Document the instruments and technology involved.

Step 7: Cognitive Processes

Identify the cognitive processes involved, such as decision-making, spatial orientation, and problem-solving. Understanding the mental aspects of surgery is critical for training and error prevention.

Step 8: Consider Variations and Complications

Acknowledge potential variations in the procedure and anticipate complications. How would the surgical team adapt if unexpected issues arise? Task analysis should encompass both the standard procedure and potential deviations.

Step 9: Develop Training and Assessment Tools

Use the task analysis results to create structured training modules. These modules should align with the identified tasks, objectives, and skill requirements. Additionally, design assessment tools to evaluate the competence of trainees and surgical teams.

Step 10: Continuous Improvement

Task analysis is not a one-time endeavor. Regularly revisit the analysis to incorporate new techniques, technology, and best practices. Continuous improvement is vital for staying at the forefront of surgical care.

Implementing Task Analysis Results:

Once task analysis is complete, it's crucial to implement the findings effectively:

1. Training Programs: Develop and deliver training programs based on the task analysis. These programs should encompass both simulation-based training and real-life surgical experience.

2. Skill Assessment: Use the assessment tools developed during task analysis to evaluate the skills of surgical teams. This can be done through structured evaluations and objective metrics.

3. Quality Improvement: Task analysis can reveal areas for process improvement. Work with the surgical team to implement changes that enhance efficiency and patient outcomes.

4. Error Prevention: Utilize the identified points of error to develop strategies for error prevention. This might involve checklists, preoperative briefings, and enhanced communication protocols.

5. Research and Innovation: Task analysis can also guide research efforts, leading to the development of new techniques and technologies that improve surgical procedures.

In conclusion, task analysis is an indispensable tool in understanding, teaching, and advancing complex surgical procedures such as laparoscopic and robotic surgeries. By meticulously dissecting each task and sub-task, identifying skill requirements, and considering cognitive processes, healthcare professionals can enhance patient safety, optimize surgical workflows, and continually improve the quality of surgical care. Task analysis is not merely an analytical exercise; it is a pathway to excellence in surgical practice.

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