This video demonstrate Bariatric Surgery Laparoscopic sleeve Gastrectomy Step by Step Video by Dr R K Mishra. Sleeve gastrectomy is a surgical weight-loss procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach along the greater curvature. The result is a sleeve or tube like structure. Most gastric bypass surgery is laparoscopic, which means the surgeon makes small cuts. That makes for shorter recovery time. Most people stay in the hospital 2 to 3 days, and get back to normal activities in 3 to 5 weeks. If the surgery must be "open," meaning the surgeon has to make a larger cut, healing takes longer. In gastric sleeve surgery your surgeon creates a small stomach "sleeve” using a stapling device and the rest of your stomach is permanently removed. Your stomach’s size will be reduced by approx 75%. This procedure may be recommended if you have a body mass index (BMI) of 40 or more as this indicates you are at least 100 pounds over your recommended weight. It may also be advised for you if you have a BMI of 35 or more and also a serious medical condition that might improve with weight loss. Some of these conditions are sleep apnoea, type 2 diabetes, and heart disease. A gastric sleeve surgery may also be used to treat extremely morbidly obese people (with a BMI of 60 or above). There is no rearrangement of the bowel with a gastric sleeve surgery therefore dumping, which may occur to gastric bypass patients when their undigested stomach contents are “dumped” into their small intestine too quickly, should not a problem. Also a sleeve gastrectomy doesn’t affect the absorption of food, so nutritional deficiencies are less likely to occur.

Bariatric surgery has revolutionized the treatment of obesity and related metabolic disorders, offering patients an effective and lasting solution for weight loss. Among the different bariatric procedures, Laparoscopic Sleeve Gastrectomy (LSG) stands out as one of the most popular and effective surgeries due to its minimally invasive nature and significant outcomes.

Dr. R.K. Mishra, a globally renowned laparoscopic surgeon at the World Laparoscopy Hospital, Gurugram, has shared a step-by-step video guide on Laparoscopic Sleeve Gastrectomy, providing an invaluable resource for medical professionals and aspiring surgeons worldwide.

What is Laparoscopic Sleeve Gastrectomy?

Laparoscopic Sleeve Gastrectomy is a bariatric procedure designed to reduce the stomach’s size, limiting food intake and promoting weight loss. During the surgery, approximately 70–80% of the stomach is removed, leaving a narrow “sleeve” that resembles a banana. This not only restricts the volume of food a patient can consume but also influences gut hormones, reducing appetite and improving satiety.

Step-by-Step Approach by Dr. R.K. Mishra

The video by Dr. R.K. Mishra provides a comprehensive, educational demonstration of the procedure with a focus on safety, precision, and minimally invasive techniques. Key steps include:

1. Preoperative Preparation

   • Patient evaluation, imaging, and laboratory tests.

   • Anesthesia administration and positioning of the patient.

   • Creation of pneumoperitoneum for laparoscopic access.

2. Port Placement

   • Strategic placement of trocars to provide optimal access and visualization.

   • Ensuring proper ergonomics for laparoscopic instruments.

3. Stomach Mobilization

   • Dissection along the greater curvature.

   • Identification and preservation of important anatomical structures such as the spleen and blood vessels.

4. Gastric Resection

   • Careful division of the stomach using a stapling device.

   • Creation of a tubular stomach (sleeve) while ensuring hemostasis.

5. Leak Test and Inspection

   • Ensuring the integrity of the staple line.

   • Intraoperative leak test to prevent postoperative complications.

6. Closure and Recovery

   • Removal of instruments and ports.

   • Closure of incisions with minimal scarring.

   • Postoperative monitoring and patient recovery.

Benefits of Watching the Video

Dr. Mishra’s step-by-step video serves multiple purposes:

• Educational: Offers a practical guide for surgeons learning bariatric procedures.

• Patient Awareness: Helps patients understand the procedure in a clear, visual manner.

• Safety-Oriented: Emphasizes meticulous technique to reduce surgical risks.

Conclusion

Laparoscopic Sleeve Gastrectomy is a life-changing procedure for patients struggling with obesity, and learning it requires both theoretical knowledge and practical skills. Dr. R.K. Mishra’s step-by-step video offers a rare and detailed insight into this minimally invasive surgery, combining surgical precision with educational clarity.