SheLand
Pre Op
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My revision surgery did take about an hour longer than usual due to the scar tissue left behind by the band. In general, the band to sleevers have a higher risk of having a leak -- my surgeon said our risk doubles from a 1% leak rate to a 2% leak rate. I'd ask your surgical practice if they have ever had any leaks -- mine (@ UCLA Bariatrics) had never had a leak. They were super cautious with me and kept me on liquids double the amount of time of their virgin sleevers.
I think it's smart to plan for the worst case scenario. I'd recommend asking your surgeon
Their leak rate Are there any special post-op dietary considerations for a revision patient How do they alter the surgery for revision patients -- for example, most band to sleevers end up having a slightly larger stomach due to the damage/scarring left by the band (this is also why we end up losing a little less weight than virgin sleevers)
Revising is scary, but it's also the best thing I've ever done. Life with a sleeve is so much better than with a band.
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I had my band removed in 2011 and soon I'll have surgery for the gastric sleeve. I had my pre-op appointment with my surgeon on Friday and he mentioned something I didn't know or realize - that my surgery will take more time because I've had a band, due to scar tissue. And because of that, I have a higher risk of developing a leak near the top of my stomach where the staple line will start.
He said that when band surgery is performed, they sew part of the stomach over the band (pars flaccida technique?) but when it's removed, it's not 'undone'. And that area has scar tissue? Or maybe it's the band itself that causes the scar tissue but he also has to undo that area stitched over?
I knew my original surgeon did that but I had assumed the on-call surgeon undid it to remove the band. He was a HUGE jerk who treated me like an idiot and talked over me when I asked informed questions (anything that seemed to question his authority, it seemed). I just stopped asking questions.
My current surgeon seems to think since it's been so long since the band was removed (and I haven't had any issues) that the scar tissue will have softened quite a bit. (I know he mentioned it to drive home the sipping of water as opposed to gulps but I'm surprised it didn't come up in our original consultation).
ANYWAY, have any of you gone years after lap band removal and then had gastric sleeve surgery? If so, what was your experience? This bit of info threw me and I didn't think of follow up questions right then and there. I'm just over a week out from my surgery. I'm getting nervous about this and the added risk of complications. I'm a worst-case-scenario kind of person, so... =/