Laparoscopic adjustable gastric banding volume reduction surgery in the treatment of obesity in patients with perioperative nursing.docVIP

 PAGE \* MERGEFORMAT 8 Laparoscopic adjustable gastric banding volume reduction surgery in the treatment of obesity in patients with perioperative nursing Obesity is greater than calories consumed by the body, resulting in excessive accumulation of fat in the body, leading to overweight the disease, in which no obvious cause of endocrine and metabolic diseases, known as simple obesity. In our hospital from August 2005 ~ October 2009 laparoscopic adjustable gastric banding volume reduction surgery (LAGB) treatment of 15 cases of obese patients, the effect is significant, now nursing reported as follows. 1 Clinical data 1.1 General Information The group of 15 obese patients, 6 males and 9 females. Aged 19 to 55 years, mean 32.7 years old. Uygur 11 cases, 4 cases of Han nationality. The average body mass index was 47.77kg/m2, a history of 12 overweight .15 patients were 30 years associated with fatty liver, sleep apnea syndrome, insulin resistance syndrome. 1.2 surgical anesthesia after endotracheal intubation in patients with supine, head up 20 ~ 30 , with his legs apart about 30 . Surgeon located between the legs of patients, conventional puncture inflatable establishing pneumoperitoneum. First with ultrasound knife or electric knife in the upper pole of the spleen and the cardiac incision at the midpoint of serosa, forming a small window to rotate clamp isolated from the stomach into the stomach and posterior wall of the lesser curvature, greater curvature of stomach gently to the side of progress, from the stomach passed through the little window at the greater curvature, the establishment of the stomach wall, the empty air operations from the main hole banding placed in the stomach after abdominal cavity into the tunnel, and buckle straps on both ends of the butt, so that in the gastric banding Week formation surrounded by 2-0 nonabsorbable suture fixed the straps to prevent slippage on the stomach, the silicone tube hole leads to autono