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Old 07-20-2007, 03:53 PM   #1 (permalink)
treysmom
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Join Date: Jul 2007
Location: tennessee
Posts: 4

Weight Statistics

i am in the beginning process
Start Date:
n/a
Surgery Date:
Height:
267 lb
Start Weight:
259 lb
Current Weight:
140 lb
Goal Weight:
8 lb
Weight Loss:
119 lb
Lb Left to Lose:
2.99625468165 %
% Lost:
? 2009
Goal Date:

Body Mass Index
40.6
BMI Start:
40.6
BMI Current:
21.9
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Question who had open r-n-y? question?

Hi i am new here and have just started my journey i had my first consult with dr and i found out he only does open RNY i was really hoping for lap mainly because i have a young child and the recovery time is so much longer and not to mention i am scared to death of actually being cut open i was just wondering from those of you who have had open if the recovery was really bad? how did you deal with caring for little ones? thanks do much!
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Old 07-20-2007, 08:33 PM   #2 (permalink)
fr1endly2
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Join Date: Jan 2006
Location: SOMEPLACE LONG ISLAND, NY
Posts: 6,756

Weight Statistics

June 1, 2005
Start Date:
Height:
310 lb
Start Weight:
167 lb
Current Weight:
159 lb
Goal Weight:
143 lb
Weight Loss:
8 lb
Lb Left to Lose:
46.1290322581 %
% Lost:

Body Mass Index
51
BMI Start:
27
BMI Current:

Weight Loss Method
Roux en Y Gastric Bypass
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HI...
i had lapriscopic surgery.
AND i would recommend finding a SURGEON in your
area that did that lapriscopic .....
there are many pros to the LAP:

1. Recovery time faster.
2. FAR less scarring (cant even find mine 2 years out now)
3. LESS pain
4. SAFER surgery

THE complication rates and death rates for gastric bypass surgery has dropped since more surgeons started performing it LAPRISCOPICally
so for me it was a REQUIREMENT of a surgeon i selected.

GOOD LUCK...i had a 2.5 year old at the time of my surgery and i know with my lap surgery it was no no to lift him...i was thankful he was independent enough as i didnt want to wind up with hernia's ...
again this is my view on the pros for LAP and its your final decision...
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LAP RNY Gastric Bypass

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Old 07-20-2007, 08:36 PM   #3 (permalink)
Kenyar
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Join Date: Apr 2007
Location: Mount Vernon, NY
Posts: 7,290

Weight Statistics

4/1/07
Start Date:
4/19/07
Surgery Date:
5' 9"
Height:
258 lb
Start Weight:
146 lb
Current Weight:
165 lb
Goal Weight:
112 lb
Weight Loss:
-19 lb
Lb Left to Lose:
43.4108527132 %
% Lost:
04/19/2008
Goal Date:

Body Mass Index
38.0957781979
BMI Start:
21.5580760344
BMI Current:
24.36357908
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Hi there! I had my RNY laproscopically (sp?) as well. I was told that open in a last resort at this point. Not many docs do it that way voluntarily anymore. very dangerous. Im not trying to scare you, but maybe a second opinion? That is a HUGE incision and recovery is rough from what I understand....

WELCOME TO THE BOARDS BY THE WAY!!!!!
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Old 07-20-2007, 09:24 PM   #4 (permalink)
grandiose16
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Join Date: Jan 2007
Location: Cuero, South Texas
Posts: 524

Weight Statistics

May 1, 2007
Start Date:
June 25, 2007
Surgery Date:
Height:
270 lb
Start Weight:
200 lb
Current Weight:
130 lb
Goal Weight:
70 lb
Weight Loss:
70 lb
Lb Left to Lose:
25.9259259259 %
% Lost:
June 25, 2008
Goal Date:

Body Mass Index
45.83
BMI Start:
35.2
BMI Current:
22.31
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Hi and welcome. I had Lap too and agree with Kenya and Lisa. I would definitely look for a different surgeon. If you were given a referral by your Dr or insurance company ask for a different one. I did. For one thing if that is the only way he will do it, there is a problem. Maybe he has not kept up with new procedures and is not educated enough to perform them. I would not have it done before I would let him do it. Toooooo dangerous. Like Kenya said only as a last resort. Good luck. Mattie
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Old 07-21-2007, 02:30 AM   #5 (permalink)
DocSanae
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Welcome to the board, thank you for joining us.
Do a lot of search and research to find the right procedure for you, and the right surgeon for you.
((((((HUGS)))))) May your journey go well.

Open RNY. Well, for one, a lot of those who are pretty long out have had open due to the fact that lap was still in the baby stages, or weren't being done altogether. Another reason someone had open would be, something turned up during the surgery, so the surgeon had to switch to open to complete the surgery. There also are surgeons who will go open because you are too big for lap--with lap, the view the surgeon can get is very much limited comparing to having full view when open, so, in cases of very very obese people, the surgeon may have no choice but to go open, going in lap would be too dangerous. Where the surgeon sets the limit will differ with each surgeon and his/her experience and expertise, but I think the threshold is somewhere around BMI 55-60. I think it used to be around BMI 50, but these days, I do hear of more surgeons doing lap with patients in the low 50s.

The surgeon you went to may do only open because he/she had a bad experience in the past with lap, or it may simply be that he/she is not trained in lap due to 1) received training long befor lap became the more prevalent method (which incidentally, from what I have been reading, seems to be within the past 5 years at most) and hasn't had the chance yet to retrain for lap, or 2) simply didn't train for lap surgery at all--which can happen, because training to be a surgeon means first to become proficient in open surgery, then train for lap surgery, as with all lap surgeries, the surgeon has to be prepared to go open if the necessity arises--so all lap surgeons have to be trained with open as well, and this is going to take more time than training just for open surgery. I don't know the deets of the surgical residency in the US, but probably, while the present program enables one to train both for open and lap, in the past, when lap surgery was still in the developing stages, the standard training program would have included only open, and these surgeons would have had to go back and retrain for lap at a later date when lap surgery became more prevalent.

Actually, open surgery is not necessarily dangerous, but it does take more recovery time, and lap surgery requires more expertise because of the limited view. (If you ever had the chance to see what an open abdomen looks like and what it looks like with a lap view, then I think you'll know what I mean.) So, with a surgeon who does only open, it may be that he/she isn't keeping up with, and taking the time to retrain for, the newest procedures, but some people, I will have to admit, are more, um, well, clumsy than others, so while they are excellent surgeons when doing open, the surgeons themselves may not feel comfortable with only the closed in view from the laparoscope.

Anyway, it is most important to have the surgery done by the surgeon you feel comfortable with, and have good rapport with, as basically, you will have to keep in touch with him/her for the rest of your life.

Now, who had open? CraigT who hosts this site did, but as he marked his 10 year anniversary this May, so his reason is, lap was still very much in the baby stage, and only a few surgeons were actually doing it. mike also, I think he said his surgeon did only open and he was cool with it.

Hope this helps.
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Old 07-21-2007, 12:40 PM   #6 (permalink)
treysmom
Newbie
 
Join Date: Jul 2007
Location: tennessee
Posts: 4

Weight Statistics

i am in the beginning process
Start Date:
n/a
Surgery Date:
Height:
267 lb
Start Weight:
259 lb
Current Weight:
140 lb
Goal Weight:
8 lb
Weight Loss:
119 lb
Lb Left to Lose:
2.99625468165 %
% Lost:
? 2009
Goal Date:

Body Mass Index
40.6
BMI Start:
40.6
BMI Current:
21.9
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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thank you all so much the surgeon i met with does not do lap he said he has not had the oppertunity to get that training yet and he is also worried that doing a new procedure he would have more complications my bmi is 41 so lap i should not be a problem and i was really hoping for lap i think i am going to look around for a different surgeon i also have heard a few horror stories about this surgoen (after my meeting of course) if i do any testing with with this surgeon would i be able to use those or would i have to redo evey thing? anyway thanks agian for all tour help!!!
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Old 07-21-2007, 01:27 PM   #7 (permalink)
celadon
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Join Date: May 2007
Location: Florida
Posts: 196

Weight Statistics

June 5, 2007
Start Date:
July 31, 2007
Surgery Date:
3' 0"
Height:
260 lb
Start Weight:
160 lb
Current Weight:
150 lb
Goal Weight:
100 lb
Weight Loss:
10 lb
Lb Left to Lose:
38.4615384615 %
% Lost:
Dec 2008
Goal Date:

Body Mass Index
141.033950617
BMI Start:
86.7901234568
BMI Current:
81.3657407407
BMI Goal:
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Quote:
Originally Posted by treysmom View Post
i also have heard a few horror stories about this surgoen (after my meeting of course) if i do any testing with with this surgeon would i be able to use those or would i have to redo evey thing? anyway thanks agian for all tour help!!!
Given that statement, you MUST find a different surgeon. If you don't have faith in your surgeon, you will go into the surgery and emotionally, you will cause yourself to have complications. You should be able to take everything that you have already done with this surgeon with you. Your health records are your own. The new surgeon may have to have his staff resubmit your paperwork to your insurance but everything else is yours and he can't keep you from taking copies with you.

Best of luck in finding the best surgeon for you.
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Old 07-21-2007, 01:32 PM   #8 (permalink)
Kenyar
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Join Date: Apr 2007
Location: Mount Vernon, NY
Posts: 7,290

Weight Statistics

4/1/07
Start Date:
4/19/07
Surgery Date:
5' 9"
Height:
258 lb
Start Weight:
146 lb
Current Weight:
165 lb
Goal Weight:
112 lb
Weight Loss:
-19 lb
Lb Left to Lose:
43.4108527132 %
% Lost:
04/19/2008
Goal Date:

Body Mass Index
38.0957781979
BMI Start:
21.5580760344
BMI Current:
24.36357908
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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yeah definitely. if you have doubts now that you've been to the meeting find another. you could go thru your insurance and get a list of bariatric surgeons in your area and start from scratch. i dunno if the labs and tests from one would be an issue with the other. they may want their own tests. sorry i wish i could be more helpful
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Old 07-21-2007, 01:33 PM   #9 (permalink)
ChuppyGirl
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Join Date: Apr 2006
Location: Kuwait
Posts: 2,331
Blog Entries: 1

Weight Statistics

for ever!
Start Date:
4/18/06
Surgery Date:
5' 3"
Height:
335 lb
Start Weight:
177 lb
Current Weight:
154 lb
Goal Weight:
158 lb
Weight Loss:
23 lb
Lb Left to Lose:
47.1641791045 %
% Lost:
9/18/07
Goal Date:

Body Mass Index
59.3361048123
BMI Start:
31.350718065
BMI Current:
27.2768959436
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Hi there,

I did mine open for a reason! I did 3 procedures in one!
1) removed the old gastric banding
2) removed the gallbladder
3) did the RNY bypass

the recovery time was a tough one! I had my scar infected! if I had the option to do it lap I would have opted to do it lap! but it was not doable lap for the 3 reasons. honestly I hate the scar now! just imagine a soft belly skin with stretch marks and a big scar! what else would you want more than that!! Duh!

change your doctor, go for the ones who do it lap!

Good luck
Hanadi
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Old 07-27-2007, 07:53 PM   #10 (permalink)
richardrblc
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Join Date: May 2007
Location: newjersey
Posts: 18

Weight Statistics

may/02/2007
Start Date:
may/02/2007
Surgery Date:
6' 1"
Height:
425 lb
Start Weight:
280 lb
Current Weight:
200 lb
Goal Weight:
145 lb
Weight Loss:
80 lb
Lb Left to Lose:
34.1176470588 %
% Lost:
may/2009
Goal Date:

Body Mass Index
56.0658660161
BMI Start:
36.9375117283
BMI Current:
26.3839369488
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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mine was open becuase that is what my surgeon does and i felt comfortable with him if you dont feel comfortable you wont feel good
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