Different RNY surgical Techniques? Do you know what you had??

I found a post that mentioned there are different RNY surgical techniques. I was wondering if anyone else had heard about this or has had any experience with it.

http://www.obesityhelp.com/forums/teen_wls/a,messageboard/ac tion,replies/board_id,5373/cat_id,4973/topic_id,3680263/


Ps. This young man has had an amazing transformation.

There is actually a different name for it.  It is called the vertical sleeve.  There is more absorption because instead of a pouch they make you a long sleeve so they don't actually rearrange the intestines at all, they just reconstruct the stomach into a long slender sleeve.

darlene

HI Derlene,

I have heard of the vertical sleeve.
I looked a litte further at the case and link that the posting person gave in the thread.

I  believe they are mentioning there are different ways to place the RNY limb after stapling and cutting.

I didnt know that about the RNY surgery. Its new information that I found from that post I found.


I am going to ask my Dr. about the technique he will use. I want to know how everything is arranged when I get my surgery.

Here is a little more about the Antecolic technique VS. the Retrocolic technique of connecting the Rny Limb.

02'10''

Gastrocolic ligament Since there are many ways to wrap the Roux limb in a gastric bypass, some choose antegastric antecolic, some others use retrocolic retrogastric. I do it the same way I did in an open case and is retrocolic antegastric. Probably there’s not one best way. The reason I choose the retrocolic antegastric is for this very reason. Many of our patients have had previous surgeries and adhesions and then if we take this wrap, we don’t have to take down so many adhesions. I think there’s also less tension on the anastomosis when we come in retrocolic rather than antecolic. Already obscuring the lesser curve of the stomach are some adhesions to the pancreas. So by opening the space right now what we’ll be able to do is to take down these adhesions under vision and have less chance of injuring the pancreas. Here you can see the posterior aspect of the GE junction, which we can identify a little bit later. There are a few adhesions here. We can take these down now just to make our dissection a little bit cleaner and easier. We can see big vessels here, well we’re probably not in the right spot, we’re probably too close to the colon itself. Now the problem we get is if the patient has a very short colonic mesentery. Sometimes we can still leave the hernia in place.

source for this info: http://www.websurg.com/ref/Laparoscopic_gastric_bypass-vd01e n1652.htm

Hi Janice,

  I think it is awesome the way you are preparing for your surgery.  Knowledge is power...  Dr. Richards is also my surgeon and from my experience he welcomes any and all questions.  I had quite a list for him and he answered them all including some drawings he made on my notes just to make sure I was satisfied with the answerers.  I am a visual person so ya gotta draw me a map...LOL 

  If you get a chance you might want to read back on a previous post from our dear precious Melissa #1 dating back to when she had her WLS.  She also has Dr. Richards.  There were some unforeseen complications when Dr. Richard's performed her RNY and if memory serves me correctly, Melissa's husband was forced to make a decision on Melissa's behalf to either proceed with a different type of surgery or close her back up and do no surgery at all...  I do know it was an eye opener for us all that we should have a plan B ready when we go into surgery just incase plan A cannot be carried out.  Melissa and her family have so graciously shared their experience and Melissa is a great WLS success and inspiration...

Thank You Trina!


It is so difficult to think of ALL the questions to ask. When I first saw Dr .R I didnt have but one question. And I felt kind of like I didnt do my homework, although I had been reading about and looking at the surgery for a year or so.

This is why I love the board, people willing to share for knowledge and support

I will definitely try and research the board some more.
I did have the thought,, especially for my husband, that DR.Richards might have to do open RNY.
But, I never thought about being in a situation like Melissa.

My hubby and I will be talking about this today!