Dr. Jaydeep H. Palep
Director & Head
Department of Bariatric and
Minimal Access Surgery
Nanavati Super Speciality
Hospital, Mumbai

Dr. Nidhi Khandelwal
Associate Consultant
Department of Bariatric and
Minimal Access Surgery
Nanavati Super Speciality
Hospital, Mumbai

THE CASE

Four single young women, aged 25, 29, 30 and 32 years, were all morbidly obese with BMI ranging between 32.5 kg/m2 and 38.4 kg/ m2. Two of them were also pre-diabetic. The four women approached Nanavati Super Speciality Hospital seeking solutions to their weight issues. However, like most young women, cosmesis was a major concern for all these four women.

THE PROCEDURE

All four women were individually counselled for a Single Incision Laparoscopic Sleeve Gastrectomy. After a thorough preoperative evaluation and preparation, they all underwent SILS Gastrectomy at Nanavati Super Speciality Hospital. The surgeries were done with one single incision, just below the umbilicus, measuring about 2.5 cm. A special single port device was used in each case, along with standard bariatric length instruments, energy devices and staplers.

THE RESULT

The patients recovered very well and were discharged within 48 hours of surgery.

The procedure left just a single thin scar below the belly button of the patient which will gradually recede into the umbilicus as they lose weight. All four women were extremely satisfi ed with the result of the procedure.