Your healthy weight or Ideal body weight is the one which is right for your body and is translated into Body Mass Index or BMI .You must then know your BMI and waist circumference.
Body mass Index- is height in meters square divided by weight in kgs.
If your BMI is less than 18.5, you are in the underweight category.
If your BMI is between 19 and 24.9, you are in the recommended weight range for your height.
If your BMI is 25 to 29.9, you are in the overweight category.
If your BMI is 30 or higher, you’re in the obese category.
The stomach is re-sized to reduce the holding capacity .
Weight loss surgery is advised to those who weigh 30 kgs more than their normal weight or have a Body Mass Index of 37 or more with associated medical complications like Diabetes/Hypertension/sleep apnoea .However , as per new IDF International Diabetes Federation ) patients who weigh less than the stated criterion can also be taken up for surgery.
Today pre mature death rates are increased by 200% for men and women who are significantly overweight. Obesity causes or increases the risks of many diseases e.g. Diabetes, high BP, heart disease, joint pains etc.Also, for better quality of life
Mild form of obesity can be treated with Diet, Exercise & Medication, however for people who are severely obese after conventional approaches to weight loss such as diet and exercise – have failed, or for patients who have obesity – related complications, surgery may be the best treatment option and life saving at times.
Most of the comorbidities/Medical complications as Diabetes/ Hypertension/sleep apnoea disappear or can be greatly improved or, entirely resolved with successful weight loss. Most patients l lose about 66 to 80 % of their excess body weight with the gastric bypass procedure. Substantial weight loss occurs within 3 to 12 months of surgery In addition to weight loss, surgery has been found to have a beneficial effect on many medical conditions such as: diabetes, hypertension, acid reflux, sleep apnea, polycystic ovary syndrome (PCOS), urinary stress incontinence, low back pain, and many others
In a good surgical set-up and excellent team patient may be discharged in 24 hours . You could start your office/desk work after 3 days of surgery. If your job involves straining of abdominal muscles /or heavy work you may need to wait longer, possibly a week, though different patients behave differently post operatively.
Almost immediately after surgery doctors will require you to get up and move about. Patients are asked to walk or stand at the bedside on the night of surgery, take several walks the next day and thereafter.
With new modalities like Needloscopy,surgery is done using instruments as small as 3mm in diameter, the scars are barely visible with cosmetic recovery and post op pain is also relatively less.
Yes, of course but It is strongly advised that pregnancy be postponed for at least one year after surgery, as by then your body will be fairly stable and nutritional status in place with that you should be able to carry a normal healthy foetus. However,You should consult your surgeon and get evaluated before you plan for pregnancy.
As early as you are pain free and once you resume your normal activity. Vigorous sexual activity should be avoided till 2 months after surgery.
You could start driving from third day of surgery. However, it is recommended that you don’t take a long drive as it increases the chances of DVT (Deep Vein Thrombosis).
It is known that type 2 diabetes is strongly associated with Obesity and with weight loss surgery patients become Euglycaemic( plasma sugar becomes normal ).
Minimal access Surgery is advanced technique for doing all types of surgical procedures. This technique is also known as ‘Keyhole Surgery’ or Laparoscopic Surgery. A a thin telescope known as laparoscope, is inserted through small incisions. The laparoscope is connected to a tiny video camera which projects the inside view of patient’s body to a high resolution monitors in the operating room.
Small surgical instruments are then passed through one or more additional 3-5 mm incisions, through which the surgery is done. These incisions are usually covered with surgical glue and after a few weeks are barely visible thus avoiding any follow up visit for suture removal.
The major advantages of this technique over conventional open surgery are:
As complete surgery is performed using very fine instruments through 3 mm to 15mm holesin abdomen and there is no muscle cutting pain is negligible,scars are very small and indistinguishable.
Early recovery even day care surgery can be done of some of very complex diseases.
There are numerous benefits of MAS over Open surgery:
Early diagnosis and treatment.
Faster recovery with shorter hospital stay.
Minimal Pain , Minimal Scarring .
Minimal post-operative infections.