Vagal Nerve Blocking Therapy for Weight Loss: Laparoscopic Technique for Placing Neuroregulator and Leads

Contributors: Shaina Eckhouse, Daniel Guerron, Keri Seymour, Ranjan Sudan , Jin Yoo, Chan Park , and Dana Portenier.

The present video illustrates the technique utilized to place a vagal nerve stimulator for weight loss in a morbidly obese patient. As most surgical trainees do not routinely perform truncal vagotomy, laparoscopic or otherwise, the technical goal of this video is to depict the surgical technique needed to laparoscopically identify and work with the anterior and posterior vagus nerves.  Vagal nerve blocking therapy is one of many procedures used for surgical weight loss. In the present case, the weight loss achieved was less than that seen with a gastric bypass or sleeve gastrectomy over a comparable time period.

Laparoscopic Management of Hemoperitoneum Occurring As A Complication of Sleeve Gastrectomy

A laparoscopic approach was used to evaluate and manage hemoperitoneum that occurred in a 50 year-old woman who had undergone recent sleeve gastrectomy complicated by pulmonary embolism and hemoperitoneum.  This case illustrates an important complication of laparoscopic sleeve gastrectomy, the usefulness of laparoscopy for managing complications of bariatric surgery, and the challenge of laparoscopy in an peritoneum filled with a significant quantity of blood.

Authors: Donald Q Brubaker, BA – West Virginia University.  Nova Szoka, MD – West Virginia University.

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