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Obesity Surgery

, Volume 19, Issue 4, pp 500–503 | Cite as

Minimal-Scar Laparoscopic Adjustable Gastric Banding (LAGB)

  • Eungkook Kim
  • Dohyoung Kim
  • Sangkuon Lee
  • Hongchan LeeEmail author
Research Article

Abstract

Background

Laparoscopic adjustable gastric banding (LAGB) is the most commonly performed bariatric operation in Korea. Occasionally, patients have expressed their dissatisfaction with visible scars on the access port area and other port entries after undergoing LAGB.

Methods

Fifty-one “minimal-scar” LAGB operations were performed beginning in 2006 with a goal of minimizing visible scars, and 31 LAGB operations with a conventional port placement technique were performed previously during the first 3 years of our practice (2003–2005). We retrospectively assessed access port complications and difficulties in saline filling for band adjustment procedures using the two different port access techniques.

Results

Operating time, hospital stay, etc., were similar in both groups. The incidences of port complications (infection, seroma, malposition, etc.) were not increased by employing a port in the supraumbilical area using the minimal-scar LAGB technique.

Conclusions

The use of minimal-scar LAGB resulted in a natural-looking and nearly invisible scar around the umbilicus. We submit that it is a feasible and attractive method that facilitates easy access for postoperative band adjustment.

Keywords

Morbid obesity Bariatric surgery 

Notes

Disclosure

Neither Eungkook Kim nor any coauthors have any conflict of interest—including funding for the research, membership in any speaker’s bureau or corporate advisory committee, stock holdings, or travel support—with Allergan (LAP-BAND), Sejong Medical Co. (Laport®), Ethicon Endosurgery, or US Surgical.

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Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Eungkook Kim
    • 1
  • Dohyoung Kim
    • 1
  • Sangkuon Lee
    • 1
  • Hongchan Lee
    • 1
    Email author
  1. 1.Division of Laparoscopic & Bariatric Surgery, Department of Surgery, St. Mary’s Hospital, College of MedicineThe Catholic University of KoreaSeoulSouth Korea

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