Single Incision Laparoscopic Surgery in Tijuana (SILS)
In recent years single-incision laparoscopic surgery (SILS) has emerged as another modality of carrying out the bariatric procedures.
Minimally invasive procedure in which the surgeon operates almost exclusively through a single entry point, typically the patient’s umbilicus. Special articulating instruments and access ports eliminate the need to place trocars externally for triangulation, thus allowing the creation of a small, solitary portal of entry into the abdomen.
The Single Incision Laparoscopic Surgery (SILS) involves performing surgical intervention, through a single incision in the umbilical region, this results in a shorter recovery time, reduced post-operative discomfort, and minimal scarring with the same weight loss results.
Benefits of Single Incision Laparoscopic Surgery (SILS) in Tijuana:
- Better cosmetics
- Less blood loss
- Faster recovery
- Less complications
- Early return to work
- Versatility
- Better patient acceptance
- Easy tissue retrieval
Who is candidate for a SILS?
Are you struggling to lose weight but are anxious about weight loss surgery?
SILS provides a less invasive way to complete gastric sleeve surgery and help you reach your weight loss goals.
This is recommended for patients with BMI less than 36%
Its important that the patient doesn’t have a bariatric or abdominal surgery before
The Advanced Tool That Makes SILS Possible
Adicional benefits of SILS Tijuana
Less invasive surgery (Compared to conventional technique)
Because the procedure is performed laparoscopically, it is less invasive and less risky than open surgery.
Less recovery time
Patients who undergo single-incision laparoscopic surgery can expect less recovery time and post-operative pain.
Aesthetic Wise
SILS only requires a single incision through the belly button, so there is virtually no scarring after surgery.
Meet Our Tijuana SILS Specialist
Dr. Andres Moreno
We are honored that you have taken the time to learn more about Dr. Andres Moreno and the passion he has for transforming the lives of his patients.
• General Surgery Mexican Council
• General Surgery Mexican Association
• Basic and Advanced Laparoscopic Surgery (UNEME)
• Advanced Trauma Life Support, American College Surgeons
• Preopeperative Nutritional Support, The European Society for Clinical Nutrition and Metabolism (ESPEN)
• Clinical Immersion of hernia laparoscopica, Hospital Angeles Tijuana, Medtronic
• Program safe colecistectomy, Asociación mexicana de Cirugía (AMCG) y Society of American Gastrointestinal and Endoscopsic Surgeons (SAGES)
• Bariatric Surgeon Certified by General Surgery Mexican Council
• Member of Mexican College of Obesity Surgery and Metabolic Diseases (CMCOEM)
• Member of Mexican College of Obesity Surgery and Metabolic Diseases (CMCOEM)
Single Incision Laparoscopic Surgery Testimonials
Single Incision Laparoscopic Surgery Success Cases
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Single Incision Laparoscopic Sleeve in Tijuana FAQ'S
4 weeks before surgery
- Stop smoking or vaping (smoking slows down healing, potentially it coul cause tissue necrosis and stomach leak)
- Stop all pregnancy preventive oral medication and hormonal medication at least 3 or 4 weeks (hormonal medication increase blood clots risks)
- Stop consuming alcohol
- Stop beverages with caffeine, that includes energy drink (at least 2 weeks before surgery)
- Star walking or doing elliptical for 30min daily, patients with cardiovascular or joint diseases can inflate a balloon 5 times, 3 times a day.
- Star taking a multivitamin
1 week before surgery
- Stop all NSAIDs (Aspirin, baby low-dose Aspirin, Advil, Aleve, Ibuprofen, Nuprin or any other non-steroidal anti-inflammatory medication, this includes most arthritis medication). For headache or minor pains, you may use Tylenol (including the day of surgery)
- Regardless whether you have acid reflux/ heartburn or not, star taking Omeprazole ( 1pill 20mgs twice a day or 40mgs 1pill a day) in order to decrease stomach acidity and later acid reflux, nausea, inflammation, and swelling caused by the procedure.
3 days before surgery
- Star Full liquid diet
- The purpose of the liquid diet is to cleanse your stomach pouch an bowel from any kinds of solids; to reduce the amount of stomach acid produced, thus decreasing chances of having heart issue after surgery.
- It’s very important that you drink lots and lots of fluids during these period in order to be well hydrated for the day of your surgery
Day Trip to surgery
- Wear compression stockings (medium pressure, knee high), during your flight, practice leg muscle contraction during flight, get up and move every 45minutes, move your feet, theses are blood clot preventive measures.
- Wear comfortable clothes
- Continue the liquid diet
Surgery Day
- Stop drinking at midnight the night before surgery, if your surgery is in the afternoon your allowed to drink water during the day
- You may take medication for high blood pressure, anxiety or antidepressant as indicated by your physician early in the morning with a small glass of water
- You may brush your teeth normally
- Take a shower with soap the night before surgery or in the morning
- Take off all jewelry and contact lenses, if you cannot take your ring off, or piercing, anesthesiologist will wrap a pice of tape around it to protect your skin from burns. However in rare cases jewelry may interfere with the electrocautery machine an may need to but off.
- You may have acrylic/gel/polished nails but short (1/4 of inch). If your nails are too long, the oximeter will fall off and the nurses will have to shorten your index finger nail.
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From the first day of discharge, we recommend physical exercise appropriate to the patient, age and degree of obesity. Progressive moderate exercise (including swimming) can be performed at four weeks. Very competitive exercise should also wait 6 weeks.
Approximate weight loss: Type of Operation Lap Band: 50-55% of excess weight to be lost× Gastric Sleeve: 65-80% of excess weight to be lost× Gastric Bypass: 70-85% of excess weight to be lost Most weight loss occurs within the first 6-10 months in most patients. – “Weight loss in individual patients may vary depending on medical history and adherence to medical indications.”
Patients are usually admitted the evening before surgery. Most patients remain in the hospital for 2-3 days.
The complications of these procedures are similar to any other abdominal surgery and include bleeding, infection and obstruction. It will also depend on the associated comorbidities. However, these surgeries are no less safe than other techniques, and their risks are generally lower than leaving morbid obesity untreated.
The three types of obesity intervention that we perform require a period of adaptation in the diet after the operation. First a liquid diet is taken, then semi-liquid, soft, semi-soft and finally normal. During the period of liquid and semi-liquid diet, the patient must take “food supplements” which are purchased in pharmacies. The patient eats normally after 5-6 weeks.