Surgical Procedures for Accessing the Abdominal Cavity

Initial Access

• Small incisions are made on the abdomen.
• Trocars are placed into the incisions to serve as passageways for surgical instruments.
• Surgical instruments are inserted through the trocars into the abdominal cavity.

Examination and Preparation

• The surgeon examines the abdominal cavity using a laparoscope or video camera.
• A tunnel is created behind the stomach in preparation for the band.

Realize Band Placement

• The Realize band is introduced to the abdomen through a trocar.
• Positioned around the upper portion of the stomach and secured with a locking mechanism.
• A tube attached to the Realize band connects to an injection port.
• The port is used to adjust band tightness after surgery.

Injection Port

• An incision is made on the upper abdomen to insert the Realize injection port beneath the skin.
• The tube is secured using a locking connector on the port.
• Injection port and tube are placed beneath the skin.

Functionality of the Realize Band

• The Realize band does not alter digestive function.
• Food passes through the digestive tract normally.

Band Adjustment

• Surgeons may tighten the Realize band by injecting saline into the injection port.
• Saline travels through the tube to the band, creating a smaller upper stomach pouch.
• This smaller pouch restricts food intake, promoting a sense of fullness.

Post-Surgery Considerations

• Behavior modification and dietary compliance are crucial for long-term success.
• Surgery presents risks, with weight, age, and medical history affecting individual risk levels.
• Consult a doctor to determine if bariatric surgery is appropriate.