title: Difficulties of bariatric surgery after abdominoplasty.
abstract: During laparoscopy, the main problems of patients who have undergone previous abdominoplasty are inadequate pneumoperitoneum secondary to fibrosis and reconstructed anatomic landmarks for trocar placement. In this study, we present our laparoscopic bariatric experience in two patients with previous abdominoplasty. The procedures were a laparoscopic sleeve gastrectomy and a robotic Roux-en-Y gastric bypass. Both operations were done successfully by an abdominal wall traction technique, cutting fibrotic tissue and choosing new landmarks. We conclude that after abdominoplasty bariatric surgery can be performed safely either using conventional laparoscopic technique or robotically.
authors.affiliation: Department of General Surgery, Fatih Sultan Mehmet Training and Research Hospital, 34752 Istanbul, Turkey.
authors.forename: Bora
authors.identifier: 0000-0001-9396-6055
authors.initials: B
authors.lastname: Karip
authors.affiliation: Department of General Surgery, Liv Hospital, 34340 Istanbul, Turkey.
authors.forename: Hasan
authors.initials: H
authors.lastname: Altun
authors.affiliation: Department of General Surgery, Fatih Sultan Mehmet Training and Research Hospital, 34752 Istanbul, Turkey.
authors.forename: Yalın
authors.initials: Y
authors.lastname: Işcan
authors.affiliation: Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
authors.forename: Martin
authors.initials: M
authors.lastname: Bazan
authors.affiliation: Department of General Surgery, Fatih Sultan Mehmet Training and Research Hospital, 34752 Istanbul, Turkey.
authors.forename: Kafkas
authors.initials: K
authors.lastname: Celik
authors.affiliation: Department of General Surgery, Fatih Sultan Mehmet Training and Research Hospital, 34752 Istanbul, Turkey.
authors.forename: Yetkin
authors.initials: Y
authors.lastname: Ozcabı
authors.affiliation: Department of General Surgery, Fatih Sultan Mehmet Training and Research Hospital, 34752 Istanbul, Turkey.
authors.forename: Birol
authors.initials: B
authors.lastname: Ağca
authors.affiliation: Department of General Surgery, Fatih Sultan Mehmet Training and Research Hospital, 34752 Istanbul, Turkey.
authors.forename: Kemal
authors.initials: K
authors.lastname: Memişoğlu