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 Minimally invasive or laparoscopic surgery will accomplish the same operation and results of open surgery without major, long incisions. This technique results in reducing the amount of pain and promotes early recovery with reduction in later complications like hernias and adhesions. Also, early ambulation after laparoscopic surgery reduces the chances of the patient developing lung complications like atelectasis, pneumonia, blood clots, and pulmonary embolus.
Laparoscopic procedure uses a video camera and small tools to make delicate incisions. This technique can be done to almost every type of general surgery; of course, the most popular one is Cholecystectomy (removal of gallbladder), Hiatal Hernia and Anti-reflux surgery. Other procedures include gastric bypass roux-en-y, adjustable gastric banding, gastric sleeve, removal of appendix, hernia repairs, removal of colon-partial or complete due to tumor (either benign or malignant), removal of spleen, adrenal gland tumors, and kidney removal or harvesting kidney from a live donor
Laparoscopic surgery requires a high degree of skill; that is why not every surgeon is capable of performing all of these procedures laparoscopically.
Dr. Jawad has been pioneering in laparoscopic surgery since 1990. He has presented both nationally and internationally over forty papers on laparoscopic surgery. He performed the first laparoscopic appendectomy and first laparoscopic colon resection in the Marion County area in 1991.Since this time, he has performed over six thousand laparoscopic procedures of different kinds.
Approved by the FDA in June 2001, the BioEnterics LAP-BAND Adjustable Gastric Banding System is the newest and the only adjustable surgical treatment for morbid obesity in the United States. It induces weight loss by reducing the capacity of the stomach, which restricts the amount of food that can be consumed. Since its clinical introduction in 1993, more than 100,000 LAP-BAND procedures have been performed around the world.
Laparoscopic vs Open Gastric Bypass
 Laparoscopic Surgery is a new advancement in surgical technology. Utilizing the new techniques offered by this technology, surgery has become less invasive and more comfortable and precise.
These techniques have allowed laparoscopic cholecystectomy to become the gold standard in gall bladder surgery. Utilizing the laparoscopes and a video camera allows the surgeon to see more and reach different angles in the abdominal cavity with more ease. Traditional open surgery uses a large instrument to retract the opening and can cause accidental injuries to other organs like the spleen or liver. By using the camera and small scopes, these injuries are greatly reduced.
The advantages of laparoscopic surgery over traditional open surgery are tremendous. Laparoscopic surgery uses multiple tiny incisions ranging between ¼ to ½ inches instead of the long incisions in traditional open techniques which range from 4 to 12 inches. This allows laparoscopy to reduce the chance of:
- Wound infections
- Wound disruption
- Incisional hernias
- Scarring and disfiguring associated with long incisions
These multiple small incisions are also less painful to the patient and allow the patient to breathe easier and deeper after the procedure. This reduces the chance of:
- Pneumonia
- Atelectasis (collapse of air sacs in lungs)
- Respiratory failure
The reduced pain allows early mobilization of the patient reducing the chances of deep vein thrombosis and pulmonary embolisms which are blood clots in the legs and lungs. Early mobilization also allows the patient to return to normal functions in as little as two weeks compared to four to six weeks after open surgery.
Laparoscopic surgery leaves the bowel untouched by the surgeon's hand reducing the chances of adhesion, which is scarring in the abdomen and future small bowel obstructions.
Laparoscopic surgeries, General or Bariatric, in experienced hands have produced safer, more effective results than the traditional open technique.
Dr. Jawad has been performing Laparoscopic surgery since 1990. He performed the first Laparoscopic appendectomy and Colon surgery in Ocala in 1991. Since then he has performed over 6,000 laparoscopic procedures. He has been performing Laparoscopic Gastric Bypass since 1999 and has performed over 1,000 procedures. His success rate has earned him numerous awards and achievements. He is considered one of the top surgeons in Bariatric surgery.
Non-Surgical Treatment
Dieting, exercise, and medication have long been regarded as the conventional methods to achieve weight loss. Sometimes, these efforts are successful in the short term. However, for people who are morbidly obese, the results rarely last. For many, this can translate into what's called the "yo-yo syndrome," where patients continually gain and lose weight with the possibility of serious psychological and health consequences.
Recent research reveals that conventional methods of weight loss generally fail to produce permanent weight loss. Several studies have shown that patients on diets, exercise programs, or medication are able to lose approximately 10% of their body weight but tend to regain two-thirds of it within one year, and almost all of it within five years.1 Another study found that less than 5% of patients in weight loss programs were able to maintain their reduced weight after five years.2
Surgical Treatment
Over the years, weight-loss surgery has proven to be a successful method for the treatment of morbid obesity.3 Surgical options have continued to evolve and the Bariatric and Laparoscopic Center of Ocala is pleased to be able to offer patients the both Laparoscopic Roux-en-y Gastric Bypass, the adjustable gastric-band and the gastric sleeve surgery.
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