Single-Site* Gallbladder Surgery: Helping Patients Heal Faster

If you have a gallbladder attack or severe symptoms, your doctor will likely suggest surgery to remove your gallbladder, a pear-shaped organ that sits just below your liver on the upper right side of your abdomen. While this organ is part of the digestive system, it is one which you can live without. The surgery for gallbladder removal is known as a cholecystectomy.

Cholecystectomy is a common surgery, and it carries only a small risk of complications. In most cases, you can go home the same day of your procedure.

Conservative treatments, such as dietary modifications, unfortunately, usually can’t stop gallstones from recurring or causing pain and other digestive problems. Surgery is often the best or only option to relieve the discomfort of gallbladder disease. A cholecystectomy can relieve the sometimes-severe pain of gallstones.  

Gallbladder surgery can be done using open surgery (through one large incision) or minimally invasively (through a few small incisions or one belly button incision) using da Vinci Surgery or traditional laparoscopy. Most people who require gallbladder removal are candidates for the robotic, single-incision surgery. 

In some cases, one large incision may be used to remove the gallbladder. This is called an open cholecystectomy.

Present-day cholecystectomy is most commonly performed by inserting a tiny video camera and special surgical tools through four small incisions to see inside your abdomen and remove the gallbladder. Doctors call this a laparoscopic cholecystectomy. 

Surgeons using da Vinci technology can remove your gallbladder through one small incision in your belly button using Single-Site* technology, or through a few small incisions. The da Vinci System is a robotic-assisted surgical device of which your surgeon is always in 100% control. 

With the da Vinci System surgeons get:

  • A 3D HD view inside your body
  • Special wristed instruments that bend and rotate far greater than the human hand
  • Enhanced vision, precision, and control

Benefits of laparoscopic cholecystectomy can include:

  • minimal scarring
  • less pain
  • less bleeding
  • faster recovery
  • shorter hospital stays

A cholecystectomy is most commonly performed to treat gallstones and the complications they cause. Your doctor may recommend a cholecystectomy if you have:

  • Gallstones in the gallbladder (cholelithiasis)
  • Gallstones in the bile duct (choledocholithiasis)
  • Gallbladder inflammation (cholecystitis)
  • Pancreas inflammation (pancreatitis) due to gallstones

If pain from gallstones or cholecystitis are disrupting your life, schedule a consultation at VIPSurg. Dr. Tsuda and his team can determine the best method for treating your condition. Robotic surgery can get you home and back to doing what you love — quickly and with minimal pain! Call for an appointment at (702) 487-6000. 

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High Blood Pressure AKA Hypertension: What You Need to Know

High blood pressure (aka hypertension) is dangerous because it makes the heart work too hard and contributes to atherosclerosis (hardening of the arteries). It increases the risk of heart disease and stroke, which are the first- and third-leading causes of death among Americans. High blood pressure also can result in other conditions such as congestive heart failure, kidney disease, and blindness. About two-thirds of people over age 65 have high blood pressure. 

If you have high blood pressure, you and your health care provider need to work together as a team to reduce it. The two of you need to agree on goals and make a plan and timetable for reaching your goals. 

Blood pressure is usually measured in millimeters of mercury (mmHg) and is recorded blood pressureas two numbers—systolic pressure (as the heart beats) “over” diastolic pressure (as the heart relaxes between beats)—for example, 130/80 mmHg. Monitoring your blood pressure at home between visits to your doctor can be helpful. 

Being overweight or obese increases your risk of developing high blood pressure. In fact, your blood pressure rises as your body weight increases. Losing even 10 pounds can lower your blood pressure—and losing weight has the biggest effect on those who are overweight and already have hypertension.

Being physically active is one of the most important things you can do to prevent or control high blood pressure. All you need is 30 minutes of moderate-level physical activity on most days of the week. Examples of such activities are brisk walking, bicycling, raking leaves, and gardening. You can even divide the 30 minutes into shorter periods of at least 10 minutes each. 

What you eat affects your chances of getting high blood pressure. A healthy eating plan can both reduce the risk of developing high blood pressure and lower a blood pressure that is already too high. For an overall eating plan, consider the DASH diet, which stands for “Dietary Approaches to Stop Hypertension.” You can reduce your blood pressure by eating foods that are low in saturated fat, total fat, and cholesterol, and high in fruits, vegetables, and low-fat dairy foods. The DASH eating plan includes whole grains, poultry, fish, and nuts, and has low amounts of fats, red meats, sweets, and sugared beverages. It is also high in potassium, calcium, and magnesium, as well as protein and fiber. Eating foods lower in salt and sodium also can reduce blood pressure.

If you have high blood pressure, unfortunately the lifestyle habits noted above may not be enough to lower your blood pressure to a healthy level. In addition to eating healthy and staying active, you may need to take medication. There are many drugs available to lower blood pressure. They work in various ways. Often patients need to use two or more drugs to bring their blood pressure down enough to be healthy.

If you are suffering from obesity, and diet and exercise alone aren’t working to lower your weight, schedule an appointment at VIPSurg. Our experts can help you find a treatment to fits your unique situation. Call (702) 487-6000 to schedule an appointment.

Plastic Surgery After Dramatic Weight Loss

Weight loss whether through bariatric surgery or diet and exercise is truly a life changing event and a major achievement. You look and feel better and are healthier. And while most of the changes that accompany weight loss are positive, loose skin is a concern for many patients. Hanging skin can affect both comfort and self-confidence and can be a daily reminder of past obesity. 

Unfortunately, when skin has been stretched around the abdomen, arms, legs, breasts, and face, it may lose its elasticity. After significant weight loss, the skin often fails to shrink back to its former size and shape. How much this loose, saggy skin affects personal appearance can depend on age, genetics, exercise, speed of weight loss, and smoking, according to the American Society for Metabolic and Bariatric Surgery (ASMBS).

The areas of the body that most often are affected by excess skin include:

  • Abdomen
  • Breasts
  • Buttocks
  • Face
  • Groin
  • Thighs
  • Neck
  • Upper arms

For some people, weight loss might be gradual enough that skin adjusts along with weight loss. For others, the loose skin can be hidden with clothing and compression garments. But when that isn’t enough to manage the problem, plastic surgery might be a logical next step.

The best time to consider plastic surgery in when you are as close to your goal weight as possible and are weight stable. Surgeons often recommend waiting at least 18 months before having surgery to remove or reduce excess skin because the more weight you lose, the more excess or saggy skin you could have.

 The goal of plastic surgery after dramatic weight loss is to restore attractive proportions by removing the sagging skin that creates a misshapen contour. Although these procedures leave scars, most patients find them to be an acceptable tradeoff for an improved appearance.

As with all major decisions, it’s always advisable to consider the positives and negatives:

Pros

  • Gets rid of loose skin so you can fit into your clothes better.
  • Gets rid of overhanging skin that might be causing painful chafing, rashes, and infections.
  • Improves your self-esteem.

Cons

  • Surgery results may not meet your expectations.
  • You will have permanent scarring.
  • Your surgery results may be affected by weight gain, aging, and lifestyle choices.

If you are considering plastic surgery to improve your body contour, these characteristics make you a good candidate:

  • Your weight has been stable for at least six months with no further weight loss expected. 
  • You are in overall good health without chronic medical conditions, such as diabetes or heart disease. 
  • You have a healthy diet; problems such as protein deficiencies can interfere with healing.
  • You do not smoke; smoking slows down the healing process and increases the risk of serious complications during and after surgery. If you smoke, you must quit at least six weeks before surgery.
  • You have mental stamina; surgical contouring procedures require patience and endurance.
  • You have realistic expectations; surgery will lead to marked improvements in your shape, but it is impossible to restore the skin or body to what it would have been without the weight gain. Even after body-contouring surgery, skin continues to sag over time as part of normal aging.

If you are considering bariatric surgery in the Las Vegas area, schedule a consultation at VIPSurg. Our doctors and expert team can help you find the right treatment for your unique situation.

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