Frenchfr-FREnglish (UK)

My Surgery

The first surgical consultation

This preparation time is essential and requires real commitment on your part. Over several months, you will meet various professionals who are members of a multidisciplinary team (surgeon, nutrition doctor, dietician, psychiatrist or psychologist, anaesthetist, etc.) who will provide you with information and examine you.

They will also request various examinations (blood tests, upper gastrointestinal endoscopy and, if necessary, X-rays, assessments of respiratory and cardiac function, pregnancy test and an examination of the mouth and teeth).

The objectives of these investigations are to make: 

  • A complete assessment of your state of health in order to treat the disorders you may be suffering from (nutritional or vitamin deficiencies, diabetes, high blood pressure, high cholesterol levels, cardiac disorders, sleep apnoea syndrome or other respiratory problems, joint disorders, etc.)
  • An assessment of your physical activity and eating habits
  • Information on pregnancy and contraception for women of childbearing age

During this preparation phase, it is useful to meet patients who have already been operated on. On completion of the preparatory phase, the multidisciplinary team makes a decision and tells you if you apply or not, and to which surgery. You will then receive the adequate complementary information and advice to get ready.

The second surgical consultation

It is during that second consultation that is scheduled the day of the surgery, its type. It is a decision taken by both the surgeon and the patient.

  • It is the time for additional preparations and appointments: with the cardiologist; with the anaesthetist; with the lung specialist to evaluate the patient respiratory ability and a possible apnoea syndrome, a common related disease to obesity.

  • The surgeon sends the completed assessment to your regular health practitioner

  • You are given an appointment to be admitted at the clinic the day before surgery

  • You are required to sign an informed consent certifying that you have been thoroughly informed of the surgical risks

  • The secretary sets with you all the administrative documents such as the prior agreement request with the national health insurance

The D DAY

The day of your admission at the clinic, the day before surgery, the secretary verifies your file with you. She explains you the modalities of your stay. You must take a shower with Betadine (disinfectant liquid soap) in the evening and then again in the morning the day of surgery. That evening, you eat a light meal. A nurse shaves for you the operative field. You must wear compression stocking to prevent phlebitis.

In the morning, at about 7 30 am*, you go down to the surgical unit where you will be managed by the block nurse, the anaesthetist then the surgeon. Surgery lasts about an hour for a gastric band or sleeve to two hours for a mini-bypass. It is done under general anaesthetic and by coelioscopy (unless particular contra-indication). That last technic is recommended for it minors the pain and helps a faster recovery to normal activity.

After surgery, you will stay in recovery room for an observation time before you may get into your room in best condition. You are given painkillers. The surgeon and anaesthetist visit you regularly. Once in your room, you are under permanent narrow follow until at least the next day. Nurses measure your vital constants (blood pressure, pulse, respiration rate).

 

*Usual planning conditions

More in this category: Do I apply? »