Revisional Surgery

Frequently Asked Questions

Q: What is Revisional Bariatric Surgery?
A: While bariatric surgery provides excellent result for most patients, some patients -- particularly those who may have had an outmoded operation performed many years ago -- may not have had the positive outcome they expected. If you have had a bariatric operation in the past, but have not achieved successful weight loss, you may be a candidate for a revisional operation.

Patients who underwent "stomach stapling" (vertical banded gastroplasty, or VBG) and are left with inadequate weight loss may be a candidate for a later gastric bypass or a BPD procedure.

It is important to understand that any revisional procedure is a very major operation, with risks that are greater than for a primary procedure.


Q: What is laparoscopic surgery?
A: In traditional open surgery, a large incision is made on the abdominal wall in order to gain access to the abdominal organs. In contrast, laparoscopic surgery is performed through several very small incisions.

A laparoscope, or surgical telescope, is inserted through one of these incisions so that the entire surgical team can see the internal organs displayed on a color TV monitor. Narrow instruments, also 1/4" to 1/2" in diameter, are inserted through other small incisions to cut, staple, clip and sew. Using very sophisticated instruments, advanced laparoscopic surgeons can perform almost any abdominal operation through the laparoscopic approach.

Laparoscopic surgery has a number of advantages over open surgery:

Faster Recovery 
Because the incisions are much smaller, patients are able to return to work and normal activities much more quickly than after open surgery.

Less Pain 
Smaller incisions hurt less than large incisions. Fewer Incision-Related Problems: A small incision is less likely than a larger incision to become infected or develop a hernia. This is particularly true with bariatric surgery patients, since the abdominal wall is thicker.


Q: What is Open Surgery?
A: Open (or "traditional") surgery is performed through a large incision, allowing the surgeon to directly access the abdominal organs. This is the method that has been used for hundreds of years.The advantage of open surgery is that it allows the surgeon's hands to enter the abdomen. Thus, the surgeon can easily access the abdominal organs and examine them by touch. There are still some surgeons who only use open surgical techniques.The obvious downside of open surgery is that it requires a large incision. This is more painful and requires more recovery time than the laparoscopic approach.

Surgical Weight Loss Procedures Performed

Roux-en-Y Gastric Bypass

This procedure, often called gastric bypass, was developed in 1967. The operation creates a small upper-stomach pouch (less than one ounce) that limits food eaten and makes you feel full and satisfied with only a small amount. Also, not all food is digested because part of the small intestine is bypassed. This decreases the amount of calories that are absorbed. This procedure is performed at Backus Hospital, Hartford Hospital and Midstate Medical Center.

Sleeve Gastrectomy

Sleeve gastrectomy is a restrictive bariatric surgery. During this procedure, the surgeon creates a small, sleeve-shaped stomach. This limits the amount of food that can be eaten, yet makes you feel full and satisfied. The intestines are not bypassed in this procedure, which is performed at Backus Hospital, Hartford Hospital and Midstate Medical Center.

Adjustable Gastric Band

The adjustable gastric band (LAP-BAND®) is a device surgically applied to the upper part of the stomach to restrict the amount of food entering the stomach. A small port, placed under the skin in the abdomen, allows adjustment of the band's size. Frequent follow-up in the office is needed initially after this procedure. The placement procedure is performed at Hartford Hospital. Follow-up care for a patient with an adjustable gastric band can be provided at all Surgical Weight Loss programs.

Orbera® Intragastric Balloon

A new option in weight-loss surgery, the Orbera® intragastric balloon, is inserted into the stomach and inflated so that it will restrict the amount you can eat and reduce hunger. The balloon is placed for six months, then removed. Our team works with you for a year after the balloon is placed to support your weight loss, diet, and exercise. This procedure is performed at Hartford Hospital.

vBloc® Neurometabolic Therapy

This newer, innovative weight-loss therapy relies on a pacemaker-type device that blocks hunger signals between the brain and stomach. You'll feel fuller longer and reduce the amount of food you want to eat. This procedure is performed at Hartford Hospital.

Revisional Surgery

You may be a candidate for a revision of your original bariatric surgery if you're having physical problems. Revisions are performed on a case-by-case basis after a thorough work-up. Failure to lose weight or weight regain does not always require a revision. Our teams are committed to working with patients to lose weight and improve their quality of life. We offer a comprehensive approach to long-term weight management. All our programs accept transfer patients, too. If you are from another program or new to the area, just call one of our offices to discuss a possible transfer in care. Revisional procedures are performed at Backus Hospital, Hartford Hospital and Midstate Medical Center.


Meet our Revisional Bariatric Surgery Specialists:

Name Specialties Location
Benbrahim, Aziz, MD, FACS, FASMBS
203.238.2691
  • Bariatric Surgery
  • General Surgery
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  • Meriden
  • Meriden
  • Southington
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Hannoush, Edward J., MD
860.224.5161
  • Bariatric Surgery
  • General Surgery
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  • Farmington
  • Farmington
  • Hartford
  • Southington
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Papasavas, Pavlos K., MD, FACS, FASMBS
860.246.2071
  • Bariatric Surgery
  • General Surgery
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  • Glastonbury
  • Farmington
  • Hartford
  • South Windsor
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Tishler, Darren Scott, MD, FACS, FASMBS
860.246.2071
  • Bariatric Surgery
  • General Surgery
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  • Glastonbury
  • Enfield
  • Farmington
  • Farmington
  • Manchester
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Yardan, Christopher, DPM
203.265.4814
  • Podiatry
  • Wallingford
Young, Ricardo, MD, FASMBS
860.425.8740
  • Bariatric Surgery
  • Norwich

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