Dr. Jean-Yves Le Goff
THE SURGERY le goff technique
THE SURGERY
MAIN STAGES OF THE OPERATION
Obesity surgery in Paris
Patient fasted for 7 hours prior to surgery of all food and unclear drinks, and nil by mouth for 3 hours prior to surgery (no coffee, tea or fruit juice)
Arrival at the clinic and installation in a private or shared room
On admission, the patient signs the consent forms
Verification of the biological examinations by the nurse
Patient prepared for the operating theatre (iodine, shaving if necessary, gown, compression stockings, etc.)
Patient brought to the theatre on a stretcher
In the recovery room, the anaesthetist places a venous catheter. Pre-anaesthesia medication is administered
Installation on the operating table in the gynaecological position with the dressings nurse, porter and assistant (the screen is placed at the patient’s left shoulder, the surgeon standing in the “French position” along the stomach axis)
General anaesthesia administered by the anaesthetist and possible anaesthesia nurse
Surgery during 1½ to 2 hours by the surgeon and his assistant
Patient is placed in the recovery room for extubating by the anaesthetist and the recovery nurse
Monitoring in the recovery room until fully awake for minimum 1½ to 2 hours
Return to the ward by porter
Patient put to bed by stretcher-bearer and ward nurse
Prescription for antalgics, anticoagulants and possibly antibiotics, antisecretory medication and treatment for any pathologies
Monitoring for the effectiveness of antalgics on a pain scale (laparoscopic surgery is usually pain-free) and post-operative tolerance
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