WHAT WE HAVE FIGHT FOR…..
What We Have Fight For! OUR “WAR” since The Beginning:
It has been a very long and arid road to the laparoscopic knowledge as we know it now days and the battle continues in several different fronts.
It Haven’t been easy at all!
When we started doing laparoscopic surgery the doctors without the laparoscopic training jump over our jugular veins stating that the open surgery had a better view from above the big incision then from the tiny camera’s panoramic view and the sense of touch was lost by using instruments instead of the fingers tips. They stated we were increasing unnecessary risks to any procedure by doing so.
Time prove they were wrong about both concepts. The view is much better with the cameras moving in all possible angles and the tip of the instruments act as well as the finger tips do after you get trained.
We also were pointed out like non professional doctors because of been doing laparoscopic surgery in the elderly, in the young and in the obese patients. The patients under this category were forbidden for having laparoscopic procedures of any kind in all mayor hospitals.
Time also prove they were all wrong. Now, everybody knows is the best option for them and the hospitals now are surprised when procedures of any kind are not done using laparoscopy.
When the Inamed Lap Band was approved by the FDA we believed that the Lap band was of poor design with a very small high pressure balloon, with a short very rigid ring and that this band was prone to produce slippage by its own build characteristics and that was very short for big patients.
We were promoting a kind of Band that was developed in Europe, a better quality band with much softer ring and also with a bigger-low pressure balloon to adjust to any stomach size.
Many Mexican Doctors (The American Doctors had this only model) and patient coordinators trying to have more patients for their practice regardless of the information we all have available at that time did not care about patient’s early and late complications but for having more patients and for make more money without caring the final outcome. They blame us for using a lap band that was not approve by the FDA.
The time prove again that the most used band in the world was the one we promote as a better band and just few years ago this band was bought by Johnson and Johnson and now is in the US market as the Realize Band.
Inamed (Now Allergan) have 4 different models of Lap band trying to resemble the Realize band.
We were doing Bariatric procedures specifically Gastric Banding in patients with a BMI lower than 35 and had all kind of critics frequently coming from this “Doctor’s facilitators” or “Doctors Coordinators” through out the internet in their fight to get more patients their way disqualifying what we were doing and by driving patients to another doctor’s way because we were unprofessional.
We still believe and now is accepted by the medical community that preventive medicine is better than waiting 5-10 years for the patient to have co-morbidities or to reach the “require” weigh excess to have the surgery if we can act before that happens.
Now days not only the Gastric Band is accepted for patients with BMI less than 35 but also more drastic procedures including Gastric Bypass, Duodenal Bypass, Gastric Sleeve and Duodenal Exclusion specially if you are looking for your patient to obtain the Metabolic Effect from this procedures to cure Type2 Diabetes, High blood pressure and High Cholesterol (the Metabolic Syndrome).
Dr. Arturo Rodríguez