This comprehensive animation, features four main scenes of information, each describing the events which occurred during an abdominal gastroplasty and its subsequent conditions and surgeries.
Scene 1- Features the following elements from : Laparoscopic vertical banded gastroplasty (VBG or stomach stapling). It contains the step by step elements: window cut in upper stomach, stomach stapled to form a pouch, Gore-Tex band placed, food moves from pouch into lower stomach.
Scene 2- Features elements from : Laparoscopic Revision of VBG to Roux en Y. It contains the step by step elements: Multiple laparoscopic instruments placed, small bowel divided, Jejuno-jejunostomy (JJ) created, Gore-Tex band removal, gastric pouch creation, stomach resection, bowel mobilized and attached to gastric pouch, subsequent 180° twist in proximal bowel, kink in lower bowel, subsequent obstructed flow.
Scene 3- Features the following elements from : Surgery- Mechanical Bowel Obstruction.
It contains the step by step elements: Open incision with exposure of the abdominal contents, new anastomosis at distal bowel kink site, 180° twist is left uncorrected.
Scene 4- Features the following elements from : Surgery- Repair of twist in roux limb.
It contains the step by step elements: Resection of 180° twist in proximal bowel, bowel mobilization, and finally creation of a new anastomosis.