The LAP BAND System is usually placed laparoscopically. Laparoscopic surgery requires general anesthesia. First the surgeon makes a few small incisions in the abdominal wall and inserts narrow, hollow tubes. Thin surgical instruments are then passed through the tubes. The surgeon can see inside the abdomen by using a small camera that also goes through the tubes. The picture the camera takes is shown on a monitor that is like a TV screen. This technique is called "laparoscopy" and is considered "minimally invasive."
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There are clear advantages to this kind of surgery. In an "open" surgery, a larger incision is made. After a laparoscopic surgery, most people feel much less pain. There are fewer wound complications. Patients also recover faster and are able to resume normal activities sooner.
Sometimes, for a variety of reasons, the surgeon may need to make the larger incision to place the LAP BAND System. The surgeon may need to decide this during the operation. Both techniques are discussed in this webpage. You and your surgeon should decide together what plan is best for you.