Revision Surgery

What is Revision Surgery?

Bariatric surgery is a successful tool for combating obesity and weight gain. However, additional procedures may be needed after bariatric surgery to manage complications, side effects of surgery, or inadequate weight loss or weight regain.

Revision surgery is performed to modify or correct a previous bariatric weight loss surgery. It is typically recommended when the initial procedure did not achieve the desired weight loss results or when complications have arisen that require surgical intervention.

No matter the problem, at 360 SURGERY, we are here to help get you back on track. Speak to our specialists about the options available and how we can help you.

Who is Suitable for Revision Surgery?

Revision surgery may be suitable for individuals who:

• Have previously undergone bariatric weight loss surgery and did not achieve the desired weight loss
• Have experienced weight regain after initial successful weight loss.
• Have developed medical conditions or complications related to the initial procedure that can be corrected surgically
• Have anatomical changes or structural issues that require surgical correction.

Types of Revision Surgery

There are various types of revision surgery, depending on the specific indications and individual needs. Some common types include:

• Conversion Surgery
• Gastric Band Removal
• Stoma Resize or Revision
• Band Over bypass
• Hiatal hernia repair

Alternative Options for Revision Surgery 

In some cases, revision surgery may not be the only option for individuals who require further intervention after their initial bariatric weight loss procedure. Alternative options may include:

• Medical Weight Management Programs: These programs provide comprehensive support and guidance for weight loss through dietary counselling, exercise plans, behaviour modification strategies, use of medication and ongoing monitoring by healthcare professionals.
• Non-Surgical Interventions: Endoscopic procedures may be recommended to address specific complications or concerns without requiring revision surgery.

What to Expect After Revision Surgery?

Postoperative procedures and instructions will vary depending on the surgery. Most patients must take time off work and prepare for several weeks of rest. Typically patients should also expect to return to a post-bariatric surgery diet of liquids that advance to pureed, soft and finally, healthy regular foods. Generally, weight loss will be less extensive after revision surgery than after primary surgical procedures. Your surgeon will discuss the specifics of postoperative care with every patient.

Revision Surgery Care Plan

A comprehensive care plan is essential for a successful recovery and long-term weight loss after revision surgery. Here are key elements that may be included in your care plan:

• Nutritional Guidance: A registered dietitian will provide personalised dietary guidelines, emphasising proper nutrition, portion control, and mindful eating habits. They will work with you to ensure you meet your nutritional needs and support your weight loss goals.
• Regular Follow-up Appointments: You will have scheduled follow-up appointments with your bariatric surgeon and healthcare team to monitor your progress, address any concerns, and adjust your care plan.
• Psychological Support: Emotional support is important during the revision surgery journey. Counselling services or support groups can provide guidance and support as you navigate the emotional aspects of the process.
• Physical Activity Recommendations: Your healthcare team will provide guidelines for gradually increasing physical activity based on your recovery progress. Regular exercise is crucial for long-term weight maintenance and overall well-being.
• Monitoring and Surveillance: Ongoing monitoring of your weight, nutritional status, and overall health is important to identify potential complications or issues and intervene early if necessary.

Revision Surgery Risks

Revision surgery carries a higher risk of complications than primary bariatric surgery. Your surgeon will discuss the specific risks, benefits and alternatives with you, and you will be allowed to ask questions to ensure you can make an informed decision.