Editing Gastric band (section)

== Technique for placement ==

* Supine, generally with     surgeon on right and assistant on left
*
* Place gastric band in     peritoneum
* Divide gastrohepatic     ligament/pars flaccida , checking for anterior branch of vagus nerve and     aberrant left hepatic artery
* Expose right crus of     diaphragm
* Blunt dissect under     oesophagus to reach the left crus and stomach at Angle of His
* Pull the narrow end of the     band through this tunnel, from left to right
* Thread the band through     locking mechanism, and adjust buckle so that it lies on the lesser curve.     Ensure you can pass a 5mm grasper between the band and the stomach.     Plicate the anterior stomach wall over the band with interrupted sutures.
* Pull the silastic tubing     through the paramedian port, and connect it to the access port, which is     secured to anterior rectus sheath. Avoid kinking of tube.