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Adjustment of Laparoscopic Banding Device with the Aid of an Angiographic Compression Device

Colin K. F. Tan1,2 and Graham D. Walker1,2

1 Radiology Department and the Wesley Medical Centre, The Wesley Hospital, Auchenflower, Queensland 4066, Australia.
2 Present address: Southern Xray Clinics, The Wesley Hospital, Chasely St., Auchenflower, Queensland 4066, Australia.


Figure 1
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  		Fig. 1A — Photographs of adjustable laparoscopic gastric band (Lapband, Inamed Health). Image of laparoscopic gastric band with band containing cuff, connecting tubing and access port.

 

Figure 2
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  		Fig. 1B — Photographs of adjustable laparoscopic gastric band (Lapband, Inamed Health). Image of laparoscopic gastric band in position in model stomach. Port that allows adjustment of band tightness is secured in rectus abdominis muscle.

 

Figure 3
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  		Fig. 2 — Photograph of angiographic compression device (Compressar Universal System, Instromedix) with base plate, shaft, and slide arm.

 

Figure 4
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  		Fig. 3 — Image shows angiographic compression device (Compressar Universal System, Instromedix) in place after localization of port with palpation.

 

Figure 5
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  		Fig. 4A — Anterior views of compression arm and end plate. Image of compression arm and end plate over port on fluoroscopy (anteroposterior view) in 40-year-old man. Swedish lap band port (Sagaband, Obtech Medical) lies under compression device (Compressar Universal System, Instromedix) with access point under notch. Needle is placed obliquely for illustration, but more vertical approach is usually easier.

 

Figure 6
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  		Fig. 4B — Anterior views of compression arm and end plate. Image of compression arm (anterior view). Arrow indicates notch on end plate.

 

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