Re: lap and 100cm and Gagner

[Guest guest]

In a message dated 11/30/01 7:17:25 AM, duodenalswitch writes:

<< Now, this is with

the lap surgeon extraordinaire. Who knows if other lap doctors have

the same results. Gagner does. Incidentally, in asking him on

Wednesday about his somewhat unique ability to be SO good at what he

does, he answered something like this (after some prodding and pleas

not to be modest):

" I have this laparoscopic surgery in my blood. It's a part of me.

I can understand, see, and work with the 3D images on the camera very

easily for some reason. Although it's second-nature for me, it's very

hard for most doctors, probably because of this hand-eye coordination

ofimages on a TV screen. I'm also ambidextrous, which plays a part in

my ability to do this well. " >>

: I just gotta LOVE this guy! I could just imagine the look on his

face when you asked him! LOL

I think he is exceptionally talented with laparoscopic surgery and actually I

never would have wanted anyone else to operate on me. :) Guess I'm a

Gagner Groupie! ROFL

all the best,

lap ds with gallbladder removal

january 25, 2001

Dr. Gagner/Mt. Sinai/NYC

10 months post-op and still feelin' fabu

preoP: 307 lbs/bmi 45

now: 201 lbs/size sweet 16

[Guest guest]

Ain't it funny?! Yeah, when he walked in to see me he held out his

hand and I grabbed it and then gave him a bear hug. Then I proceeded

to ask him that question and he laughed. He's so quiet and

methodical. He must think that I am a total nut case! Still, he's

literally written textbooks on this subject. He knows he's more than

good and I wanted to know WHY. The whole lap thing defies

imagination. Your hands are moving down here and you're looking up

at a TV screen? I wonder if the TV images are opposite of the hand

movements?

Best,

>

> In a message dated 11/30/01 7:17:25 AM, duodenalswitch@y... writes:

>

> << Now, this is with

> the lap surgeon extraordinaire. Who knows if other lap doctors

have

> the same results. Gagner does. Incidentally, in asking him on

> Wednesday about his somewhat unique ability to be SO good at what

he

> does, he answered something like this (after some prodding and

pleas

> not to be modest):

> " I have this laparoscopic surgery in my blood. It's a part of me.

> I can understand, see, and work with the 3D images on the camera

very

> easily for some reason. Although it's second-nature for me, it's

very

> hard for most doctors, probably because of this hand-eye

coordination

> ofimages on a TV screen. I'm also ambidextrous, which plays a part

in

> my ability to do this well. " >>

>

> : I just gotta LOVE this guy! I could just imagine the

look on his

> face when you asked him! LOL

>

> I think he is exceptionally talented with laparoscopic surgery and

actually I

> never would have wanted anyone else to operate on me. :) Guess

I'm a

> Gagner Groupie! ROFL

>

> all the best,

>

> lap ds with gallbladder removal

> january 25, 2001

> Dr. Gagner/Mt. Sinai/NYC

>

> 10 months post-op and still feelin' fabu

>

> preoP: 307 lbs/bmi 45

> now: 201 lbs/size sweet 16

[Guest guest]

Hi -

You said:

" Regarding the ability to measure the channel laparoscopically (and

this is a touchy subject, apparently, because those advocates of open

D/S claim that it can't be done as accurately): "

Actually, Marceau ( & partner's) study showed that even open surgeries

produce a variance in measurement of the small intestine. I would assume

that the variance will increase for the lap, but who knows?

Best -

Nick

[Guest guest]

Right, Nick.

That's what Gagner said: even open surgeries have a 5-10% variance.

As far as HIS OWN lap procedures go (based on the animal experiments)

he was always within 5%, even doing it lap. Now, of course, we know

that some lap surgeons are better than others. I don't want to sound

like I'm claiming that ALL lap D/Ss have the same 5-10% variance as

do open procedures. It makes sense that you'd have a greater margin

for error doing it lap IF the surgeon is not as experienced, etc. My

only point was that, for Gagner apparently, the variance does not

only NOT increase, it doesn't even approach the 10%; therefore,

Gagner's 100 cm. common channel done lap is just as accurately

measured as in an open D/S.

I wonder what (if any) kind of tautness is put on these parts when

surgeons measure?

> Hi -

>

> You said:

>

> " Regarding the ability to measure the channel laparoscopically (and

> this is a touchy subject, apparently, because those advocates of

open

> D/S claim that it can't be done as accurately): "

>

> Actually, Marceau ( & partner's) study showed that even open

surgeries

> produce a variance in measurement of the small intestine. I would

assume

> that the variance will increase for the lap, but who knows?

>

> Best -

>

> Nick