BariatricOnline version Bariatric Procedures by Eddy 1 Sleeve Gastrectomy Seal and Divide Gastroepiploic vessels (Ligasure Maryland XP, L-Hook, Sonicision 7) Transect Stomach (Signia Stapler Tri-Staple, Black & Purple (TRS) Creation of window in Omentum (Ligasure Maryland XP, L-Hook, Sonicision 7) Closure (Versaone Fascial Closure, TSA, Suture) Access and Scope Management (VersaStep, Versaone, Fascial Closure, Clearify) Specimen Removal (Endocatch 15mm) Mobilization of stomach on the greater curvature and ligation of short gastric vessels (Ligasure Maryland XP, L-Hook, Sonicision 7) 2 Laparoscopic Roux-En-Y (Linear Gastrojejunostomy) Closure (Versaone Fascial Closure, TSA, Suture) Mesentery mobilization for creation of Roux Limb (Ligasure Maryland XP, L-Hook, Sonicision 7) Creation of window in lesser sac to enable access for creation of gastric pouch (Ligasure Maryland XP, L-Hook, Sonicision 7) Gastric pouch creation (Signia Stapler Tri-Staple Purple 45mm - 60mm) Creation of gastrotomy and enterotomy (Ligasure L-Hook, Sonicision 7, ES Pencil) Closure of Gastroenterotomy (Signia Stapler Tri-Staple Tan or Purple 45/60mm or suture) Closure of enterotomy (Signia Stapler Tri-Staple Tan 60mm or Suture) Gastrojejunostomy (Signia Stapler Tri-Staple Tan or Purple 45mm - 60mm) Creation of enterotomy into proximal and distal jejunum (Ligasure Maryland XP, L-Hook, Sonicision 7) Jejunojejunostomy (Signia Stapler Tri-Staple Tan 60mm) Access and Scope Management (VersaStep, Versaone, Fascial Closure, Clearify) Transect Jejunum 30-50cm distal to the Ligament of Treitz (Signia Stapler Tri-Staple Tan 60mm) Measure 75-150cm to define Roux Limb and mark the anastomosis site (Reusable laparoscopic graspers, Endostitch with Surgidac reload) 3 Laparoscopic Roux-En-Y (Circular Gastrojejunostomy with Orvil) Delivery of anvil trans orally (Orvil 21mm or 25mm) Transection of remnant jejunum (Signia stapler Tri-Staple Tan 60mm or Suture) Transect Jejunum 30-50cm distal to the Ligament of Treitz (Signia Stapler Tri-Staple Tan 60mm) Measure 75-150cm to define Roux Limb and mark the anastomosis site (Reusable laparoscopic graspers, Endostitch with Surgidac reload) Creation of gastrotomy to pull through Orvil tubing (Ligasure Retractable L-Hook, Sonicision 7) Access and Scope Management (VersaStep, Versaone, Fascial Closure, Clearify) Creation of enterotomy for insertion of circular stapler (Ligasure Retractable L-Hook, Sonicision 7) Closure of enterotomy (Signia Stapler Tri-Staple Tan 60mm or Suture) Creation of window in lesser sac to enable access for creation of gastric pouch (Ligasure Maryland XP, L-Hook, Sonicision 7) Gastric pouch creation (Signia Stapler Tri-Staple Purple 45mm - 60mm) Gastrojejunostomy (DST Series EEA 21mm or 25mm) Closure (Versaone Fascial Closure, TSA, Suture) Jejunojejunostomy (Signia Stapler Tri-Staple Tan 60mm) Creation of enterotomy into proximal and distal jejunum (Ligasure Maryland XP, L-Hook, Sonicision 7) Mesentery mobilization for creation of Roux Limb (Ligasure Maryland XP, L-Hook, Sonicision 7) 4 Laparoscopic Roux-En-Y (Circular Gastrostomy with Trans-Gastric Anvil) Transection of remnant jejunum (Signia stapler Tri-Staple Tan 60mm or Suture) Measure 75-150cm to define Roux Limb and mark the anastomosis site (Reusable laparoscopic graspers, Endostitch with Surgidac reload) Mesentery mobilization for creation of Roux Limb (Ligasure Maryland XP, L-Hook, Sonicision 7) Creation of enterotomy into proximal and distal jejunum (Ligasure Maryland XP, L-Hook, Sonicision 7) Delivery of anvil trans orally (Orvil 21mm or 25mm) Creation of window in lesser sac to enable access for creation of gastric pouch (Ligasure Maryland XP, L-Hook, Sonicision 7) Jejunojejunostomy (Signia Stapler Tri-Staple Tan 60mm) Transect Jejunum 30-50cm distal to the Ligament of Treitz (Signia Stapler Tri-Staple Tan 60mm) Closure of enterotomy (Signia Stapler Tri-Staple Tan 60mm or Suture) Creation of enterotomy for insertion of circular stapler (Ligasure Retractable L-Hook, Sonicision 7) Closure (Versaone Fascial Closure, TSA, Suture) Gastrojejunostomy (DST Series EEA 21mm or 25mm) Access and Scope Management (VersaStep, Versaone, Fascial Closure, Clearify) Gastrotomy for Anvil placement (Ligasure Maryland XP, L-Hook, Sonicision 7)