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Surgical Procedures
Gastric Bypass: Roux-en-Y
Gastric Bypass is the most frequently performed bariatric surgery in the United States. During the gastric bypass procedure, Dr. Gornichec will cut away a portion of the stomach, leaving a small stomach pouch of about 15-20cc (about 1 to 2 tablespoons). The stomach pouch is then attached to the small intestine creating both a restrictive (limiting food intake) and malabsorptive (limiting caloric intake) procedure that on average produces the most significant weight loss of any procedure we offer. To learn more about the gastric bypass including benefits and risks, please click the following link: Gastric Bypass
Gastric Banding: Lap-Band, Realize Band
The gastric band procedure is adjustable and reversible should the need arise. During this procedure, a silicone band is placed around the upper part of the stomach molding it into two connected chambers. This band is then connected to an injection port which is attached to the abdominal wall. When an adjustment needs to be made, Dr. Gornichec will inject saline through the port and into the band in order to increase restriction, or remove saline to allow more food to pass. To learn more about the gastric band including benefits and risks, please click the following link: Gastric Band
Gastric Sleeve: Vertical Sleeve Gastrectomy
The gastric sleeve procedure entails the removal of up to 80% of the stomach, leaving behind a banana-shaped stomach pouch. The remaining stomach restricts the amount of food that a patient eats, however because the small intestine is not rerouted there is a lower chance of malnutrition and the patient can often eat a wider variety of foods than in gastric bypass. Expected weight loss, on average is greater than gastric banding but somewhat less than gastric bypass. To learn more about the gastric sleeve including benefits and risks, please click the following link: Gastric Sleeve
Single-Incision Weight Loss
Surgery (SILS) Now Available
Individuals who are considering bariatric surgery for weight loss now have a new option: single-incision laparoscopic surgery. This surgical technique is relatively new and requires surgeons to learn specialized skills.
 Traditional laparoscopic (minimally invasive) surgery typically requires four to six small openings (less than one-half to one inch long each) made in the abdomen. Surgeons use these openings to insert surgical instruments, a light, and a camera to perform the weight loss procedure. Common types of weight loss surgery include adjustable gastric band surgery, Roux-en-Y gastric bypass, and sleeve gastrectomy, among others. Because traditional laparoscopic surgery involves four or more incisions, each one has the potential to become infected and to cause pain. The new single-incision laparoscopic surgery option for weight loss reduces the risks of infection, and can help reduce post-operative pain. Currently few physicians have learned the techniques required to successfully perform this specialized surgical procedure, but as demand is growing and more physicians learn the process, patients will have greater access to qualified surgeons. Integris Surgical Weight Loss @ Baptist Medical Center is among the few centers across the nation that provides this new technique.
Dr Gornichec was the first surgeon to perform single-incision LAP-BAND® System and REALIZE® Band surgery in Oklahoma City. These procedures are designed to help morbidly obese patients by creating a smaller stomach chamber that takes in less food, giving patients an earlier feeling of fullness and helping them effectively shed large amounts of excess weight. The bands can also be adjusted or removed at any time to allow more or less food into the stomach chamber.
Dr. Gornichec believes that with bariatric surgery, patients can not only lose weight and feel better about their appearance; they can also greatly reduce the risk of severe health problems brought on by morbid obesity - which include heart disease, diabetes, stroke, high blood pressure, and many others. And with single-incision laparoscopic surgery, patients are being given even more advantages with a more comfortable recovery process and less visible scarring. "I believe in providing our patients with the safest surgery possible. Then I try and do the surgery as minimally invasive as possible because I believe that will reduce post-operative pain and recovery time. If I can do everything through just one incision, then my patients have the best cosmetic outcome possible too. To me, the patient comes first and I feel I provide them with the best of all worlds with the single-incision laparoscopic surgery procedures."
Single Incision laparoscopic surgery uses small surgical instruments and a tiny camera to perform major weight loss procedures. The incision is typically made in the area of the belly button or upper abdomen and is anywhere from two to five centimeters in length, without the need for multiple small incisions spread out throughout the abdominal wall that are made in traditional laparoscopic surgery. This center is the first in Oklahoma City to utilize the technique as a standard for major bariatric surgery procedures, such as adjustable gastric banding, and Dr. Russell Gornichec says it has many advantages over traditional techniques. Baptist Surgical Weight Loss Center has been designated a "Center of Excellence" by the American College of Surgeons, an honor that can only be claimed by one out of 300 bariatric surgery centers in the nation. Dr. Gornichec is certified by the American Board of Surgery and has performed more than 1,000 surgical weight loss procedures since 1999. They employ a team approach for major procedures to provide patients with the most effective care possible.
Revisional Surgery
Revisional surgery for weight loss includes procedural intervention to achieve weight loss potential in a patient who has had previous gastric surgery or previous surgical weight loss procedures. Due to the previous intervention the risks of additional procedures can be higher. These higher risks include, but are not limited to enteric leaks, tissue ischemia, higher conversion rates to open intervention, enteric fistulas, sepsis, prolonged hospitalizations and higher failure rates for obesity and co-morbidity resolution.
Please click here for more information on Revisional Surgery.
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