Dr. DeBarros discusses the role of the port in the LAP-BAND® and REALIZE® Band devices. bariatric surgery bariatric-surgery
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What is the Role of the Port in the LAP-BAND and the REALIZE BAND Devices? Dr. John J. DeBarros: In the Allergan version of the band, there are two types of ports. One port is called a standard port and this is called an access to smaller size version port. So, this port is different. The port is actually, the band is accessed by putting a small needle called a huber needle through the spongy part of the device itself and then it has a sort of a well in the back that we inject the saline into. It’s sort of a two-way valve that is pressurized that will keep the fluid actually in the device itself and not in the well. So that’s essentially how it works. Now, the band here is typically re-sutured into place but there are several methods for anchoring the band. Some people actually use a mesh underneath to sort of secure it. Now, the REALIZE® port is right here. The REALIZE® port is a little bit different. The manufacturers have sort of developed this port with small anchor facets on the bottom of the port. Basically, we use a device to anchor that in and it just snaps into place, so there’s no suturing. Now, the theory behind that, there’s a little less discomfort but typically, most of the band patients report discomfort for maybe a week with the Allergan port. However, that’s all very subjective as you know and pain is very subjective. I have had people with both that reported no discomfort at all.