After viewing please read the updated notes in the video transcript below

How should you care for your wound?  What exactly should you eat?  Learn about the importance of keeping hydrated.  Which foods should you avoid?  How do you know when your Lap-band needs adjustment?  Learn the importance of portion control and how to do it.  This video by Dr. Terry Simpson makes it easy for you to learn the rules you should know immediately after you have Laparoscopic Band surgery for you to experience the best results.

Video transcript:

You’re over your Lap-band surgery. You just had it. Now you’re wondering what should you do and in what order. You probably threw away or didn’t read all the papers we gave you. You were probably so excited about surgery you don’t remember everything we told you. I’m here to tell you about the first few days after Lap-band surgery and what you’re going to experience. First of all, you probably noticed that your incisions are healing really well. It’s important that you go ahead and shower and wash them. Most wound infections come from Lap-band surgery patients’ skin. So the simple act of showering will help you keep from having a wound infection. No need to cover them with Band-Aids. Although, sometimes if you find a wound is underneath a bra or underneath a breast (or for men sometimes underneath a breast), just a dry gauze, not a Band-Aid is all you need to protect the wound.

So what do you eat the first day and week right after Lap-band surgery?

What is the progression? I want you to think of your new stomach as being like a baby’s stomach. You may have some sense of restriction. You may not. You don’t care at this point. Here’s what we want you to do. The first twenty-four hours after Lap-band surgery are pretty easy – just clear liquids. Warm liquids do best. They should go down easily. They should go down smoothly. They shouldn’t backup. If they do, we want to know about it (call the office).

After the first 24 hours Lap-band surgery post-op, we want you to start what we call full liquids. There’s a complete description about that on the website. So for the first seven days you’re going to be on liquids. Drink a lot (no carbonated beverages). In fact we find the more you drink, the better you’re going to heal; the better you’re going to feel. One of the things that the band does is suppresses your appetite (after two hours it signals your brain that you’ve eaten a large meal). It also suppresses your thirst. So it’s important to remember to make fluids a real important component of your day. Always carry around a bottle of water.

Soft foods – over the next week (the eighth day) after Lap-band surgery…

Soft foods are just that. They are foods that are soft. They won’t last long. They won’t necessarily satisfy your appetite. But they’ll kind of warm you and make you feel a little better – things like mashed potatoes.

But then we want you to get out of the soft foods and into the solid foods at a comfortable rate.

Let’s talk about foods you should avoid after having Lap-band surgery. You should avoid white bread (during the third week after Lap-band surgery). You should avoid white pasta. You should avoid sticky white rice. You should avoid dry chicken and you certainly should avoid rubbery eggs. One of the things with scrambled eggs is that if you make them without ingredients to soften them or if you cook them in a microwave, they’ll be rubbery and they’ll get stuck in your Lap-band. So just avoid those things all together. Those are things that will get stuck and so won’t work well with your weight loss plan.

The most important thing about Lap-band surgery is that it’s adjustable. But, how do we know when it needs adjusting? It’s pretty simple. Your Lap-band is adjusted when you can eat a small amount of food and it lasts you for a long period of time. Early on you’ll get a sensation of fullness – a sensation that you’ve eaten enough. Only early on will the Lap-band tell you to stop eating. But I want you to know this (hard stop) sensation doesn’t last forever. You should not learn to use that hard stop sensation to tell you to stop eating. Obviously, if the Lap-band tells you to stop, pay attention to it. But experiencing that hard stop sensation will go away after you heal. It’s not how the Lap-band works over the long run. It’s just a short term benefit during the healing process.

  1. NOTE: The Lap-band works by making the nerves at the top of your stomach more sensitive. Those nerve signals tell the brain you’ve eaten a much larger meal than you really ate.  It takes up to two hours for your brain to process those signals. So you must eat the proper portion and then wait. After two hours, you will forget about hunger. You won’t be hungry.

For Lap-band surgery to work, you must use portion control. When you are in your solid phase, take a small plate like a bread plate or a salad plate. Put your measured portions on the plate. Four ounces by volume, not by weight, of meat, fish or poultry, and six ounces of vegetables. Sit down. Make a production of it. Don’t stand and eat. Don’t rush your eating. Don’t drink and eat. Drink all your fluids before you eat.

  1. NOTE: Recent research has proven that it’s alright to drink small sips of noncarbonated beverages while eating with Lap-band surgery. In fact, it improves the process of digestion.

Do not ever, ever, ever finish your plate. This is not a clean plate club. Stop when you feel the first sense of a little bit of satiety. Put the food away – you’re done. Never, ever go beyond that amount (4 ounces of protein, 6 ounces of vegetables). That’s when slips occur. Just eat a comfortable amount (under 10 ounces total) and push the plate away

  1. NOTE: As we noted above, after you completely heal, you will not feel any sense of satiety. You must wait until your brain forgets hunger. Don’t worry, we’re not making this up. Just wait, you absolutely will lose the urge to eat.

What I’m going to want to know when I see you again in four to six weeks is how that lasts you (how long after eating you get hungry again). Don’t be surprised that eating at different times of day and eating different types of food will cause hunger to stay away for longer or shorter time periods. You may not want to eat breakfast. In fact, you might only want for breakfast is cup of hot coffee or tea, maybe a little yogurt – that’s fine. But for lunch and dinner we want you to have a little bit of protein (4 ounces) and some vegetables (6 ounces).

So, that’s it. Those are some early rules that will help you understand Lap-band surgery. So welcome to this side of the weight loss surgery world. Your procedure is over. You’ve done great. Now let’s start using your Lap-band surgery tool.

  1. NOTE: This is a general overview of post-operative Lap-band surgery. It is designed to be informative. But it is not the definitive guide we want you to follow. You will receive documents or directions to documents or media from Dr. Simpson’s staff at the time of your surgery. Only follow those directions and documents.