Sleeve gastroplasty or laparoscopic gastric resection (Sleeve Gastrectomy). Today, sleeve gastroplasty is a new and popular method of surgical treatment of obesity. Sleeve gastroplasty is indicated for patients with a body mass index of 45-50. Laparoscopic gastric resection consists in the formation of a narrow gastric "sleeve" to obstruct the passage of solid food in the area from the esophagus to the antral (final) part of the stomach. Technically, the operation is performed laparoscopically through 5 punctures of 1 cm. A gastric tube with a diameter of 2-3 cm is formed with the help of a cross-linking device, the volume of the stomach is 200-300 ml. As a result of the operation, food does not stay in the stomach tube for a long time, a feeling of satiety quickly occurs, there is no painful feeling of hunger, there is no need to follow a strict diet. The technique occupies an intermediate position between banding and shunting. Collagen implants are used when re-surgery is necessary after sleeve gastroplasty, if there is a loss of elasticity of the stomach walls and as a result, the feeling of satiety fades during the meal, as well as the appearance of heartburn. During the operation, the implant is fixed around the upper part of the stomach. This allows to strengthen its walls and return a quick feeling of satiety, to level out heartburn. In the postoperative period, patients noted the disappearance of heartburn and the rapid onset of a feeling of satiety, which contributes to subsequent weight loss.
The project for the scientific development of requirements for the biological implant "Cardioplant" for sleeve gastroplasty was led by a group of experienced doctors of the Clinical center for weight and metabolic disorders surgery — Doctor of Medical Sciences, Professor, Baritaric Surgeon Vadim Viktorovich Fedenko and Doctor of Medical Sciences, Baritaric Surgeon Vladimir Viktorovich Evdoshenko.
For many years, the specialists of this clinical center prefer the biological implant "Cardioplant".