The concept of smaller, thinner laparoscopic tools has been an idealized, but unrealized prospect for many years since the advent of laparoscopic surgery. Some prominent manufacturers of surgical instruments have created micro-laparoscopic instruments in the past, but they did not perform to the standard that bariatric surgeons require.
The most common complaints were how the extremely thin instruments would bend under the stress of the patient’s fat and muscle tissue. However the advent of more resilient titanium and ceramic combinations has finally made micro-laparoscopic surgery possible, and select surgeons, such as Los Angeles’s Dr. Michael Feiz and Dr. Monali Misra, are starting to provide this innovative micro-lap surgery for eligible patients.
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