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The Operation Primers will be produced with the aim of describing the various operations in the simplest possible manner, but without over-simplifying. Although most time has been spent on the establishment of the scientific basis behind the operations the main focus has always been on the practical relevance of the Primers. With this Operation Primer we hope we have met our own as well as the readers’ highest expectations.
“It is difficult to make it simple” – I think about this quotation from Pablo Picasso every day in surgery. It is a matter of summarizing complex working steps and treatments “simply”. Obesity surgery is not only a craft but it also signifies consideration of the disease as a whole. This Operation Primer undertakes the task of communicating basic surgical techniques. Only someone who knows all the technical possibilities and procedures is in a position to react flexibly and adequately in different situations. About 50 different surgical methods have been developed in obesity surgery in the past 50 years. It is obvious from this that the optimal surgical method for the obese patient does not exist. Among the stomach-narrowing surgical methods, the adjustable gastric band has become established as a very effective and minimally invasive surgical method. Experience has shown that peri- and postoperative complications can be reduced with different band placements and also with simplified working steps. This Operation Primer is an ideal format for communicating new operative methods but it does not replace training by an experienced surgeon. A surgeon cannot rest on his laurels but must always keep up with the latest techniques. I would therefore like to take this opportunity to thank the European Surgical Institute (ESI) for making Mental Training, training on the computer simulator and operations in the laboratory possible. First-class surgery is possible only through careful acquisition of knowledge, regular training and quality control.
Karl Miller, May 2006
Guest Preface, Nicola Scopinaro November 2005
If, after crossing the Gran San Bernardo
Pass, you go through the Aosta Valley heading for the fertile Pianura Padana,
you will notice that at a certain point the valley becomes very narrow.
There is a high steep rock in the middle of it and an almost inaccessible
castle has been built on top of the rock. That is the Bard Castle, built
there as a last defense of the Pianura Padana against the invading armies.
However, the Castle needed in turn to be defended. Gastric banding is the
extreme defense of our
In conclusion, Karl Miller’s book returns
gastric banding to the place it deserves in our discipline. Not a Cinderella
among other operations, but one offering complete guidance to the basic
principles of bariatric surgery. Not, or not necessarily, a transition
Nicola Scopinaro November 2005