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Lap Band Over Gastric Sleeve. Although Gastric Sleeve is a great procedure, some patients may experience inadequate weight loss. This can be, in part, due to the gastric sleeve stretching out over time, thus allowing patients to eat larger quantities of food. The procedure is performed laparoscopically using a few tiny skin incisions, takes 45 minutes, and is a same day procedure. A Lap-BandÂ® / Realize-BandÂ® can be placed over the gastric sleeve, to give patients the added restriction that they may have lost.
A tracheostomy (trach) tube is a small tube inserted into the tracheostomy to keep the stoma (opening) clear. Tracheostomy tubes are available in several sizes and materials including semi-flexible plastic, rigid plastic or metal. If your tube has an inner cannula, remove it. ( 2 If the trach tube does not have an inner cannula, go to step 12.). 3  Hold the inner cannula over the basin and pour the hydrogen peroxide over and into it. 4  Use as much hydrogen peroxide as you need to clean the inner cannula thoroughly.