Thinking about Gastric Sleeve?

Have you heard about the


The A-Sleeve

Our goal is to make Sleeve Gastrectomy:




‘A’ stands for Ambulatory.

Definition: A process  based on scientific techniques which  allows for a discharge within 23 hours or an overnight stay after surgery.

What is the A-Sleeve?

The A-Sleeve or Ambulatory Sleeve surgery is referred to by other names, commonly called Day Procedure surgery, Outpatient surgery or same-day surgery. It is not a new concept however has been used mostly in context of endoscopies, cataracts and tonsil surgery.

Can ambulatory surgery be done for weight loss procedures?

When it comes to Bariatric or weight loss surgery, ambulatory surgery is a relatively new concept. Ambulatory gastric sleeve and gastric bypass procedures have been performed mostly in the United States with main drivers being quicker recovery and reduced costs to the patients. There are selection criteria and not all patients will be discharged within 23 hours. Some may need an overnight stay at least.

So, what’s new about the A-Sleeve with Body Genesis Institute?

Our main surgeon and Director, Dr Arun Dhir, has been performing Gastric Sleeve surgery for over 15 years. He performed the first sleeve gastrectomy  procedure in Monash Medical Centre. Dr Arun has developed an innovative technique which allows individuals to be a lot more comfortable than after a conventional lap sleeve  gastrectomy operation.*

Besides this the technique requires reduced use of disposable equipment which not only reduces the costs, but also reduces medical waste which has a detrimental impact on the environment, making it more sustainable for the planet.

Watch this brief video where Dr. Arun explains this technique further

What are the specific advantages of A-Sleeve?

There are many advantages of the A-Sleeve most of which are centred around patient care, safety, comfort and cost savings.


For average risk patients, studies indicate that gastric sleeve surgery can be performed with a very high level of safety.

Reduced risk of infections

A reduced hospital stay allows patients to reduce their risk of catching hospital acquired infections as the hospitals can be home to various infections.

Ability to recover in your home setting

Early discharge allows patients to recover in their home setting which is more comfortable for most individuals. The availability of remote monitoring and nurse on call allows you still have support and access to medical advice should the need arise.

Cost savings

The A-Sleeve offers a win win situation for the hospital and the patients. Due to the specific technique developed by Dr Arun, the hospitals can benefit from a reduced use of disposable items used during surgery. The reduction of material and human resources provides benefits for the patients by way of  costs savings. A 23hour or an overnight stay, reduces your costs of hospital expenses and these savings can be quite significant if you are self-funding.

Streamlined care

The A-Sleeve offers a protocol driven nursing care which makes patient  care more streamlined and efficient. This definitely takes into account that no two patients are always alike and your recovery may vary based on your pain and nausea threshold and the ability of the  medications to assist with these.

Personalised service

As mentioned above that while every effort is made to keep the intention behind the A-Sleeve in mind, it is also acknowledged that no two patients are alike. This is where a personalised approach to your care and recovery can be tailored based on your progress after surgery.

Check out what our patients are saying about the A-Sleeve?

Are there any risks?

Every individual has got their own risk profile. Your surgeon will be the best person to ascertain your suitability for the A-Sleeve.

Generally speaking, the following individuals are NOT considered suitable for the A-Sleeve:

  1. Individuals who have had previous abdominal or weight loss surgery
  2. Individuals who have sleep apnoea, poorly controlled diabetes
  3. Previous history of heart problems
  4. Any other concerns from your surgeon or anaesthetist
Am I an eligible candidate for the A-Sleeve?

The following individuals would be considered suitable for the A-Sleeve

  1. Age <65
  2. BMI< 45
  3. No previous abdominal surgery
  4. No major medical issues excepting mild diabetes
  5. A commitment to follow the advice of your medical team

All patients are made aware that their stay may extend based intra operative findings and any potential complications.

How do I prepare for the A-Sleeve?

There are a few ways how you can prepare yourself for the A-Sleeve:

  1. Educate yourself: Learning about the do’s and don’ts allows you to keep yourself well informed about how the A-Sleeve procedure works and how you can adapt your lifestyle around it.
  2. Be committed: Your medical team is your best resource, and it is in your best interest to follow their advice. Be committed to follow through.
  3. Follow the pre op diet as recommended: The preop low calorie diet allows you to shrink your liver which is the one organ that comes in the way of performing gastric sleeve surgery. Following a VLCD diet 2 weeks prior to surgery allows you to have a supple liver rather than a fatty firm liver which will greatly assist the surgeon in performance of this procedure.
  4. Stop previous medications: Medications like Ozempic and Monjauro will need to stop at least one week prior to the procedure.
Where is the A-Sleeve performed?

Our surgeons perform the A-Sleeve at Epworth Eastern and Warringal Private hospitals on a regular basis. Our anaesthetists are trained in the selection of the anaesthetic medications that allow faster recovery and better management of pain and nausea after the A-Sleeve.

Contact our practice on 03 9466 7799 or book an appointment with our Surgeons today

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* Individual results may vary. Every surgical procedure carries risks which can vary from individual to individual. Please discuss your suitability with your surgeons or health care provider before making a decision.

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