Background

Revisional bariatric operations can be extremely challenging due to the fusion of tissue planes and adhesions that form after the index procedure. Dissection of the plane between the liver and stomach can be especially difficult. In this video abstract, we present a case of a laparoscopic conversion of a vertical banded gastroplasty to a Roux-en-Y gastric bypass with paraesophageal hernia repair and a partial gastrectomy. We demonstrate how indocyanin green can be used to safely facilitate takedown of challenging hepato-gastric adhesions.