Abstract: A surgical method for reducing insulin resistance comprises cryolipolysis of mesenteric fat in a controlled manner to avoid tissue ablative temperatures. Cryolipolysis is carried out in stages based on evaluating reduction in volumes of mesenteric fat and fasting glucose levels.

Abstract: Methods and devices for reducing visceral fat within the mesenteric structure of the body by cooling visceral fat within the mesentery while leaving arteries, veins, nerves and lymph nodes within the mesentery, and the mesentery membrane, undamaged, and thereafter allowing natural processes of the body to eliminate the cooled visceral fat from the body. The system comprises a pair of flat-faced cooling probes configured for insertion into the abdomen and placement on opposite sides of a section of mesentery for application of cooling power to the mesentery, at temperatures in a range which kills visceral fat cells but does not harm other tissue.

Abstract: A system for laparoscopic thermal treatment of visceral fat includes an elongate cooling probe configured for placement through a trocar, the probe including an elongate shaft having a proximal end and a distal end and having a maximum transverse dimension, and an expandable endpiece having a proximal end and a distal end, and including a collapsed state configured for placement through a channel of the trocar and an expanded state, the expanded state having a maximum outer diameter, the maximum outer diameter at least about twice the maximum transverse dimension of the shaft, wherein the proximal end of the endpiece is sealingly coupled to the distal end of the shaft, and a heat exchanger coupled to the cooling probe and configured to remove heat from the endpiece such that adipose tissue placed in contact with the endpiece can be cooled to a temperature of between about 2° C. and about +1° C.

Abstract: Embodiments described herein are directed to methods of treating visceral fat where the method includes the steps of identifying visceral fat to be treated, inserting a laparoscopic device into the visceral fat to be treated, inserting a treatment instrument into the laparoscopic device such that a distal treatment section of the treatment device is delivered into the visceral fat, cooling the distal treatment section and the visceral fat adjacent to the distal treatment section to a cooling temperature no colder than approximately ?20° C., and wanning the distal treatment section and the visceral fat adjacent to the distal treatment section to a temperature greater than the cooling temperature.