The Sages Manual of Perioperative Care in Minimally Invasive Surgery

ISBN-13: 9780387236865 / Angielski / Miękka / 2005 / 492 str.

Whelan, Richard L.

Opis

The second SAGES (Society of American Gastrointestinal Endoscopic S- geons) manual was intended to be a companion piece for the successful ?rst SAGES manual, edited by Carol Scott-Connor, that was published more than 4 years ago. Originally, the goal was to concentrate on tersely covered or often ignored aspects of the preoperative preparation of the patient and the operating room as well as the postoperative care of patients undergoing minimally in- sive operations. It was also our intention to include a section for each procedure where several different port placement schemes would be presented and brie?y discussed. Unique to this manual, the impact of the patient's body habitus (short or long, narrow or wide) on port placement is also taken into account for many of the procedures. Also unique are chapters devoted to hypothermia, port wound closure, and the management of subcutaneous emphysema and abdominal wall hemorrhage caused by trocars. Naturally, the surgeon tends to focus on the technical aspects of the pro- dure, such as the operative tasks to be carried out, the order of operation, and the position of the surgeon and assistant. However, it is critical that the surgeon be aware that the CO pneumoperitoneum, far more so than laparotomy, results 2 in multiple physiologic alterations that, if not compensated for by the anest- siologist and surgeon, may endanger the patient or prevent the laparoscopic c- pletion of the procedure.

Spis treści

TOC The SAGES Manual: Principles of Perioperative Care in Minimally Invasive Surgery Dedication Forward Preface Part I: Perioperative Management and Evaluation Preoperative Evaluation of the Healthy Laparoscopic Patient Stephanie B. Jones, Daniel B. Jones Preoperative Evaluation of Complex Laparoscopic Patients Dmitry Oleynikov, Karen D. Horvath Preoperative Patient Instructions Tracey D. Arnell Contraindications to Laparoscopy Steven P. Bowers, John G. Hunter Perioperative Antibiotics In Laparoscopic Surgery Tracey D. Arnell Part II: Intraoperative Management, Positioning, Set-Up and Port Placement Introductory Remarks Concerning Operating Room Set-up, Patient Positioning, and Port Placement Chapters Richard L. Whelan Intraoperative Management of the Laparoscopic Patient Carol E.H. Scott-Conner Summary Of Intraoperative Physiological Alterations Associated With Laparoscopic Surgery Arif Ahmad, Bruce D Schirmer Patient Positioning and Logistics in the Operating Room during Laparoscopic Biliary Surgery George Berci Hepatobiliary, Cholecystectomy, and CBDE. Also Includes Cholangiography & Intraoperative Choledochoscopy: Port Placement Arrangements Dennis L. Fowler Operating Room Set Up and Patient Positioning for Laparoscopic Gastric Bypass and Laparoscopic Gastric Banding Philip R. Schauer, William Gourash, Giselle Hamad, Sayeed Ikramuddin Minimally Invasive Procedures for Morbid Obesity: Port Placement Arrangements Marc Bessler, Charles Cappandona 10.1 Patient Positioning and Operating Room Set-Up for Laparoscopic Treatment of Gastresophageal Reflux Disease Dennis Blom, JeffreyH. Peters 10.2 Port Placement Arrangements For G.E.R.D. Surgery J. Cueto, Vazquez-Frias 11.1 Minimally Invasive Esophageal Resection: Patient Position and Room Setup James D. Luketich, Yaron Perry 11.2 Port Placement for Minimally Invasive Esophagectomy James D. Luketich, Yaron Perry 12.1 Hernia Repair: Patient Positioning & OR Set-up David S. Thoman, Edward H. Phillips 12.2 Hernia: Port Placement Arrangements David S. Thoma, Edward H. Phillips 13.1 Spinal Access OR Setup and Patient Positioning Namir Katkhouda, Sharan Manhas 13.2 Spinal Access Surgery Port Placement Arrangements Namir Katkhouda, Sharan Manhas 14.1 OR Setup and Patient Positioning for Laparoscopic Adrenalectomy and Donor Nephrectomy Michael Edye 14.2 Port Placement In Laparoscopic Adrenalectomy and Donor Nephrectomy Samer G. Mattar, C. Daniel Smith 15.1 Colorectal Resections: Patient Positioning and Operating Room Set-Up Tonia M. Young-Fadok 15.2 Port Placement Arrangements: Laparoscopic-Assisted Colorectal Resections Patrick Colquhoun, Steven Wexner 15.3 Port placement arrangements for Hand-assisted Colorectal resections (II, D, 9) Jeffrey Cohen 16.1 Patient Positioning and Operating Room Set Up: Splenectomy Joseph B. Petelin 16.2 Splenectomy: Port Placement Arrangements William E. Kelley, Jr. 17.1 Laparoscopic Ultrasonography: Patient Positioning and OR Set-up Maurice E. Arregui, Matthew S. French 17.2 Laparoscopic Ultrasonography: Port Placement Arrangements Maurice E. Arregui, Matthew S. French 18. Intraoperative Upper and Lower Endoscopy Considerations Keith P. Meslin, John M. Cosgrove 19. Choice of Laparoscopic Exposure Method CA Jacobi, C Braumann 20. Anchoring Laparoscopic Ports Joh

Blurb

The perfect execution of a minimally invasive operative technique is only part of the equation for ensuring a favorable surgical outcome. It is also essential to have a complete understanding of the entire spectrum of perioperative care, including preoperative evaluation, technique selection, and postoperative management. Further, it is important to understand the physiologic impact of the C02 pneumoperitoneum. The SAGES Manual of Perioperative Care in Minimally Invasive Surgery provides strategies for successful patient management before, during and after laparoscopic surgery.

This easy-to-read manual includes comprehensive and authoritative coverage of perioperative concepts and strategies that not only optimize outcomes but also ensures quality patient care beyond the operating room:

guidelines for preoperative evaluation of healthy and complex patients

strategies for successful outcomes, including OR setup, patient positioning, anesthetic considerations, exposure technique, port closure method, and hernia prevention

multiple port arrangements for most operations and port placement schemes that take into account the B.M.I. of the patient

managing trocar placement-related bleeding, prophylaxis against DVT, prevention of intraoperative hypothermia and subcutaneous emphysema

when to convert to an open procedure

physiologic, immunologic, and oncologic implications of CO2 pneumoperitoneum, prevention of port-site tumors, minimizing the risk of gas embolism

postoperative considerations including fluid replacement, ambulation and early postoperative performance criteria

The SAGES Manual of Perioperative Care in Minimally Invasive Surgery is written by recognized experts and reflects the Society’s commitment to surgical education.