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Description

The SAGES Manual of Peri-Operative Care in Minimally Invasive Surgery is SAGES' second clinical manual, following their bestseller The SAGES Manual: Fundamentals of Laparoscopy and GI Endoscopy. This pocket- sized, portable text provides the practicing surgeon and trainee with comprehensive, authoritative coverage of the pre-operative evaluation of laparoscopic patients, intraoperative strategies and minimization of complications, and post-operative care. In addition, the reader will find thorough discussions of the physiologic implications of CO2 pneumoperitoneum on cardiovascular, renal, pulmonary, hepatic, and immunologic function.Written by SAGES leadership and renowned experts in minimally invasive surgery, the text includes: guidelines for pre-operative evaluation of both the healthy and the complex laparoscopic patient; strategies for successful outcomes, including OR set-up, patient positioning, anesthetic considerations, choice of port-placement and exposure method, port-closure method and hernia prevention; managing trocar-placement related bleeding, prophylaxis against DVT, prevention of intraoperative hypothermia and subcutaneous emphysema; when to convert to open methods; physiologic, immunologic and oncologic implications of CO2 pneumoperitoneum, prevention of port -site tumors, minimizing the risk of gas embolism; post-operative considerations including fluid management, ambulation and early post-operative performance criteria.; multiple port arrangements for most operations and port placement schemes that take into account the B.M.I. of the patient. Over 100 figures complement the text.This handy reference is a must-have resource for all surgeons currently using minimally invasive techniques as well as for all surgical trainees preparing for laparoscopic cases and studying for the board examination.

Contents

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, Jeffrey H. 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 John I. Lew, Richard L. Whelan 21. Trocar and Port Related Bleeding Daniel J. Deziel 22. Perioperative Antibiotics in Laparoscopic Surgery Tracey D. Arnell 23. Prophylaxis against Deep Venous Thrombosis (DVT) James H. Holmes IV, Thomas R. Biehl, MD 24. Hypothermia Catherine Boulay 25. Implications of Subcutaneous Emphysema and How To Avoid And/Or Limit Its Development Kirk A. Ludwig 26. Fluid Management and Renal Function During a Laparoscopic Case Done Under CO2 Pneumoperitoneum Gamal Mostafa, Frederick L. Greene 27. Port Site Closure Methods and Hernia Prevention Chandrakanth Are 28. Decision to Convert to Open Methods Valerie J. Halpin, Nathaniel J. Soper MD Part III: Postoperative Management of the Laparoscopic Patient 29. Peri-Operative Fluid Management Joseph F. Sucher, Bruce V. MacFadyen Jr. 30. Ambulation and Early Post-Op Performance Criteria Frank H. Chae, Greg V. Stiegmann 31. Pulmonary Considerations Desmond H. Birkett 32. Resumption of Diet and Recovery of Bowel Function Robert W. Beart Jr., James A. Olson 33. Wound Management and Complications Stan Hewlett, Gary Vitale 34. Postoperative Restrictions After Laparoscopic Operations Robert N. Cacchione, Gerald M. Larson Part IV: Physiologic Implications of CO2 Pneumeperitoneum and Minimally Invasive Methods 35. Cardiovascular Effects of CO2 Pneumoperitoneum Lee L Swanstrom 36. Pulmonary Implications of CO2 Pneumoperitoneum in Minimally Invasive Surgery Karen E. Deveney 37. Physiologic Implications of CO2 Pneumoperitoneum: Renal Aspects Ayal M. Kaynan, Sherry M. Wren 38. The Systemic Oncologic Implications of Surgery Sang W. Lee 39. Physiologic Implications of CO2 Pneumoperitoneum and Minimally Invasive Methods Liver Function and Portal Blood Flow Michael W. Potter, Shimul A. Shah, Mark P. Callery 40. Physiologic implications of CO2 Pneumoperitoneum and minimally invasive methods James W. Fleshman 41. Port Site Tumors: Means of Prevention Marc A. Reymond, Morris Franklin 42. Immunologic Consequences and Considerations of the Laparoscopic Approach Feingold DL, Carter JJ, Whelan RL 43. Effect of Patient Position on Cardivascular and Pulmonary Function Eric J. Hazebroek, H. Jaap Bonjer 44. Pros and Cons of Alternate Gases and Abdominal Wall Lifting Methods Robert Talac, Heidi Nelson 45. Risk of Gas Embolism with CO2 and Other Gases David I Watson 46. Impact of C02 Pneumoperitoneum on body temperature and the integrity of peritoneal lining Carsten N. Gutt, Christopher Heinbuch, Parswa Ansari 47. Adhesion Formation A. Brent Fruin, Arthur F. Stucchi, Ali M. Ghellai, James M. Becker 48. Impact of Minimally Invasive Methods on Postoperative Pain and Pulmonary Function Alessandro Fichera, Jeffrey W. Milsom 49. Ergonomics in Laparoscopic Surgery Ramon Berguer

Additional Information

• Illustrations: 1, black & white illustrations