The Sages Manual

by Whelan, Richard L.; Fleshman, James W.; Fowler, Dennis L.

• ISBN13: 9780387236865
• ISBN10: 0387236864
• Format: Paperback
• Copyright: 2005-10-30
• Publisher: Springer Nature

Summary

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.

Table of Contents

Preface	vii
Contributors	xv
Part I: Perioperative Management and Evaluation
Preoperative Evaluation of the Healthy Laparoscopic Patient	3	(5)
Stephanie B. Jones
Daniel B. Jones
Preoperative Evaluation of Complex Laparoscopic Patients	8	(12)
Dmitry Oleynikov
Karen D. Horvath IV
Preoperative Patient Instructions	20	(5)
Tracey D. Arnell
Contraindications to Laparoscopy	25	(8)
Steven P. Bowers
John G. Hunter
Perioperative Antibiotics in Laparoscopic Surgery	33	(15)
Tracey D. Arnell
Part II: Intraoperative Management, Positioning, Setup, and Port Placement
Introduction to Part II: Introductory Remarks Concerning Operating Room Setup, Patient Positioning, and Port Placement Chapters	41	(7)
Richard L. Whelan
Intraoperative Management of the Laparoscopic Patient	48	(8)
Carol E.H. Scott-Conner
Summary of Intraoperative Physiologic Alterations Associated with Laparoscopic Surgery	56	(7)
Arif Ahmad
Bruce D. Schirmer
Patient Positioning and Logistics in the Operating Room During Laparoscopic Biliary Surgery	63	(6)
George Berci
Hepatobiliary, Cholecystectomy, and Common Bile Duct Exploration (CBDE). Includes Cholangiography and Intraoperative Choledochoscopy: Port Placement Arrangements	69	(7)
Dennis L. Fowler
Operating Room Setup and Patient Positioning for Laparoscopic Gastric Bypass and Laparoscopic Gastric Banding	76	(9)
Philip R. Schauer
William Gourash
Giselle G. Hamad
Sayeed Ikramuddin
Minimally Invasive Procedures for Morbid Obesity: Port Placement Arrangements	85	(7)
Marc Bessler
Charles Cappandona
Patient Positioning and Operating Room Setup for Laparoscopic Treatment of Gastroesophageal Reflux Disease	92	(5)
Dennis Blom
Jeffrey H. Peters
Port Placement Arrangements for Gastroesophageal Reflux Disease Surgery	97	(8)
Jorge Cueto-Garcia
Jose Antonio Vazquez-Frias
Minimally Invasive Esophageal Resection: Patient Position and Room Setup	105	(3)
James D. Luketich
Yaron Perry
Port Placement for Minimally Invasive Esophagectomy	108	(5)
James D. Luketich
Yaron Perry
Hernia Repair: Patient Positioning and Operating Room Setup	113	(4)
David S. Thoman
Edward H. Phillips
Hernia: Port Placement Arrangements	117	(9)
David S. Thoman
Edward H. Phillips
Spinal Access Operating Room Setup and Patient Positioning	126	(4)
Namir Katkhouda
Sharan Manhas
Spinal Access Surgery Port Placement Arrangements	130	(4)
Namir Katkhouda
Sharan Manhas
Operating Room Setup and Patient Positioning for Laparoscopic Adrenalectomy and Donor Nephrectomy	134	(5)
Michael Edye
Port Placement in Laparoscopic Adrenalectomy and Donor Nephrectomy	139	(11)
Samer G. Mattar
C. Daniel Smith
Colorectal Resections: Patient Positioning and Operating Room Setup	150	(13)
Tonia M. Young-Fadok
Port Placement Arrangements: Laparoscopic-Assisted Colorectal Resections	163	(14)
Patrick Colquhoun
Steven D. Wexner
Port Placement Arrangements for Hand-Assisted Colorectal Resections	177	(16)
Jeffrey L. Cohen
Patient Positioning and Operating Room Setup: Splenectomy	193	(9)
Joseph B. Petelin
Splenectomy: Port Placement Arrangements	202	(10)
William E. Kelley Jr.
Laparoscopic Ultrasonography: Patient Positioning and Operating Room Setup	212	(7)
Maurice E. Arregui
Matthew S. French
Laparoscopic Ultrasonography: Port Placement Arrangements	219	(6)
Maurice E. Arregui
Matthew S. French
Intraoperative Upper and Lower Endoscopy Considerations	225	(13)
Keith P. Meslin
John M. Cosgrove
Choice of Laparoscopic Exposure Method	238	(11)
Christopher A. Jacobi
C. Braumann
Anchoring Laparoscopic Ports	249	(5)
John I. Lew
Richard L. Whelan
Trocar- and Port-Related Bleeding	254	(9)
Daniel J. Deziel
Prophylaxis Against Deep Venous Thrombosis	263	(4)
James H. Holmes IV
Thomas R. Biehl
Hypothermia	267	(6)
Catherine Boulay
Implications of Subcutaneous Emphysema and How to Avoid and/or Limit Its Development	273	(8)
Kirk A. Ludwig
Fluid Management and Renal Function During a Laparoscopic Case Done Under CO2 Pneumoperitoneum	281	(7)
Gamal Mostafa
Frederick L. Greene
Port Site Closure Methods and Hernia Prevention	288	(8)
Chandrakanth Are
Mark A. Talamini
Decision to Convert to Open Methods	296	(11)
Valerie J. Halpin
Nathaniel J. Soper
Part III: Postoperative Management of the Laparoscopic Patient
Perioperative Fluid Management	307	(7)
Joseph F. Sucher
Bruce V. MacFadyen Jr.
Ambulation and Early Postoperative Performance Criteria	314	(4)
Frank H. Chae
Greg V. Stiegmann
Pulmonary Considerations	318	(8)
Desmond H. Birkett
Resumption of Diet and Recovery of Bowel Function	326	(7)
Robert W. Beart Jr.
James A. Olson
Wound Management and Complications	333	(11)
Stanley C. Hewlett
Gary C. Vitale
Postoperative Restrictions After Laparoscopic Operations	344	(11)
Robert N. Cacchione
Gerald M. Larson
Part IV: Physiologic Implications of CO2 Pneumoperitoneum and Minimally Invasive Methods
Cardiovascular Effects of CO2 Pneumoperitoneum	355	(5)
Lee L. Swanstrom
Pulmonary Implications of CO2 Pneumoperitoneum in Minimally Invasive Surgery	360	(6)
Karen E. Deveney
Renal Ramifications of CO2 Pneumoperitoneum	366	(8)
Ayal M. Kaynan
Sherry M. Wren
The Systemic Oncologic Implications of Surgery	374	(5)
Sang W. Lee
Liver Function and Portal Blood Flow	379	(6)
Michael W. Potter
Shimul A. Shah
Mark P. Callery
Port Site Tumors: Local Oncologic Effect	385	(8)
James W. Fleshman Jr.
Port Site Tumors: Means of Prevention	393	(9)
Marc A. Reymond
Hans Lippert
Morris E. Franklin
Immunologic Consequences and Considerations of the Laparoscopic Approach	402	(8)
Daniel L. Feingold
Joseph Carter
Richard L. Whelan
Effect of Patient Position on Cardiovascular and Pulmonary Function	410	(8)
Eric J. Hazebroek
H. Jaap Bonjer
Pros and Cons of Alternate Gases and Abdominal Wall Lifting Methods	418	(7)
Robert Talac
Heidi Nelson
Risk of Gas Embolism with CO2 and Other Gases	425	(7)
David I. Watson
Impact of CO2 Pneumoperitoneum on Body Temperature and the Integrity of the Peritoneal Lining	432	(6)
Carsten N. Gutt
Christopher Heinbuch
Parswa Ansari
Adhesion Formation	438	(8)
A. Brent Fruin
Arthur F. Stucchi
Ali M. Ghellai
James M. Becker
Impact of Minimally Invasive Methods on Postoperative Pain and Pulmonary Function	446	(8)
Alessandro Fichera
Jeffrey W. Milsom
Ergonomics in Laparoscopic Surgery	454	(11)
Ramon Berguer
Appendix Operative Management and Evaluation: Bowel Preparation	465	(4)
Peter Marcello
Index	469