The SAGES Manual of Perioperative Care in Minimally Invasive Surgery / Edition 1

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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.

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Editorial Reviews

Doody's Review Service
Reviewer: Jose Greenspon, MD (University of Maryland School of Medicine)
Description: This is a pocket manual reference guide to perioperative care of patients undergoing minimally invasive procedures. The handbook contains specific sections on the distinctive situations encountered in laparoscopic surgery, including management of morbidly obese patients as well as CO2 pneumoperitoneum. The book is parsed into sections covering perioperative, intraoperative, and postoperative management and it ends with a section covering the wide array of physiologic phenomena that are unique to laparoscopic surgery.
Purpose: The purpose is to provide a quick "locker-room" reference guide for residents and practicing surgeons regarding patient positioning in the operating room and selection of appropriate port placement, as well as important management guidelines to the pre- and post-operative care of patients undergoing minimally invasive procedures.
Audience: Residents and practicing surgeons who seek a concise yet detailed guide to basic perioperative management principles of the patient undergoing minimally invasive surgery are the intended audience.
Features: The handbook's four main sections cover perioperative care; intraoperative management, port placement and positioning; postoperative management; and physiologic implications of pneumoperitoneum and minimally invasive methods. Within each section chapters usually detail, in outline fashion, general considerations as well as specific workup and management guidelines for each topic. The chapters are typically short yet surprisingly detailed, thus they can be read quickly with high efficiency. In the intraoperative section of the book, every chapter is accompanied by excellent diagrams featuring patient and port positioning options, and where appropriate, the specific considerations one must take with the morbidly obese patient. The final section is dedicated to the physiologic implications of CO2 pneumoperitoneum and laparoscopy, a feature unique to this manual.
Assessment: This concise manual accomplishes and surpasses all of its goals. The superb quality and clarity, and frankly, brevity of the chapters, allow a reader to glean a great deal of information in a short period of time. Several chapters not only cover universal positioning techniques, but also include author recommendations and common alternatives one may encounter based on surgeon preference. As a resident in the operative years of my training, I find this guide to be an excellent and unique addition to the growing library of pocket surgical resource manuals.
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Product Details

  • ISBN-13: 9780387236865
  • Publisher: Springer New York
  • Publication date: 8/9/2005
  • Edition description: 2006
  • Edition number: 1
  • Pages: 492
  • Product dimensions: 8.00 (w) x 5.00 (h) x 1.15 (d)

Table of 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, 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

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