By Carol E.H. Scott-Conner
Because its e-book in 1998, The SAGES handbook: basics of Laparoscopic and GI Endoscopy has develop into a real vintage. Now, in its new moment variation, the handbook remains to be a finished, concise and well timed contribution to the sector of minimally invasive surgical procedure. The textual content presents an authoritative synopsis of the foremost minimally invasive systems in an easy-to-read define structure. The textual content has been absolutely revised with new chapters additional to mirror advances within the box. the hot variation now beneficial properties laparoscopy, endoscopy and a brand new part on thoracoscopy. The laparosopic part experiences the $64000 fundamentals of laparoscopic surgical procedure, together with common rules, diagnostic laparoscopy and biopsy, laparoscopic cholecystectomy and customary bile duct exploration, laparoscopic gastric surgical procedure, techniques at the small inestine, appendix and colon, the pancreas, spleen and retroperintoneum, hernia fix, and pediatric laparoscopy. The endoscopic part reports gastrointesinal endoscopy for the overall health professional. It starts off with an summary of the final rules of versatile endoscopy, and maintains to debate such methods as higher gastrointestinal endoscopy, choledochostomy, colonoscopy, and pediatric endoscopy. The thoracoscopy part covers the fundamental ideas of thoracoscopic surgical procedure, together with sufferer education and positioning, exploratory thoracoscopy for staging malignancies, esophagomyotomy, and operations for esophageal diverticula. New to the second one variation are chapters on laparoscopic bariatric surgical procedure, utilizing hand-assisted units in laparoscopy, and a brand new set of chapters on thoracoscopy. 50 new illustrations supplement the text. A must-have reference for the final surgical procedure resident or working towards doctor.
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Additional resources for The SAGES Manual: Fundamentals of Laparoscopy, Thoracoscopy and GI Endoscopy
Both a fan-shaped and an inﬂatable donut-shaped device are available. Each is inserted into the abdomen in a collapsed conﬁguration, then expanded within the peritoneal cavity. 3. 5. The Laparolift is a powered articulating arm that attaches to the operating table. The arm lifts up on the lifting device, providing upward displacement of the anterior abdominal wall and producing retraction. c. 3. Place a dissecting balloon into this newly created space to create an operating ﬁeld. d. Place the abdominal wall retractor into the extraperitoneal space through this incision.
Conﬁrm entry into the abdominal cavity visually and by digital palpation, to ensure the absence of adhesions in the vicinity of the incision. Place a #0 absorbable suture on either side of the fascial incision. Some surgeons place the fascial sutures ﬁrst, use these to elevate the fascia, and then incise the fascia and peritoneum under direct vision. Insert the completely assembled open cannula through the peritoneotomy with the blunt tip of the obturator protruding. When the obturator is well within the abdominal cavity, advance the conical collar of the open cannula down the sheath until it is ﬁrmly seated in the peritoneal cavity.
In any event, always keep a spare tank of CO2 immediately available. Check the insufﬂator to assure it is functioning properly. Connect the sterile insufﬂation tubing (with in-line ﬁlter) to the insufﬂator. Turn the insufﬂator to high ﬂow (>6 L/min); with the insufﬂator tubing not yet connected to a Veress needle, the intra-abdominal pressure indicator should register 0 (Fig. 1). Lower the insufﬂator ﬂow rate to 1 L/min. Kink the tubing to shut off the ﬂow of gas. The pressure indicator should rapidly rise to 30 mm Hg and ﬂow indicator should go to zero (Fig.