By Cavit Avci, José M. Schiappa
This publication is an in depth advisor to the intra- and postoperative problems which can come up in the course of the most often used laparoscopic ideas, with rationalization of ways and at what time limit they might come up, what may be performed to prevent them, and the way to accommodate them in the event that they do take place. person chapters, every one written via knowledgeable within the region, specialize in the issues linked to the construction of pneumoperitoneum, laparoscopic cholecystectomy, laparoscopic administration of gastroesophageal reflux disorder, colorectal laparoscopic surgical procedure, minimally invasive spleen surgical procedure, and laparoscopic hernia fix (TAPP and TEP). cognizance is attracted to invaluable guidance and tips and to the main serious issues in surgeries, so as to optimizing functionality of recommendations and keeping off pitfalls and issues. The concise, didactic textual content is enriched with informative drawings and pictures and in addition with brief videos, on hand to the reader on-line, that would reduction figuring out. The publication can be of worth either for surgical citizens and for more matured surgeons.
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Extra info for Complications in Laparoscopic Surgery: A Guide to Prevention and Management
In addition, another study showed a decrease in heart rate and cardiac output without the compensatory mechanism of an elevated systemic venous resistance. The authors suggested that mixed venous oxygen saturation is the most sensitive parameter in monitoring cardiovascular function . Pressure-related effects of pneumoperitoneum include decreased blood flow through the inferior vena cava. This in turn leads to reduced filling volume and pressure in the right and left atrium with consequent decrease in preload.
6). • Also, too much traction in the gallbladder neck, and in the wrong direction, can pull the common bile duct from its normal location, causing the so-called “camel hump” position of the CBD at cystic channel insertion, leading to its inadvertent clipping and/or partial removal (Fig. 7). M. Schiappa Fig. 3) • • • • “trick” the vision of the surgical field, inducing perception errors. Using mental checklists for identification of anatomy, with routines in following and showing some portions, and confirming them with the first aide are good measures to diminish this danger.
Am J Surg 162(1):71–76 15. Strasberg SM, Hertl M et al (1995) An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg 180(1):101–125 16. Buddingh TK et al (2011) Intraoperative assessment of biliary anatomy for prevention of bile duct injury: a review of current and future patient safety interventions. Surg Endosc 25: 2449–2461 17. Rawlings A et al (2010) Single-Incision Laparoscopic Cholecystectomy: Initial Experience with Critical View of Safety Dissection and Routine Intraoperative Cholangiography.
Complications in Laparoscopic Surgery: A Guide to Prevention and Management by Cavit Avci, José M. Schiappa