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 key issues in pre- operative evaluation of laparoscopic patients, intraoperative strategies and minimization of complications, and post-operative care. Written by the SAGES leadership and recognized experts in laparoscopic surgery, the text is complemented by 106 illustrations.

Includes supplementary material: sn.pub/extras

Klappentext
The perfect execution of a minimally invasive operative technique is only part of the equation for ensuring a favorable surgical outcome. It is also essential to have a complete understanding of the entire spectrum of perioperative care, including preoperative evaluation, technique selection, and postoperative management. Further, it is important to understand the physiologic impact of the C02 pneumoperitoneum. The SAGES Manual of Perioperative Care in Minimally Invasive Surgery provides strategies for successful patient management before, during and after laparoscopic surgery. This easy-to-read manual includes comprehensive and authoritative coverage of perioperative concepts and strategies that not only optimize outcomes but also ensures quality patient care beyond the operating room: guidelines for preoperative evaluation of healthy and complex patients strategies for successful outcomes, including OR setup, patient positioning, anesthetic considerations, exposure technique, port closure method, and hernia prevention multiple port arrangements for most operations and port placement schemes that take into account the B.M.I. of the patient managing trocar placement-related bleeding, prophylaxis against DVT, prevention of intraoperative hypothermia and subcutaneous emphysema when to convert to an open procedure physiologic, immunologic, and oncologic implications of CO2 pneumoperitoneum, prevention of port-site tumors, minimizing the risk of gas embolism postoperative considerations including fluid replacement, ambulation and early postoperative performance criteria The SAGES Manual of Perioperative Care in Minimally Invasive Surgery is written by recognized experts and reflects the Society's commitment to surgical education.

Inhalt
Perioperative Management and Evaluation.- Preoperative Evaluation of the Healthy Laparoscopic Patient.- Preoperative Evaluation of Complex Laparoscopic Patients.- Preoperative Patient Instructions.- Contraindications to Laparoscopy.- Perioperative Antibiotics in Laparoscopic Surgery.- Intraoperative Management, Positioning, Setup, and Port Placement.- IntroductoryRemarks Concerning Operating RoomSetup, Patient Positioning, and PortPlacement Chapters.- Intraoperative Management of the Laparoscopic Patient.- Summary of Intaoperative Physiologic Alterations Associated with Laparoscopic Surgery.- Patient Positioning and Logistics in the Operating Room During Laparoscopic Biliary Surgery.- Hepatobiliary, Cholecystectomy, and Common Bile Duct Exploration (CBDE). Includes Cholangiography and Intraoperative Choledochoscopy: Port Placement Arrangements.- Operating Room Setup and Patient Positioning for Laparoscopic Gastric Bypass and Laparoscopic Gastric Banding.- Minimally Invasive Procedures for Morbid Obesity: Port Placement Arrangements.- Patient Positioning and Operating Room Setup for Laparoscopic Treatment of Gastroesophageal Reflux Disease.- Port Placement Arrangements for Gastroesophageal Reflux Disease Surgery.- Minimally Invasive Esophageal Resection: Patient Position and Room Setup.- Port Placement for Minimally Invasive Esophagectomy.- Hernia Repair: Patient Positioning and Operating Room Setup.- Hernia Repair: Patient Positioning and Operating Room Setup.- Spinal Access Operating Room Setup and Patient Positioning.- Spinal Access Surgery Port Placement Arrangements.- Operating Room Setup and Patient Positioning for Laparoscopic Adrenalectomy and Donor Nephrectomy.- Port Placement in Laparoscopic Adrenalectomy and Donor Nephrectomy.- Colorectal Resections: Patient Positioning and Operating Room Setup.- Port Placement Arrangements: Laparoscopic-Assisted Colorectal Resections.- Port Placement Arrangements for Hand-Assisted Colorectal Resections.- Patient Positioning and Operating Room Setup: Splenectomy.- Splenectomy: Port Placement Arrangements.- Laparoscopic Ultrasonography: Patient Positioning and Operating Room Setup.- Laparoscopic Ultrasonography: Port Placement Arrangements.- Intraoperative Upper and Lower Endroscopy Considerations.- Choice of Laparoscopic Exposure Method.- Anchoring Laparoscopic Ports.- Trocar- and Port-Related Bleeding.- Prophylaxis Against Deep Venous Thrombosis.- Hypothermia.- Implications of Subcutaneous Emphysema and How to Avoid and/or Limit Its Development.- Fluid Management and Renal Function During a Laparoscopic Case Done Under CO2 Pneumoperitoneum.- Port Site Closure Methods and Hernia Prevention.- Postoperative Management of the Laparoscopic Patient.- Perioperative Fluid Management.- Ambulation and Early Postoperative Performance Criteria.- Pulmonary Considerations.- Resumption of Diet and Recovery of Bowel Function.- Wound Management and Complications.- Postoperative Restrictions After Laparoscopic Operations.- Pneumoperitoneum and Minimally Invasive Methods.- Cardiovascular Effects of CO2 Pneumoperitoneum.- Pulmonary Implications of CO2 Pneumoperitoneum in Minimally Invasive Surgery.- Renal Ramifications of CO2 Pneumoperitoneum.- The Systemic Oncologic Implications of Surgery.- Liver Function and Portal Blood Flow.- Port Site Tumors: Local Oncologic Effect.- Port Site Tumors: Means of Prevention.- Immunologic Consequences and Considerations of the Laparoscopic Approach.- Effect of Patient Position on Cardiovascular and Pulmonary Function.- Pros and Cons of Alternate Gases and Abdominal Wall Lifting Methods.- Risk of Gas Embolism with CO2 and Other Gases.- Impact of CO2 Pneumoperitoneum on Body Temperature and the Integrity of the Peritoneal Lining.- Adhesion Formation.- Impact of Minimally Invasive Methods on Postoperative Pain and Pulmonary Function.- Ergonomics in Laparoscopic Surgery.- Decision to Convert to Open Methods.