(EBOOK PDF)Laparoscopic Bariatric Surgery Techniques and Outcomes 1st Edition by Eric Demaria 9781040196373 1040196373 full chapters

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• ISBN 10:1040196373 

• ISBN 13:9781040196373

• Author:Eric Demaria  

Laparoscopic Bariatric Surgery
Techniques and Outcomes
There is no more technically demanding laparoscopic procedure than laparoscopic proximal gastric bypass. Furthermore, training and skill in advanced laparoscopy are inadequate background for developing a program since the bariatric patient presents many complex issues in management for the surgeon. Thus, the novice must master the skills of two disciplines: advanced laparoscopy and bariatric surgical care. The authors bring forward their significant experience in bariatric surgery and lessons learned from the development of their laparoscopic obesity surgery program in order to provide a resource to surgeons committed to bringing safe and effective laparoscopic treatment to their morbidly obese patients.                                                                                                                                                 

Laparoscopic Bariatric Surgery Techniques and Outcomes 1st Table of contents:

1. Introduction
2. Indications and Patient Selection for Bariatric Surgery
Introduction
Pathophysiology of Morbid Obesity Syndrome
Cardiovascular Related Problems
Respiratory Insufficiency
Metabolic Complications
Increased Intra-Abdominal Pressure
Other Co-Morbid Conditions
Indications for Surgical Treatment of Morbid Obesity
Preoperative Patient Evaluation
Effects of Weight Loss: What Can the Patient Expect?
The Reason(s) for Inadequate Weight Loss or Weight Regain Following Gastric By Pass Surgery
Selected Readings
3. Laparoscopic Instruments for Bariatric Surgery
Introduction
Laparoscopic Access
Hand Instruments—Retractors, Graspers, Dissector and Scissors
Suction/Irrigation
Clip Appliers
Ultrasonic Coagulation
Laparoscopic Suturing Devices
Endoscopic Stapling Devices
4. State of the Art Endosuite® for Minimal Access Surgery
Introduction
Basic Philosophy of the MIS Endosuite™
The Design
The Equipment
Visualization
Voice Activation and Computer Robotics in the Operating Room
HERMES™
AESOP®
The Integration
The Team
Selected Readings
5. Effects of Increased Intra-Abdominal Pressure on Laparoscopic Surgery in Severe Obesity
Selected Readings
6. Prophylaxis of Venous Thromboembolism in Morbidly Obese Patients
Introduction
Pulmonary Embolism and Obesity
Coagulation Abnormalities in Obesity
Perioperative Prophylaxis
Diagnosis
Therapy
Conclusion
Selected Readings
7. Laparoscopic Adjustable Silicone Gastric Banding
Background
Technique
Patient’s Positioning and Trocar Placement
Dissection
Placement of the Band
Immediate Postoperative Management
Late Postoperative Care
Outcomes of LASGB
Summary
Suggested Readings
8. Laparoscopic Vertical Banded Gastroplasty
Introduction
Vertical Banded Gastroplasty
Techniques
Outcomes
Laparoscopic Vertical Banded Gastroplasty
Technique
Outcomes
Conclusion
Selected Readings
9. Hand-Assisted Laparoscopic Roux-en-Y Gastric By Pass
Operative Techniques
Creation of Roux Limb and Jejuno-jejunostomy
Division of the Gastric Pouch
The Linear Stapling Technique for the Gastrojejunostomy
EEA Stapler Technique Using Transoral Anvil on a Pull-Wire Method for the Gastrojejunostomy
Transgastric Anvil Placement Technique for the Gastrojejunostomy
Completion of the Operation
Conclusion
Selected Readings
10. Laparoscopic Roux-en-Y Gastric By Pass: Detailed Technical Issues
Introduction
Abdominal Access and Creating Pneumoperitoneum
Locating the “Critical” Trocar for the Surgeon’s Right Hand
Dissection
Gastric Transection
Lesser Sac Dissection
Mesocolic Dissection
Creation of the Roux Limb
Jejuno-Jejunostomy
Bringing the Roux Limb through the Retrocolic Tunnel
Gastrojejunal Anastomosis
Circular Stapler Anastomosis with Transesophageal Passage of the Anvil
Circular Stapler with Transgastric Insertion of the Anvil
Linear Stapled Gastrojejunal Anastomosis
Closure of Mesentery
Closure of the Fascial Defects
Summary
Suggested Readings
11. Laparoscopic Gastric By Pass: Clinical Outcomes
Introduction
Literature Review
Outcomes
Percentage Excess Weight Loss
Comorbidities
Internal Hernias
Wound Infections
Trocar Site Hernias
Anastomotic Leaks
Conclusions
Selected Readings
12. Postoperative Management and Complications after Laparoscopic Roux-en-Y Gastric By Pass
Postperative Management
Complication Rate after Open Gastric By Pass
Conversion from Laparoscopic to Open Roux-en-Y Gastric By Pass
Mortality after Laparoscopic Roux-en-Y Gastric By Pass
Anastomotic Complications
Acute Gastric Dilitation
Thromboembolic Complications
Wound Complications
Cholelithiasis
Staple Line Disruption
Internal Hernia
Summary
Selected Readings
Index
 

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Laparoscopic Bariatric,Bariatric Surgery Techniques,Eric Demaria