SAGES launched its member-generated Wiki in 2010 and it quickly grew into a resource accessed by more than 2,500 people/month seeking advanced and accurate definitions of all types of minimally invasive surgery and diseases treated by minimally invasive surgery.
As part of the recent overhaul to SAGES web properties, the SAGES Wiki has been moved to a new home on the SAGES site. In addition to moving more than 75 member-generated articles back to the main SAGES web site, we have also completely changed the way members can interact with the Wiki:
- It’s easier than ever to become a contributor! Simply log in with your member account and head over the Wiki pages. Use the “Create A New Wiki” button on the right sidebar to add your own article.
- If you see a way to improve an existing article, simply click the Edit tab at the top of the article and make your edits.
- Want to discuss an article? All logged-in SAGES members can now comment on an article using the Discussion tab at the top of the article and post away.
Recommended Wiki: Preoperative Considerations for Minimally Invasive Surgery
When a patient is deemed a candidate for a laparoscopic operation, the specific history relevant to this approach include the acuity and complexity of their disease process, a history of chronic obstructive pulmonary disease, cardiac disease, and prior abdominal surgeries. Pulmonary function testing and assessment of hypoxia baseline hypercarbia may be necessary, and may make laparoscopy more precarious than laparotomy in borderline cases. Cardiac risk factors are relevant to the patient’s anesthetic risk as well as the suspected insult of the planned procedure, but the reduction of cardiac output caused by pneumoperitoneum may need to be factored in. No amount of prior abdominal surgery contraindicates laparoscopy, but the location of scars and any history of adhesions encountered on prior surgeries are considered. Patient-specific variations in adhesion formation, inflammatory and infectious processes, foreign bodies such as mesh, and immunosuppession may all impact the degree of intra-abdominal scar formation. For example, colectomy… Continue Reading »
Category: Basic Principles