by Richard L. Whelan and James W. Fleshman
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 pre-operative evaluation of laparoscopic patients, intraoperative strategies and minimization of complications, and post-operative care. In addition, the reader will find thorough discussions of the physiologic implications of CO2 pneumoperitoneum on cardiovascular, renal, pulmonary, hepatic, and immunologic function. Written by SAGES leadership and renowned experts in minimally invasive surgery, the text includes:
- guidelines for pre-operative evaluation of both the healthy and the complex laparoscopic patient
- strategies for successful outcomes, including OR set-up, patient positioning, anesthetic considerations, choice of port-placement and exposure method, port-closure method and hernia prevention
- managing trocar-placement related bleeding, prophylaxis against DVT, prevention of intraoperative hypothermia and subcutaneous emphysema
- when to convert to open methods
- physiologic, immunologic and oncologic implications of CO2 pneumoperitoneum, prevention of port -site tumors, minimizing the risk of gas embolism
- post-operative considerations including fluid management, ambulation and early post-operative performance criteria.
- multiple port arrangements for most operations and port placement schemes that take into account the B.M.I. of the patient.
Over 100 figures complement the text. This handy reference is a must-have resource for all surgeons currently using minimally invasive techniques as well as for all surgical trainees preparing for laparoscopic cases and studying for the board examination.