By Namir Katkhouda
This moment version of complicated Laparoscopic surgical procedure, thoughts and Tips represents a entire description of the present laparoscopic ideas. It provides surgeons with all of the info essential to effectively accomplish laparoscopic surgery. it's a hands-on guide that is helping the medical professional stay away from pitfalls and obtain the required laparoscopic talents quick and successfully. it's a prepared resource of sensible support while trouble-shooting is critical. complex laparoscopic surgical procedure is a wonderful merger of a textbook and atlas for the health care professional who desires to expand and refine his laparoscopic concepts.
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Additional info for Advanced Laparoscopic Surgery: Techniques and Tips, Second Edition
Hepaticoje junostomy with a Roux-en-Y This is a very difficult operation that should be attempted only by highly skilled laparoscopic surgeons. The operative details are provided here for the reader’s interest, rather than for absolute guidance. 4. The operation starts with dissection of the CBD and separation from the important structures of the porta Fig. 4 Trocar port placement for laparoscopic hepaticojejunostomy. 5 End-to-side hepaticojejunostomy hepatis, such as the hepatic artery and portal vein.
The knowledge and interpretation of the indicators on the insufflation unit will determine the origin of the problem and how to address it. Here are explanations of several common scenarios: 1. Pressure higher than 15 mmHg (a) Patient is not fully paralyzed or is waking up during the surgery (b) Pressure is set higher than 15 mmHg (c) The trocar valve is closed or there is a kink in the tube 2. Pressure is lower than 15 (a) The flow is 0 i. Gas tank is empty (b) The flow is high i. The tube is disconnected ii.
Here are explanations of several common scenarios: 1. Pressure higher than 15 mmHg (a) Patient is not fully paralyzed or is waking up during the surgery (b) Pressure is set higher than 15 mmHg (c) The trocar valve is closed or there is a kink in the tube 2. Pressure is lower than 15 (a) The flow is 0 i. Gas tank is empty (b) The flow is high i. The tube is disconnected ii. The suction is working and is stronger than the insufflator Control of Bleeding of Unnamed Vessels An unnamed vessel can be controlled in the same manner as a main vessel (see below), but usually simple compression with an atraumatic clamp and careful electrocautery will control the bleeding, so long as the major abdominal organs are kept under vision at an appropriate distance.