By Michael J. Rosen MD FACS
Atlas of belly Wall Reconstruction, edited by means of Michael J. Rosen, bargains accomplished insurance at the complete diversity of stomach wall reconstruction and hernia fix. grasp laparoscopic upkeep, open flank surgical procedure, mesh offerings for surgical fix, and extra with top of the range, full-color anatomic illustrations and medical intra-operative pictures and movies of methods played by way of masters. In print and on-line at www.expertconsult.com, this distinct atlas offers the transparent information you must take advantage of powerful use of either generally played and new and rising surgical innovations for stomach wall reconstruction.
- Tap into the event of masters from movies demonstrating key moments and methods in belly wall surgery.
- Manage the complete diversity of remedies for stomach wall problems with assurance of congenital in addition to got problems.
- Get a transparent photograph of inner constructions due to fine quality, full-color anatomic illustrations and medical intra-operative photographs.
- Make optimum offerings of surgical meshes with the simplest present details at the diversity of fabrics to be had for surgical repair.
- Access the totally searchable contents and video clips on-line at www.expertconsult.com.
Master normally played in addition to new and rising surgical options for stomach wall reconstruction
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Extra resources for Atlas of Abdominal Wall Reconstruction
S Leakage of gas at a trocar site or trocars that repeatedly fall out during a prolonged case can be quite frustrating. Replacing the leaking or loose trocar with a balloon-tipped trocar to reestablish a seal against the abdominal wall can save significant time and insufflation gas. s For measuring large defects, an umbilical tape may be used internally. The tape is held at one of the needles and is stretched taut between the two points, marking the edge of the defect. The tape is brought out through the trocar and measured.
Through a small incision in the upper quadrant, each layer of the abdominal wall is divided down to the peritoneum. The peritoneum can be sharply entered with a scalpel or bluntly penetrated with the finger to gain safe access to the abdominal cavity. The optical trocar can be used safely in the upper quadrant just below the rib line as well. Some surgeons prefer the Veress needle. The best technique is the one the surgeon is most comfortable and familiar with. s Once initial entry into the abdominal cavity is achieved, at least one and preferably two additional trocars are placed laterally on the side of entry.
Any unexplained tachycardia, leukocytosis, or persistent fever should be evaluated to rule out the presence of a bowel injury. Plane abdominal films or computed tomography can be used; however, if there is any concern, the patient should be returned to the operating room for diagnostic laparoscopy or laparotomy. Chapter 2 • Laparoscopic Ventral Hernia Repair—Standard 39 Figure 2-16. 40 Section II • Laparoscopic Repairs 2. Long-term Issues s early all patients undergoing laparoscopic ventral hernia repair develop some degree of N seroma at the previous hernia site.
Atlas of Abdominal Wall Reconstruction by Michael J. Rosen MD FACS