By Henry Buchwald MD PhD
Buchwald's Atlas of Metabolic & Bariatric Surgical ideas and approaches, via best authority Henry Buchwald, MD, PhD, is the 1st pictorial atlas that demonstrates today’s complete variety of open and laparoscopic bariatric tactics, in addition to concurrent surgical procedures similar to hernia fix and tubal ligation. enormous quantities of high quality images and illustrations assist you in achieving the easiest results and deal with any problems that can come up. You’ll locate assurance of such sizzling new ways as laparoscopic electrode placement, substitute open electrode placement, laparoscopic vagal pacing, and replacement open vagal pacing. At www.expertconsult.com you could reference the entire textual content and illustrations from any laptop or cellular device.
- See the way to practice today’s complete diversity of open and laparoscopic recommendations, in addition to concurrent surgical procedures akin to hernia fix and tubal ligation, via viewing 1000's of step by step images and illustrations.
- Master sizzling new strategies similar to laparoscopic electrode placement, replacement open electrode placement, laparoscopic vagal pacing, and replacement open vagal pacing.
- Obtain the easiest effects and keep away from problems with professional information and suggestions from Dr. Henry Buchwald, who has chaired or presided over the Surgical Council of the yank university of meals, the principal Surgical organization, the yank Society for Bariatric surgical procedure, and different top organizations.
- Reference the total textual content and illustrations from any computing device or cellular equipment at www.expertconsult.com.
Master all kinds of bariatric surgical procedures, in addition to concurrent and revisional surgical procedures with step by step visible guidance.
Read Online or Download Buchwald's Atlas of Metabolic & Bariatric Surgical Techniques and Procedures PDF
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Extra resources for Buchwald's Atlas of Metabolic & Bariatric Surgical Techniques and Procedures
Figure 4-18: The stomach is divided by successive applications of the linear stapler; approximately seven applications of the stapler are required. We end this dissection just short of the esophagogastric fat pad. The sleeve gastrectomy specimen is passed off the operative field. ◆ Chapter 4 • Biliopancreatic Diversion/Duodenal Switch 69 Figure 4-16 Figure 4-17 Figure 4-18 70 Section II • Primarily Malabsorptive Procedures Figure 4-19: We always oversew the sleeve gastrectomy staple line in the firm conviction that this step prevents staple line leaks.
Chapter 4 • Biliopancreatic Diversion/Duodenal Switch 57 Figure 4-1 Figure 4-2 58 Section II • Primarily Malabsorptive Procedures Figure 4-3: The surgeon and assistant apply opposing pressure on the sides of the opening and, with considerable force, tear the subcutaneous fat and Scarpa's fascia down to the linea alba. This maneuver requires several applications of subcutaneous pulling in opposite directions along the length of the incision and usually at several depths. This technique typically guarantees precise penetration down to the linea alba, with minimal bleeding and no tissue damage from the use of cautery coagulation.
Figure 3-26: The jejunoileostomy is created by anastomosis of the distal, stapled end of the biliopancreatic limb, side to side, to the junction of the common channel and the alimentary, or Roux, limb, 50 cm from the ileocecal valve. The illustration shows the orientation of the alimentary, or Roux, limb on the patient's right side with the biliopancreatic limb on the left and the oversewn stapled end of the biliopancreatic limb facing inferiorly. Marking sutures are placed attaching the two intestinal segments, and 1-cm long enterotomies are made with the cautery instrument.
Buchwald's Atlas of Metabolic & Bariatric Surgical Techniques and Procedures by Henry Buchwald MD PhD