Laparoscopic Sigmoidectomy for Diverticulitis by Uwe J. RoblickLaparoscopic Sigmoidectomy for Diverticulitis by Uwe J. Roblick

Laparoscopic Sigmoidectomy for Diverticulitis

byUwe J. RoblickContribution byH. Gülera:-k:, U.S. Haaga

Paperback | April 16, 2008

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The Operation Primer "Laparoscopic Sigmoidectomy for Diverticulitis" gives a detailed overview of the patients' preparation, surgical key steps, and pitfalls of laparoscopic sigmoidectomy for diverticulitis. The major goal was to provide a comprehensive surgical guide book for laparoscopic colorectal surgeons helping to avoid those pitfalls leading to complications.
Title:Laparoscopic Sigmoidectomy for DiverticulitisFormat:PaperbackDimensions:72 pages, 11.69 × 8.27 × 0.03 inPublished:April 16, 2008Publisher:Springer Berlin HeidelbergLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:3540784519

ISBN - 13:9783540784517

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Table of Contents

IntroductionStructure and handling of the Operation Primer I Preparations for the operationInstruments Emptying the bladder Positioning of the patientShaving Neutral electrodeSetting the equipmentSkin disinfection Sterile draping Positioning of the operating team II Creating the pneumoperitoneum - placing the optical trocara) Hasson Method (open technique)b) Trocar with obtical obturator c) Veress needle (closed technique) III Placing the working trocarsPlacing the working trocars IV Nodal points1. Exploring the abdominal cavity 2. Identifying the anatomical landmarks 3. Mobilizing the left lateral colon 4. Mobilizing the splenic flexure 5. Dissecting the sigmoid mesentery 6. Dissecting the upper mesorectum 7. Dividing the upper rectum 8. Extracting the sigmoid 9. Dividing the proximal colon and preparing the anastomosis extraabdominally 10. Preparing the anastomosis intraabdominally 11. Anastomosing the colon 12. Verifying the anastomosis 13. Finishing the operation V Management of difficult situations, complications and mistakes1. Adhesions 2. Blood vessel injuries a) Diffuse bleeding / bleeding from minor vessels b) Bleeding from major vessels 3. Organ injuries a) Greater omentum b) Bowel c) Spleen d) Stomach e) Liver 4. Preperitoneal air emphysema a) Veress needle b) Trocar 5. Losing a swab in the abdominal cavity 6. Adhesion of the sigmoid to the abdominal wall 7. Injury of the left ureter 8. Injury of iliac vessel 9. Difficulties when clipping a) Incorrectly positioned clips b) Unsafely positioned clips c) Lost and slipped clips 10. Positive anastomotic leak test 11. Rotation ot the left colon VI Anatomical variationsSigmoid position variations AppendixSample operation note Bibliography Liste of key words