By Seung Ho Choi, Kazunori Kasama
Bariatric and Metabolic surgical procedure is famous to be an incredible and potent choice for the remedy of serious weight problems and many of the linked stipulations and ailments. This booklet offers cutting-edge wisdom on such surgical procedure with the purpose of facilitating the sharing and trade of data, documenting potent recommendations, and embellishing defense and results. All technical points are lined intimately, and the textual content is complemented through many useful illustrations. another key function is the supply of accompanying surgical video clips, to be able to be of price to either amateur and skilled surgeons. This textbook may be a very good asset in scientific perform for all who're concerned or attracted to bariatric and metabolic surgery.
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Extra resources for Bariatric and Metabolic Surgery
12b). Then, dividing the rectus muscle, preperitoneal adipose tissue will appear (Fig. 12c). By twisting and pushing the trocar gently, it will get into the abdominal cavity (Fig. 12d). Removing the inner trocar, leaving the outer cannula, carbon dioxide gas can be insufflated and create the pneumoperitoneum. The surgeon should confirm that the cannula is properly placed into the abdominal cavity by viewing with the telescope. Operating Team Operating team of bariatric surgery should be well trained and understand the procedure.
7 %. Bleeding may come from gastroepiploic arcade, a tearing of the spleen, or staple line. To prevent gastroepiploic arcade bleeding, dissection begins from the transparent window very close to the greater curvature of the stomach, and ultrasonic coagulating shears or vessel-sealing system should be used. One should not perform blunt dissection and, instead, should make a small hole first with laparoscopic dissector and then cut the vessel with energy device under direct vision. Escaping from much tension between the stomach and spleen is important to avoid tearing the spleen.
Popescu WM, Bell R, Duffy AJ, Katz KH, Perrino Jr AC. A pilot study of patients with clinically severe obesity undergoing laparoscopic surgery: evidence for impaired cardiac performance. J Cardiothorac Vasc Anesth. 2011;25(6):943–9. Rosenthal RJ, et al. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of 12,000 cases. Surg Obes Relat Dis. 2012;8(1):8–19. Sabeti N, Tarnoff M, Kim J, Shikora S. Primary midline peritoneal access with optical trocar is safe and effective in morbidly obese patients.