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Title Gastrointestinal operations and technical variations / Michael Korenkov, Christoph-Thomas Germer, Hauke Lang, editors
Published Berlin, Germany : Springer, 2017

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Description 1 online resource (xvi, 444 pages) : illustrations (some color)
Contents Contents -- Contributors -- The Basics -- 1: Introduction -- Reference -- 2: Risk Assessment and Decision Analysis Within Surgical Applications -- 2.1 Introduction -- 2.2 What Is Risk Assessment and Decision Analysis? -- 2.3 A Brief History of Risk -- 2.4 Risk Assessment in Medicine: Current Practices and Methods -- 2.5 Risk-Based Decision Analysis for Application in Surgery -- 2.6 Case Study: MCDA Application for Risk Assessment in Bariatric Surgery -- 2.7 Discussion -- References
3: Deviation from Surgical Standards from a Viewpoint of Layers3.1 Introduction -- 3.2 Legal Framework -- 3.3 Importance of Policies and Guidelines -- 3.4 Freedom of Medical Therapy -- 3.5 New Treatment or Outsider Methods -- 3.6 Enlightenment -- 3.7 Documentation -- 3.8 Conclusion -- 4: Surgeon in a Difficult Situation -- 4.1 Classifications and Stagings -- 4.1.1 The Difficult Situation -- References -- Further Reading -- Individual Surgery for Upside Down Stomach and Antireflux Surgery -- 5: Introduction
5.1 Laparoscopic Antireflux Surgery5.1.1 Approach -- 5.2 Laparoscopic Upside-Down Stomach Surgery -- 5.3 Classification of Intraoperative Difficulties -- Reference -- 6: Surgical Technique and Difficult Situations from Bernard Dallemagne -- 6.1 Introduction -- 6.2 Patient Setup and Surgical Technique -- 6.2.1 Reduction of the Stomach into the Abdominal Cavity -- 6.2.2 Esophageal Dissection: Short Esophagus Assessment -- 6.2.3 Crural Repair -- 6.3 Should an Anti-reflux Procedure Be Performed Routinely?
6.4 Postoperative Care and Investigations7: Surgical Technique and Difficult Situations from Hubertus Feussner -- 7.1 Introduction -- 7.1.1 Preoperative Diagnostic Workup -- 7.2 Surgical Technique: Laparoscopic Fundoplication -- 7.2.1 Access -- 7.2.2 Dissection -- 7.2.3 Closure of the Diaphragmatic Hernia -- 7.2.4 Fundoplication -- Paraesophageal Hernia/Upside-Down Stomach -- 8: Surgical Technique and Difficult Situations from Karl-Hermann Fuchs -- 8.1 Introduction -- 8.2 Preparation -- 8.3 Operative Technique
8.4 Division of the Short Gastric Vessels8.5 Hiatoplasty -- 8.6 Fundoplication -- 8.7 Summary -- 9: Surgical Technique and Difficult Situations from Sumeet K. Mittal -- 9.1 Introduction -- 9.2 Preoperative Workup -- 9.3 Preparation -- 9.4 Surgical Technique -- 9.4.1 Reduction of Hernia Sac -- 9.4.2 Mediastinal Dissection -- 9.4.3 Crural Closure -- 9.4.4 Anti-reflux Procedure -- 9.4.5 Gastrostomy Tube Placement with Endoscopy -- 9.5 Difficult Situations -- 9.5.1 Short Esophagus -- 9.5.2 Inability to Reduce the Stomach
Summary This book is exceptional in describing not only the standard surgical procedures, open and laparoscopic, for various gastrointestinal indications, but also the technical variations that may be employed in response to difficult intraoperative situations. For each surgical procedure, leading experts provide step-by-step, illustrated descriptions of their standard techniques and preferred modifications when confronted by challenging circumstances associated with an increased risk of intra- or postoperative complications. All of the described variations are designed to meet the original surgical goals and achieve satisfactory outcomes. Topics addressed include upside-down stomach, antireflux surgery, gastric gastrointestinal tumors, gastric cancer, gallbladder and bile duct disease, inflammatory bowel disease, right and left hemicolectomy, sigmoid diverticulitis, rectal cancer, and rectal prolapse. The provision of several points of view for each surgical indication ensures that approaches from the conservative to the more radical are conveyed. It is clearly explained in which situations use of the described technical variations may be indicated, and practical tips are provided on the avoidance of complications. In addition, important medicolegal issues are discussed and guidance is offered on risk assessment and decision analysis within the surgical setting. This book will be an invaluable aid to decision making and practice for every gastrointestinal surgeon
Notes Includes index
Online resource; title from PDF title page (EBSCO, viewed November 1, 2017)
Subject Gastrointestinal system -- Surgery
Digestive System Diseases -- surgery
Gastrointestinal Diseases -- surgery
Digestive System Surgical Procedures -- methods
MEDICAL -- Surgery -- General.
Gastrointestinal system -- Surgery.
Form Electronic book
Author Korenkov, Michael, editor.
Germer, Christoph-Thomas, editor
Lang, H. (Hauke), 1963- editor.
ISBN 9783662498781
3662498782
3662498766
9783662498767