Laparoscopic Gastric Banding (Operation Primer, 8)

Cover......Page 1
Laparoscopic
Gastric Banding......Page 4
ISBN 9783642192746......Page 5
EDITORS’ PREFACE......Page 6
AUTHORS’ PREFACE......Page 8
AUTHOR......Page 10
Contents......Page 12
Introduction......Page 14
Structure and handling of the Operation Primer......Page 16
Basic instruments......Page 18
Additional instruments for laparoscopic gastric banding......Page 19
Preparing the gastric band......Page 22
Positioning of the patient
......Page 23
Sterile draping......Page 24
Positioning of the operating team......Page 25
II
CREATING THE PNEUMOPERITONEUM– PLACING THE TROCAR FOR THE SCOPE......Page 26
a) Hasson method (open technique)......Page 27
b) Trocar with optical obturator......Page 28
c) Veress needle (closed technique) Insertion of the Veress needle and the fi rst trocar are the most dangerous moments in minim......Page 29
III
PLACING THE WORKING TROCARS......Page 31
IV
NODAL POINTS......Page 33
Overview nodal points......Page 34
1
Exploring the abdominal cavity......Page 35
Diagnostic laparoscopy......Page 36
2
Identifying the anatomical landmarks......Page 37
Anatomical overview......Page 38
3
Dissecting the pars fl accida......Page 39
The later retrocardial tunnel......Page 40
4
Dissecting the angle of His......Page 41
Correct incision above the omental bursa......Page 42
5
Introducing the gastric band......Page 43
Introducing the gastric band into the abdominal cavity......Page 44
6
Creating the retrocardial tunnel and connectingthe gastric band with the Goldfi nger™......Page 45
Connecting the gastric band with the Goldfi nger™......Page 46
7
Positioning the gastric band......Page 47
Correct positioning of the gastric band......Page 48
8
Closing the gastric band......Page 49
Checking the correct position of the gastric band......Page 50
9
Placing the safety sutures......Page 51
Placing the third safety suture......Page 52
10
Testing the stomach for leaks......Page 53
Testing the stomach for leaks......Page 54
11
Inspecting the operating fi eld and removing the trocars......Page 55
Cutting the tubing at its distal end......Page 56
12
Attaching and fi xing the port system – Velocity™......Page 57
Turning the locking connector clockwise......Page 58
Lifting the applier away from the port......Page 62
13
Finishing the operation......Page 63
Dressings......Page 64
b) Esophagus......Page 66
b) Trocar......Page 67
7 Tightness of the gastric band......Page 68
APPENDICES......Page 70
Anatomical variations......Page 71
Sample operation note......Page 72
Postoperative management......Page 73
Band adjustment......Page 74
Management of postoperative complications......Page 76
Bibliography......Page 81
Keywords......Page 85
Editors......Page 88
Assistants......Page 89
Titles in preparation......Page 90