By Henry Buchwald MD PhD
Buchwald's Atlas of Metabolic & Bariatric Surgical ideas and methods, by means of major authority Henry Buchwald, MD, PhD, is the 1st pictorial atlas that demonstrates today’s complete variety of open and laparoscopic bariatric strategies, in addition to concurrent surgical procedures resembling hernia fix and tubal ligation. 1000s of top of the range images and illustrations enable you in attaining the simplest results and deal with any problems which may come up. You’ll locate insurance of such sizzling new techniques as laparoscopic electrode placement, replacement open electrode placement, laparoscopic vagal pacing, and substitute open vagal pacing. At www.expertconsult.com you could reference the entire textual content and illustrations from any computing device or cellular device.
- See how one can practice today’s complete diversity of open and laparoscopic concepts, in addition to concurrent surgical procedures reminiscent of hernia fix and tubal ligation, via viewing countless numbers of step by step images and illustrations.
- Master sizzling new strategies similar to laparoscopic electrode placement, substitute open electrode placement, laparoscopic vagal pacing, and replacement open vagal pacing.
- Obtain the easiest effects and steer clear of issues with professional assistance and suggestions from Dr. Henry Buchwald, who has chaired or presided over the Surgical Council of the yankee university of food, the primary Surgical organization, the yankee Society for Bariatric surgical procedure, and different top organizations.
- Reference the total textual content and illustrations from any laptop or cellular machine at www.expertconsult.com.
Master every kind of bariatric surgical procedures, in addition to concurrent and revisional surgical procedures with step by step visible guidance.
Read 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
The mesentery below the duodenum is also quite vascular and requires careful dissection and hemostasis. Once a grasper can comfortably be inserted underneath the duodenum, 4 cm from the pylorus and short of the common bile duct, the duodenum is ready for division. s Grasper inserted underneath the duodenum. ◆ Figure 3-32: When the first portion of the duodenum is cleared, it is divided with the linear stapler. Oversewing the duodenal stump is optional but highly recommended. s Duodenal stump staple line inverted and oversewn.
5-mm staples is used to perform the sleeve gastrectomy portion of the procedure. The stapler is first applied inferiorly at the cleared area opposite the pes anserinus or at the pylorus. This maneuver is performed after a bougie is placed by the anesthesia team into the lumen of the stomach; we prefer using a small, #24 Fr bougie. We resect the stomach a loose 2 to 4 cm from the edge of the bougie placed along the lesser curvature of the stomach. Other surgeons prefer using a larger bougie, up to #40 Fr, and cutting/stapling the stomach more tightly on the bougie.
The patient's position is then reversed to the steep reverse Trendelenburg position for the remainder of the operation. The side arms of the retractor are placed, and the wound is opened maximally in the transverse direction. The left lateral ligament of the liver is taken down, and the liver is reflected to the right with the heart-shaped blade of the bariatric retractor. The duodenum is mobilized from above and below until a clear passage beneath the duodenum is established. The vasculature of the tissue plane above the duodenum is extremely rich and requires a powered tissue divider or individual clamping and ligation of the vessels.
Buchwald's Atlas of Metabolic & Bariatric Surgical Techniques and Procedures by Henry Buchwald MD PhD