By Henry Buchwald MD PhD
Buchwald's Atlas of Metabolic & Bariatric Surgical suggestions and tactics, by means of best authority Henry Buchwald, MD, PhD, is the 1st pictorial atlas that demonstrates today’s complete diversity of open and laparoscopic bariatric strategies, in addition to concurrent surgical procedures comparable to hernia fix and tubal ligation. hundreds of thousands of high quality images and illustrations help you in attaining the simplest results and deal with any problems which may come up. You’ll locate insurance of such scorching new ways as laparoscopic electrode placement, substitute open electrode placement, laparoscopic vagal pacing, and substitute open vagal pacing. At www.expertconsult.com you could reference the full textual content and illustrations from any laptop or cellular device.
- See tips on how to practice today’s complete diversity of open and laparoscopic options, in addition to concurrent surgical procedures resembling hernia fix and tubal ligation, via viewing 1000's of step by step pictures and illustrations.
- Master sizzling new strategies similar to laparoscopic electrode placement, substitute open electrode placement, laparoscopic vagal pacing, and substitute open vagal pacing.
- Obtain the easiest effects and steer clear of problems with professional information and suggestions from Dr. Henry Buchwald, who has chaired or presided over the Surgical Council of the yankee collage of nutrients, the critical Surgical organization, the yankee Society for Bariatric surgical procedure, and different top organizations.
- Reference the entire textual content and illustrations from any laptop or cellular equipment at www.expertconsult.com.
Master all kinds of bariatric surgical procedures, in addition to concurrent and revisional surgical procedures with step by step visible guidance.
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Extra resources for Buchwald's Atlas of Metabolic & Bariatric Surgical Techniques and Procedures
Figure 4-7: No globally accepted lengths have been established for the alimentary limb or the biliopancreatic limb of a duodenal switch. Various formulas of fixed lengths or percentages have been proposed. We measure the small intestine from the marking suture delineating the upper end of the common channel to the ligament of Treitz and divide this length, whatever it is, in half. 5-mm staples (blue load). The jejunal mesentery is divided for a distance of 4 to 6 cm to allow for mobility of the cut ends.
The mesenteric division is created with the cutting linear stapler. s The divided stapled jejunal ends, representing the proximal end of the Roux limb and the distal end of the biliopancreatic limb, may be oversewn with interrupted or running, 2/0, nonabsorbable sutures. The sutures are taken in the Lembert fashion, inverting the staple line of the divided bowel. Many, if not most, laparoscopic surgeons do not oversew these end-bowel staple lines. ◆ Figure 3-26: The jejunoileostomy is created by anastomosis of the distal, stapled end of the biliopancreatic limb, side to side, to the junction of the common channel and the alimentary, or Roux, limb, 50 cm from the ileocecal valve.
Placing the patient's arms out on arm boards facilitates access to the abdomen. An alternative configuration of the operating team has the surgeon standing between the abducted legs of the patient. ) s Having the patient in the reverse Trendelenburg position is preferred for visualization of the attic of the abdomen. ◆ Figure 3-24: The common channel is measured proximally from the ileocecal valve by judgment of 10-cm lengths taken between laparoscopic graspers. The jejunoileostomy site is marked with a suture placed through the mesentery and circumferentially around the bowel.