The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery

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Publisher : Springer
ISBN 13 : 3319203649
Total Pages : 371 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery by : Liane S. Feldman

Download or read book The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery written by Liane S. Feldman and published by Springer. This book was released on 2015-08-31 with total page 371 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume presents a comprehensive, up to date and practical approach to creating an ERAS program for GI surgery. The first sections review the evidence underlying individual elements of ERAS, including evidence from laparoscopic procedures when available or pointing to evidence gaps where more research is required. These are written by experts in the field, including surgeons, anesthesiologists, nurses, and physiotherapists. The format is in the style of a narrative review, with narrative evidence review, and concluding with a table with “take home messages” and 3-5 key references for readers interested in more depth in each topic. Each chapter also addresses management of common complications and patient selection or exceptions. Subsequent chapters address practical concerns, including creation of a pathway team, project management and engaging administration. Experts contribute real-world examples of their pathways for a variety of procedures, including colorectal surgery, bariatric surgery, upper GI and hepatobiliary surgery, enabling the user to have a starting point for creating their own programs. The SAGES Manual of Enhanced Recovery Programs for Gastrointestinal Surgery will be of great value to fully trained surgeons, anesthesiologists, nurses and administrators interested in initiating an ERAS program.

The SAGES

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Publisher :
ISBN 13 : 9783319203652
Total Pages : pages
Book Rating : 4.2/5 (36 download)

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Book Synopsis The SAGES by : Liane S. Feldman

Download or read book The SAGES written by Liane S. Feldman and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume presents a comprehensive, up-to-date and practical approach to creating an Enhanced Recovery Program for GI surgery. The first sections review the evidence underlying individual elements of Enhanced Recovery Programs, including evidence from laparoscopic procedures when available and pointing to evidence gaps where more research is required. These are written by experts in the field, including surgeons, anesthesiologists, nurses, and physiotherapists. The format is in the style of a narrative review, summarizing the evidence and concluding with key "take home messages" and references. Management of common complications and issues related to patient selection are also addressed. Subsequent chapters address practical concerns, including creation of a pathway team, project management and engaging administration. Experts contribute real-world examples of their pathways for a variety of procedures, including colorectal surgery, bariatric surgery, upper GI and hepatobiliary surgery, enabling the user to have a starting point for creating their own programs. The SAGES / ERAS® Society Manual of Enhanced Recovery Programs for Gastrointestinal Surgery will be of great value to fully trained surgeons, anesthesiologists, nurses and administrators interested in initiating an Enhanced Recovery Program.

The SAGES Manual of Colorectal Surgery

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Author :
Publisher : Springer Nature
ISBN 13 : 3030248127
Total Pages : 689 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis The SAGES Manual of Colorectal Surgery by : Patricia Sylla

Download or read book The SAGES Manual of Colorectal Surgery written by Patricia Sylla and published by Springer Nature. This book was released on 2019-10-17 with total page 689 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides essential didactic content for the SAGES University Masters Program Colorectal Surgery Curriculum. Surgeons seeking to complete the competency, proficiency, or mastery curriculum of the MASTERS Colorectal Pathway for a particular anchoring colorectal procedure will find relevant educational content in this SAGES Manual. Written by experts in the field, each chapter provides detailed guidance on preoperative and peri-procedural considerations for right and left elective and emergency colorectal resections, for both benign and malignant pathologies. Technical pearls and strategies to manage pitfalls and complications are also extensively reviewed along with detailed guidance for both laparoscopic and robotic procedures. The SAGES Manual of Colorectal Surgery provides a wealth of practical guidance to surgeons along their journey to progress from competency to mastery in various minimally invasive approaches to colorectal surgery.

The SAGES Manual

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1461423449
Total Pages : 650 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis The SAGES Manual by : Nathaniel J. Soper

Download or read book The SAGES Manual written by Nathaniel J. Soper and published by Springer Science & Business Media. This book was released on 2012-06-02 with total page 650 pages. Available in PDF, EPUB and Kindle. Book excerpt: The much-anticipated revision of the second edition of The SAGES Manual: Fundamentals of Laparoscopy, Thoracoscopy, and GI Endoscopy, has been completely restructured, reorganized, and revised. The Manual has been split into two volumes for better portability. Volume I, Basic Laparoscopy and Endoscopy covers the fundamentals and procedures performed during surgical residency. Volume I will be the first volume used by students, residents, and allied healthcare professional trainees. Material has been added to these fundamentals and procedures that will also be of interest to experienced surgeons. Volume II, Advanced Laparoscopy and Endoscopy covers more advanced procedures, generally taught during fellowship. All of the sections have been reorganized with a critical eye to the needs of the modern minimal access surgeon. Two new editors have been added. Chapters have been revised by both new authors as well as many stalwart authors from previous editions. These portable handbooks cover all of the major laparoscopic and flexible endoscopic procedures in easy-to-read format. Indications, patient preparation, operative techniques, and strategies for avoiding and managing complications are included for the complete spectrum of both “gold standard” and emerging procedures in diagnostic and therapeutic laparoscopy, thoracoscopy, and endoscopy. The scope, detail, and quality of the contributions confirm and demonstrate the SAGES commitment to surgical education. This manual is sure to find a home in the pocket, locker or briefcase of all gastrointestinal endoscopic surgeons and residents.

Enhanced Recovery after Surgery

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Author :
Publisher : Springer
ISBN 13 : 9811067961
Total Pages : 161 pages
Book Rating : 4.8/5 (11 download)

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Book Synopsis Enhanced Recovery after Surgery by : Ryoji Fukushima

Download or read book Enhanced Recovery after Surgery written by Ryoji Fukushima and published by Springer. This book was released on 2018-01-08 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides up-to-date information and practical approaches to Enhanced Recovery after Surgery (ERAS) programs for digestive and / or cardiopulmonary surgery. ERAS programs following surgical interventions are now part of the standard of care for patients undergoing various operative procedures. These programs have been associated with reductions in complications, in length of hospital stay after surgery and in related costs, and have led to improved patient QOL. Enhanced Recovery after Surgery discusses a range of aspects of the program, from surgical procedure to perioperative management. Each chapter is written by experts in the field, including digestive, cardiopulmonary and pediatric surgeons. It is a valuable resource for surgeons, nurses and administrators interested in initiating an ERAS program.

Manual of Fast Track Recovery for Colorectal Surgery

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 0857299530
Total Pages : 187 pages
Book Rating : 4.8/5 (572 download)

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Book Synopsis Manual of Fast Track Recovery for Colorectal Surgery by : Nader Francis

Download or read book Manual of Fast Track Recovery for Colorectal Surgery written by Nader Francis and published by Springer Science & Business Media. This book was released on 2012-01-02 with total page 187 pages. Available in PDF, EPUB and Kindle. Book excerpt: Manual of Fast Track Recovery for Colorectal Surgery provides a broad overview on enhanced recovery, with expert opinions from leaders in the field regarding elements of enhanced recovery care that are generic and specific to colorectal surgery. This book covers the patient journey through such a programme, commencing with optimisation of the patient’s condition, patient education and conditioning of their expectations. Manual of Fast Track Recovery for Colorectal Surgery investigates the metabolic response to surgery, anaesthetic contributions and optimal fluid management, after surgery. It also details examples of enhanced recovery pathways and practical tips on post-operative pain control, feeding, mobilisation and criteria for discharge. Manual of Fast Track Recovery for Colorectal Surgery is a valuable reference tool for colorectal surgeons, anaesthetists, ward nurses and other members of the team involved in perioperative care: pain control specialists, physiotherapists, dietitians, specialist therapists (such as colorectal and stoma nurses), and outpatient nurses.

The SAGES Manual

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1461423473
Total Pages : 602 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis The SAGES Manual by : Ninh T. Nguyen

Download or read book The SAGES Manual written by Ninh T. Nguyen and published by Springer Science & Business Media. This book was released on 2012-05-27 with total page 602 pages. Available in PDF, EPUB and Kindle. Book excerpt: The much-anticipated revision of the second edition of The SAGES Manual: Fundamentals of Laparoscopy, Thoracoscopy, and GI Endoscopy, has been completely restructured, reorganized, and revised. The Manual has been split into two volumes for better portability. Volume I, Basic Laparoscopy and Endoscopy covers the fundamentals and procedures performed during surgical residency. Volume I will be the first volume used by students, residents, and allied healthcare professional trainees. Material has been added to these fundamentals and procedures that will also be of interest to experienced surgeons. Volume II, Advanced Laparoscopy and Endoscopy covers more advanced procedures, generally taught during fellowship. All of the sections have been reorganized with a critical eye to the needs of the modern minimal access surgeon. Two new editors have been added. Chapters have been revised by both new authors as well as many stalwart authors from previous editions. These portable handbooks cover all of the major laparoscopic and flexible endoscopic procedures in easy-to-read format. Indications, patient preparation, operative techniques, and strategies for avoiding and managing complications are included for the complete spectrum of both “gold standard” and emerging procedures in diagnostic and therapeutic laparoscopy, thoracoscopy, and endoscopy. The scope, detail, and quality of the contributions confirm and demonstrate the SAGES commitment to surgical education. This manual is sure to find a home in the pocket, locker or briefcase of all gastrointestinal endoscopic surgeons and residents.

The SAGES Manual

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Author :
Publisher : Springer
ISBN 13 : 9780387691701
Total Pages : 280 pages
Book Rating : 4.6/5 (917 download)

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Book Synopsis The SAGES Manual by : Ninh T. Nguyen

Download or read book The SAGES Manual written by Ninh T. Nguyen and published by Springer. This book was released on 2008-11-26 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bariatric surgery is an increasingly common procedure, but far from an easy one. Patient assessment and selection must be careful. Complications can arise quite often. Training levels can be uneven among clinicians. The SAGES Manual of Bariatric Surgery bridges the gaps and serves as a practical and concise starting point for the surgeon adding these procedures to his skill set.

The SAGES Manual of Foregut Surgery

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Author :
Publisher : Springer
ISBN 13 : 3319961225
Total Pages : 893 pages
Book Rating : 4.3/5 (199 download)

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Book Synopsis The SAGES Manual of Foregut Surgery by : Jayleen Grams

Download or read book The SAGES Manual of Foregut Surgery written by Jayleen Grams and published by Springer. This book was released on 2019-04-12 with total page 893 pages. Available in PDF, EPUB and Kindle. Book excerpt: The field of benign foregut surgery continues to evolve with new diagnostic methods and treatment modalities. The text lays the foundation in understanding the foregut through review of the anatomy and physiology, followed by subsequent chapters focusing on the diagnosis and management of specific benign diseases of the foregut: gastroesophageal reflux disease and diaphragmatic hernia, Barrett’s esophagus, disorders of esophageal dysmotility, benign esophageal and gastric tumors, peptic ulcer disease and gastric outlet obstruction, and gastroparesis. Written by experts, each of these sections addresses the evaluation and management of the disease process, technical conduct of the most common endoscopic and surgical procedures, postoperative management including complications, and revisional operations. Additionally, expert commentary will serve to highlight and clarify controversies in the field. The SAGES Manual of Foregut Surgery provides a comprehensive, state-of- the art review and will serve as a valuable resource for clinicians and surgeons.

The SAGES Manual of Bariatric Surgery

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Author :
Publisher : Springer
ISBN 13 : 3319712829
Total Pages : 688 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis The SAGES Manual of Bariatric Surgery by : Kevin M. Reavis

Download or read book The SAGES Manual of Bariatric Surgery written by Kevin M. Reavis and published by Springer. This book was released on 2018-04-04 with total page 688 pages. Available in PDF, EPUB and Kindle. Book excerpt: Morbid obesity is an epidemic as more than 2/3 of the United States population is obese and as such, has a high burden of weight-related co-morbid diseases. Bariatric surgery has proven to be effective and durable for treatment of severe obesity. Technological advances including applications of laparoscopy and endolumenal techniques have rapidly advanced this field. Data and outcomes examining treatments have also improved and as providers, we have a wide spectrum of therapeutic options to treat patients. As techniques and outcomes have evolved, access to a comprehensive yet focused resource regarding bariatric surgery is currently limited. The proposed textbook is designed to present a comprehensive and state-of the-art approach to the current and future status of Bariatric interventions, which has changed significantly since the first edition of the Manual. Updates in this version will include the rapidly expanding field of endoluminal bariatric procedures, with a focus on new devices and theories of mechanisms. New data regarding laparoscopic approaches to treat obesity, as well as improved longer-term data outcomes will be reviewed. Newer surgical approaches to treat metabolic disease and obesity are included, as well as proposed mechanisms of action and efficacy. Additional new sections include sections on the application of robotic technologies, special circumstances including transplantation and pregnancy, and telemedicine and social media in bariatric surgery. Sections will address the evolution in specific treatments available to patients, initial evaluation and selection of procedures for individual patients, the latest surgical and endoscopic techniques being employed to treat patients including data on outcomes, and future directions for therapy. In particular and unique amongst references, a major focus of this text will be on both the bariatric and metabolic bases of therapies and outcomes. The SAGES Manual A Practical Guide to Bariatric Surgery, Second Edition aligns with the new SAGES UNIVERSITY MASTERS Program. The Manual supplements the Bariatric Surgery Pathway from Competency to Proficiency to Mastery. Whether it’s for Biliary, Hernia, Colon, Foregut or Bariatric, the key technical steps for the anchoring bariatric procedures are highlighted in detail as well as what the reader needs to know to successfully submit a video clip to the SAGES Facebook Channels for technical feedback. Readers will also learn about how to count credits for Bariatric from the other Master Program Series, Guidelines, Top 21 Videos, Pearls, FLS, FES, FUSE, SMART and Annual SAGES Meeting. The Masters Program promotes lifelong deliberate learning.

The SAGES Manual of Perioperative Care in Minimally Invasive Surgery

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 0387290508
Total Pages : 492 pages
Book Rating : 4.3/5 (872 download)

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Book Synopsis The SAGES Manual of Perioperative Care in Minimally Invasive Surgery by : Richard L. Whelan

Download or read book The SAGES Manual of Perioperative Care in Minimally Invasive Surgery written by Richard L. Whelan and published by Springer Science & Business Media. This book was released on 2006-01-16 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second SAGES (Society of American Gastrointestinal Endoscopic S- geons) manual was intended to be a companion piece for the successful ?rst SAGES manual, edited by Carol Scott-Connor, that was published more than 4 years ago. Originally, the goal was to concentrate on tersely covered or often ignored aspects of the preoperative preparation of the patient and the operating room as well as the postoperative care of patients undergoing minimally in- sive operations. It was also our intention to include a section for each procedure where several different port placement schemes would be presented and brie?y discussed. Unique to this manual, the impact of the patient’s body habitus (short or long, narrow or wide) on port placement is also taken into account for many of the procedures. Also unique are chapters devoted to hypothermia, port wound closure, and the management of subcutaneous emphysema and abdominal wall hemorrhage caused by trocars. Naturally, the surgeon tends to focus on the technical aspects of the pro- dure, such as the operative tasks to be carried out, the order of operation, and the position of the surgeon and assistant. However, it is critical that the surgeon be aware that the CO pneumoperitoneum, far more so than laparotomy, results 2 in multiple physiologic alterations that, if not compensated for by the anest- siologist and surgeon, may endanger the patient or prevent the laparoscopic c- pletion of the procedure.

The SAGES Manual of Biliary Surgery

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Author :
Publisher : Springer Nature
ISBN 13 : 3030132765
Total Pages : 294 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis The SAGES Manual of Biliary Surgery by : Horacio J. Asbun

Download or read book The SAGES Manual of Biliary Surgery written by Horacio J. Asbun and published by Springer Nature. This book was released on 2019-11-05 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although benign biliary disease is an area in which many surgeons have experience, there are many nuances to providing the highest quality of surgical care. The biliary anatomy is unique but presents with anatomical variances and can be distorted by benign pathology. Biliary surgery has been one of the areas where minimally invasive techniques were first applied in the late 1980s. However, surgical technique has continued to evolve due to acquisition of advanced minimal surgical skills and improvement in surgical technology. The expertise, sage, and knowledge of the members of the Society of American Gastrointestinal and Endoscopic Surgery (SAGES) have prioritized the creation of this manual on modern biliary surgery. This manual will provide the standard for the current state of biliary surgery in the 21st century. The SAGES Manual of Biliary Surgery will align with the new SAGES University Masters program. The Manual supplements the Masters Program Biliary Surgery Pathway. Its goal is to help the surgeon progress from the competent to the proficient and finally to the mastery level. Both for the surgical trainee and senior surgeon, this guidebook will also give insight into modern evaluation and management. The highlights will emphasize what is both feasible and safe from a minimally invasive approach in biliary surgery. The concept of Safe Cholecystectomy will be defined and expounded on in detail. The difficult cholecystectomy will be given ample coverage to include management of intraoperative bile duct injury, indications and techniques of subtotal cholecystectomy, and special attention to intraoperative diagnostic imaging that serve as adjuncts, including cholangiograpy, ultrasound, as well as indocyanine green biliary fluorescence. We will review the updated international Tokyo guidelines for acute cholecystitis. Furthermore, the evolution of treatment of choledocohlithiasis has evolved the most in recent years, and thus requires an extensive discussion of the non-operative and operative management of bile duct stones. This text will serve as an important contribution to the medical literature sponsored by SAGES, an international leading authority in gastrointestinal surgery with a keen interest in safe and proficient biliary surgery. Leaders in the field of biliary surgery will impart their insight and considerable experience in the chapters planned for this manual. The intent for this manual is to be the cited resource for high quality and applicable knowledge for the treatment of benign biliary disease.

The SAGES Manual of Flexible Endoscopy

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Author :
Publisher : Springer Nature
ISBN 13 : 3030235904
Total Pages : 570 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis The SAGES Manual of Flexible Endoscopy by : Peter Nau

Download or read book The SAGES Manual of Flexible Endoscopy written by Peter Nau and published by Springer Nature. This book was released on 2019-09-24 with total page 570 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book addresses all aspects of endoscopy from scope and tower basics to the more advanced interventional procedures like endoscopic retrograde cholangiopancreatography, per-oral esophageal myotomy, and percutaneous endoscopic gastrostomy. It covers a broad range of topics in order to remain relevant to the surgical subspecialist, the community general surgeon, the surgical fellow interested in endolumenal and transluminal procedures, and the surgical resident interested in the very basics of endoscopy. The table of contents is intentionally designed to mirror the Flexible Endoscopy curriculum currently being implemented for all minimally invasive, advanced GI and surgical endoscopy fellowships. The chapters are broken up into five parts. The first part introduces the SAGES Masters Program, followed by parts that cover flexible endoscopy basics, flexible endoscopy procedures, and finally bariatric flexible endoscopy. Written by experts and thought leaders in their fields, The SAGES Manual of Flexible Endoscopy serves as a valuable resource for surgeons of all training and skill levels to better grasp an overview of modern endoscopy practice.

The SAGES Manual of Colorectal Surgery

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Author :
Publisher :
ISBN 13 : 9783030248130
Total Pages : pages
Book Rating : 4.2/5 (481 download)

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Book Synopsis The SAGES Manual of Colorectal Surgery by : Patricia Sylla

Download or read book The SAGES Manual of Colorectal Surgery written by Patricia Sylla and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides essential didactic content for the SAGES University Masters Program Colorectal Surgery Curriculum. Surgeons seeking to complete the competency, proficiency, or mastery curriculum of the MASTERS Colorectal Pathway for a particular anchoring colorectal procedure will find relevant educational content in this SAGES Manual. Written by experts in the field, each chapter provides detailed guidance on preoperative and peri-procedural considerations for right and left elective and emergency colorectal resections, for both benign and malignant pathologies. Technical pearls and strategies to manage pitfalls and complications are also extensively reviewed along with detailed guidance for both laparoscopic and robotic procedures. The SAGES Manual of Colorectal Surgery provides a wealth of practical guidance to surgeons along their journey to progress from competency to mastery in various minimally invasive approaches to colorectal surgery.

The SAGES Manual of Quality, Outcomes and Patient Safety

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1441979018
Total Pages : 590 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis The SAGES Manual of Quality, Outcomes and Patient Safety by : David S. Tichansky, MD, FACS

Download or read book The SAGES Manual of Quality, Outcomes and Patient Safety written by David S. Tichansky, MD, FACS and published by Springer Science & Business Media. This book was released on 2011-12-21 with total page 590 pages. Available in PDF, EPUB and Kindle. Book excerpt: SAGES represents a worldwide community of surgeons that can bring minimal access surgery, endoscopy and emerging techniques to patients in every country.

The SAGES Manual of Hernia Surgery

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Author :
Publisher : Springer
ISBN 13 : 9783319784106
Total Pages : 0 pages
Book Rating : 4.7/5 (841 download)

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Book Synopsis The SAGES Manual of Hernia Surgery by : S. Scott Davis, Jr.

Download or read book The SAGES Manual of Hernia Surgery written by S. Scott Davis, Jr. and published by Springer. This book was released on 2018-12-21 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edition of the SAGES Manual of Hernia Surgery aligns with the current version of the new SAGES University MASTERS Program Hernia Surgery pathway. This manual serves as a curriculum for participants in the MASTERS Program as well as a modern text on hernia surgery for all learners. Hernia surgery is one of the fastest developing fields in general surgery today. There have been rapid advancements in hernia techniques in recent years, making most prior texts on the subject obsolete. These advancements involve significant evolution in both the techniques and strategies for hernia repairs, as well as the tools used to achieve these means. This text thoroughly addresses the multiple component separation techniques and options for locations of mesh repairs. It also discusses the revolution of hernia repair being facilitated by robotic surgery, which allows increased access to minimally invasive techniques for surgeons and thus increased access to minimally invasive surgical repairs for patients. This manual will be a valuable resource for interested surgeons to understand the variety of potential approaches to individual hernias, and to individually tailor the care of the hernia patient.

The SAGES Manual of Perioperative Care in Minimally Invasive Surgery

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Author :
Publisher : Springer
ISBN 13 : 9780387503660
Total Pages : 0 pages
Book Rating : 4.5/5 (36 download)

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Book Synopsis The SAGES Manual of Perioperative Care in Minimally Invasive Surgery by : Richard L. Whelan

Download or read book The SAGES Manual of Perioperative Care in Minimally Invasive Surgery written by Richard L. Whelan and published by Springer. This book was released on 2008-11-01 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second SAGES (Society of American Gastrointestinal Endoscopic S- geons) manual was intended to be a companion piece for the successful ?rst SAGES manual, edited by Carol Scott-Connor, that was published more than 4 years ago. Originally, the goal was to concentrate on tersely covered or often ignored aspects of the preoperative preparation of the patient and the operating room as well as the postoperative care of patients undergoing minimally in- sive operations. It was also our intention to include a section for each procedure where several different port placement schemes would be presented and brie?y discussed. Unique to this manual, the impact of the patient’s body habitus (short or long, narrow or wide) on port placement is also taken into account for many of the procedures. Also unique are chapters devoted to hypothermia, port wound closure, and the management of subcutaneous emphysema and abdominal wall hemorrhage caused by trocars. Naturally, the surgeon tends to focus on the technical aspects of the pro- dure, such as the operative tasks to be carried out, the order of operation, and the position of the surgeon and assistant. However, it is critical that the surgeon be aware that the CO pneumoperitoneum, far more so than laparotomy, results 2 in multiple physiologic alterations that, if not compensated for by the anest- siologist and surgeon, may endanger the patient or prevent the laparoscopic c- pletion of the procedure.