© Springer International Publishing Switzerland 2016Daniel M. Herron (ed.)Bariatric Surgery Complications and Emergencies10.1007/978-3-319-27114-9_18 18. Vertical Banded Gastroplasty: Evaluation and Management of Complications Ranjan Sudan1 , Kara J. Kallies2 and Shanu N. Kothari3 (1) Department of Surgery, Duke University Medical Center,…
Pros Cons One anesthetic, one convalescence Risk of infection of prosthetic-based herniorrhaphy Less overall cost Possible need for open hernia repair Less absence from work Need for concomitant full abdominal…
Fig. 26.1 U-shaped articulating holding system Operative Proctoscope The operating proctoscope is available in a standard 4 cm diameter. A variety of lengths are available (i.e., 7.5, 15, and 20…
Fig. 18.1 Port configuration. C 12-mm camera port, L1 and L2 5-mm assistant ports, L1 is 12 mm if endoscopic stapler is used, R1, R2, and R3 8-mm working ports…
Fig. 15.1 External instrument conflict and clashing resulting in awkward surgeon/assistant positioning during single-incision laparoscopic colectomy Room Setup and Positioning The operating room equipment requirements are identical to those for…
Fig. 4.1 Robotic surgeons console and hand console. For Fig. 4.1: provided here exclusively for promotion and/or media coverage of Intuitive Surgical and its products. This notification serves as an…
Fig. 19.1 Patient placement and Trendelenburg testing Fig. 19.2 Alexis laparoscopic system The assistant uses atraumatic laparoscopic bowel graspers through the laparoscopic port. A zero-degree camera is used for the…
Fig. 17.1 Port configuration. C 5 or 12 mm camera port, L1 5 mm working port, 12 mm for endoscopic stapler, L2 5 mm working port, L3 and L4 5…
Operative steps Degree of technical difficulty (scale 1–10) 1. Port placement and exploratory laparoscopy 3 2. Identification and mobilization of bowel 4 3. Exteriorization of bowel 2 4. Ostomy maturation…
Fig. 27.1 High dorsal lithotomy position with surgeon and assistant sitting and viewing monitor in between the patient’s legs Prone Jackknife The surgeon and assistant stand on either side of…
