Surgical Principles in the Gravid Female
The Four H’s of surgery on pregnant patients: 1. Prevent maternal hypotension 2. Prevent maternal hypoglycemia 3. Prevent maternal hypothermia 4. Prevent maternal hypoxia The patient should be positioned in…
Postoperative Care Issues
© Springer International Publishing AG 2018Peter Bogach Greenspan (ed.)The Diagnosis and Management of the Acute Abdomen in Pregnancy https://doi.org/10.1007/978-3-319-62283-5_13 13. Postoperative Care Issues Peter Bogach Greenspan1, 2 (1) Department of Obstetrics and Gynecology, University of Missouri…
Trauma During Pregnancy
© Springer International Publishing AG 2018Peter Bogach Greenspan (ed.)The Diagnosis and Management of the Acute Abdomen in Pregnancy https://doi.org/10.1007/978-3-319-62283-5_10 10. Trauma During Pregnancy Stanley M. Augustin1 , Maxwell Almenoff2 and Aaron Sparks2 (1) Department of Surgery, University of Missouri…
Gastrointestinal Etiologies of Abdominal Pain in Pregnancy
Fig. 8.1 Causes of abdominal pain (© 2016 Elsevier Inc. All rights reserved. www.netterimages.com. Used with permission) Gastroesophageal Reflux Disease Background In the nongravid patient, gastroesophageal reflux disease (GERD) affects…
General Principles in the Diagnosis of the Acute Abdomen
© Springer International Publishing AG 2018Peter Bogach Greenspan (ed.)The Diagnosis and Management of the Acute Abdomen in Pregnancy https://doi.org/10.1007/978-3-319-62283-5_3 3. General Principles in the Diagnosis of the Acute Abdomen Peter Bogach Greenspan1, 2 (1) Department of…
Laboratory Studies
Nonpregnant adult First trimester Second trimester Third trimester Hematology Hemoglobin (g/dL) 12–15.8 11.6–13.9 9.7–14.8 9.5–15.0 Hematocrit (%) 35.4–44.4 31.0–41.0 30.0–39.0 28.0–40.0 Mean corpuscular hemoglobin (pg/cell) 27–32 30–32 30–33 29–32…
Ventral Hernia Repair from a Lateral Approach
Fig. 1 Kidney rest positioning Port Positioning, Docking, and Instrumentation The ports are positioned with the established principles of triangulation similar to conventional LVHR (Fig. 2). It is important to…
Repair of Lower Abdomen Defects
Final port position for a LLQ hernia Instrumentation For right-handed surgeons, a da Vinci (dV) prograsp (or fenestrated bipolar) is placed in arm #2, 12 mm 30° up camera in…
Repair of Upper Abdominal Hernias
Fig. 1 Laparoscopic repair of subxiphoid incisional hernia. Mesh fixation is limited by the costal margin superiorly Our preferred technique is placement of mesh in the extraperitoneal position, either preperitoneal…
