Fig. 18.1 Positioning of surgeon and assistant for pure transvaginal appendectomy Operative Approaches Currently, most transvaginal appendectomies are performed using the pure transvaginal technique or the hybrid transvaginal technique with either…
Fig. 13.1 CT scan of a large pancreatic pseudocyst. The heterogeneity indicates the likelihood of necrotic debris Fig. 13.2 A large pancreatic pseudocyst seen on coronal CT imaging Ideally, pseudocysts should be…
Fig. 20.1 Positioning for vaginal hysterectomy: both a stirrups supporting the entire leg and b candy cane stirrups are appropriate Essential instruments for VH include weighted specula, retractors, tenacula, scissors, and clamps with special…
Fig. 15.1 Mesh deployed into the abdominal cavity (the photograph shows an earlier prototype of the mesh delivery system) Fig. 15.2 A 20-mm balloon was placed across the gastrotomy to dilate the…
Fig. 19.1 Patient positioning along with layout of the operating room The head of the patient’s bed should have a laparoscopic monitor and enough room for a surgeon to perform upper…
Flexible endoscope and light source Therapeutic gastroscope (2 channel) Standard gastroscope Transnasal thin gastroscope Colonoscope, pediatric or adult Linear-array echoendoscope Laparoscopic tower and light source Oblique and straight-viewing laparoscopes CO2…
Fig. 16.1 Suture retraction of the gallbladder. Note the use of silk suture (black) on the fundus and Ethibond (green) on the infundibulum Fig. 16.2 EndoGrab™ laparoscopic applier (a) and internal retractor…
Fig. 23.1 Patient and trocar placement for hybrid transvaginal NOTES nephrectomy (two umbilical trocars and one transvaginal trocar). Reprinted with permission from Elsevier. Yijun Xue, Xiaofeng Zou, Guoxi Zhang, Yuanhu Yuan,…
Categories of endoluminal bariatric procedures Examples 1. Early-intervention procedures Treat patients that are overweight and obese but whom do not meet criteria for conventional weight-loss surgery 2. Primary obesity or…
Fig. 11.1 Laparoscopic implant instrument houses the diaphragm pacing electrode, which is a double helix of 14 stainless steel wires that are Teflon coated. The needle of the implant instrument enters…
