ABDOMINAL MEDICINE

Defects

Mar 26, 2018 by in ABDOMINAL MEDICINE Comments Off on Defects

Fig. 1 (a, b) Physical exam In order to achieve the diagnosis a computed tomography (CT) scan of the abdomen and pelvis can be done as shown in Fig. 2….

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Repair of Upper Abdominal Hernias

Mar 26, 2018 by in ABDOMINAL MEDICINE Comments Off on 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…

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Dissection for Adhesions

Mar 26, 2018 by in ABDOMINAL MEDICINE Comments Off on Dissection for Adhesions

Fig. 1 Pneumoperitoneum : Veress needle The other cannulas, one for the robotic optic and two for work arms, are located under direct view, preferably 20 cm away from the…

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and Lateral Defects

Mar 26, 2018 by in ABDOMINAL MEDICINE Comments Off on and Lateral Defects

Fig. 1 Patient’s positioning and wide exposition of the abdominal wall Operative Technique Parastomal The same operative steps as incisional laparoscopic hernia already described are carried out, but with some…

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Meshes and Sutures

Mar 26, 2018 by in ABDOMINAL MEDICINE Comments Off on Meshes and Sutures

Fig. 1 Comparison of mesh (light- and heavyweight) strength with abdominal wall pressures Lightweight meshes were first introduced in 1998 (Vypro) and their superiority over the heavyweight meshes is now…

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Pain

Mar 26, 2018 by in ABDOMINAL MEDICINE Comments Off on Pain

Fig. 1 Photographs demonstrating siting of the TAP block . The US transducer is placed in the transverse plane between the twelfth rib or costal margin and the iliac crest….

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Setup

Mar 26, 2018 by in ABDOMINAL MEDICINE Comments Off on Setup

Fig. 1 (a) Operating room setup: patient’s marking. (b) Operating room setup: OR staff positioning. (c) Operating room setup: overall positioning In the second place we need to think of…

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for Robotic Surgery

Mar 26, 2018 by in ABDOMINAL MEDICINE Comments Off on for Robotic Surgery

BMI <20 or >30 Diabetes mellitus Limited physical mobility Age over 70 years Malnutrition Peripheral arterial occlusive disease Smoking and COPD Anatomical abnormality Pre-existing neuropathies Table 2 Procedure-related risks for positioning…

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Biology

Mar 26, 2018 by in ABDOMINAL MEDICINE Comments Off on Biology

Fig. 1 Hypertrophic scarring/keloid in patients with underlying incisional hernia Even if it becomes feasible, a possible side effect might result in undesirable adhesion formation, in the same local or…

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