By Paolo Caione (auth.), Prof. Paolo Caione, Prof. Louis R. Kavoussi, Prof. Francesco Micali, Dr. Salvatore Micali (eds.)
ISBN-10: 8847029236
ISBN-13: 9788847029231
ISBN-10: 8847029252
ISBN-13: 9788847029255
Laparoscopy is a brand new frontier of the surgical process, which lately received a growing number of acceptance and credits upon the surgical groups, additionally in Urology. the explanation remains within the lowered invasivity and within the advances at the recommendations of "video-assisted surgery". extra lately the retroperitoneal entry to laparoscopy surgical procedure ("retroperitoneoscopy" or "retroperitoneal laparoscopy") opened a brand new surgical method of numerous diagnostic and operative approaches for a lot of urogenital tract ailments. The purposes in pediatric and in grownup age and the technical demanding situations are generally debated in the meanwhile. the quantity gathers contributions via the world over well known authors and is an entire review of the strategy. The publication addresses urologists, normal and belly surgeons, pediatric urologists and pediatric surgeons who're attracted to minimally invasive approaches and especially in retroperitoneal laparoscopy.
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Extra resources for Retroperitoneoscopy and Extraperitoneal Laparoscopy in Pediatric and Adult Urology
Sample text
For major extirpative surgeries, two units of autologous blood are donated. The immediate preoperative placement of a urethral catheter is routinely advised. A rigid ureteral catheter, open tip, could be inserted to facilitate identification of the ureter during the procedures and furthermore a contrast study can be done. Patient Positioning The patient is placed in the lateral decubitus position with the table flexed and the kidney rest extended close to the skin. Additionally, a rolled towel can be placed between the operating table and the patient, to maximize the space between the 12th rib and the iliac crest; then the patient is secured on the operating table with roll tape.
Virgili, F. Forte Table 1. Aortic branches Abdominal Aorta Parietal branches Visceral branches Inferior Diaphragmatic Arteries Celiac trunk Lumbar arteries Superior mesenteric a. t t Inferior mesenteric a. Middle suprarenal aa. Renal aa. Gonadal aa. ic llfl"'Y-- - . ~~-I"" iliac ureter middle sacral artery Fig. 2. The abdominal aorta and the retroperitoneal arteries 3 • Retroperitoneal Anatomy 21 The Inferior Vena Cava The inferior vena cava lies along the right side of the vertebral column; it starts at the confluence of the common iliac veins, at the L4level.
Care must be taken when dissecting to prevent EXTERNAL OBUQUE MUSCLE PETIT'S TRIANGLE Fig. 1. Location of Petit's triangle in relation to patient position 4 • Retroperitoneal Access 35 Fig. 2. Patient positioning for retroperitoneal access peritoneal tearing. In a series oBI retroperitoneallaparoscopic procedures, direct vision access was achieved within 3 min (range, 1-5 min) [23]. The direct visual retroperitoneal access technique is simple and safe and does not require extensive laparoscopic experience.
Retroperitoneoscopy and Extraperitoneal Laparoscopy in Pediatric and Adult Urology by Paolo Caione (auth.), Prof. Paolo Caione, Prof. Louis R. Kavoussi, Prof. Francesco Micali, Dr. Salvatore Micali (eds.)
by Ronald
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