Advances in surgical technique and broadening indications for complex gastrointestinal procedures, surgical management of thoracic, hepato-pancreato-biliary, and colorectal diseases continues to evolve, but morbidity continues to be a persistent problem. This book provides a comprehensive, state-of-the art, definitive reference for the diagnosis and management of difficult-to-manage complications following advanced gastrointestinal surgery. All chapters are written by experts in their field and include the most up-to-date clinical information from national and world leaders in their respective discipline. The text provides a practical, clinically useful guide that reviews risk factors for these complications and offers key information on how to avoid potentially high morbidity events in the peri-operative period. It also discusses the management of these problems when they do occur. With its helpful guidelines and “tricks of the trade” to avoid potential complications, this bookis essential to all medical professions treating such patients.
Gastrointestinal Surgery: Management of Complex Perioperative Complications is of great value and utility for general surgeons, thoracic surgeons, upper gastrointestinal surgeons, colorectal surgeons, hepato-pancreato-biliary surgeons, surgical oncology fellows, thoracic surgery fellows and upper level residents in general surgery.
Innehållsförteckning
Tracheo-esophageal Fistula.- Esophageal strictures refractory to endoscopic dilatation.- Esophgeal anastomotic leak.- Transhiatal esophagectomy: intraoperative disasters.- Chyle leak after esophageal surgery.- Management of airway, hoarseness and vocal cord dysfunction after esophagectomy.- Severe reflux induced esophagitis.- Introperative solutions for gastric conduit that will not reach.- Injury to the right gastroepiploic artery.- Intraoperative solutions for ischemic gastric conduit.- Jejunal feeding tube complications.- Bile reflux and gastroparesis.- Gastric surgery: dealing with dumping syndrome.- Afferent loop syndrome.- Duodenal stump blowout.- Postoperative complications after surgery for gastric cancer: Anastomotic leakage.- Hepatobiliary and pancreatic surgery: postoperative hepatic insufficiency.- Biliary leaks and thoracobiliary fistula.- Contralateral bile duct injury during hepatic resection.- Massive Intra-operative Hemorrhage During Hepato-Biliary and Pancreatic Surgery.- Hepatobiliary and Pancreatic Surgery: Intraoperative injury to Hepatic Arterial Structures.- Hepatobiliary and pancreatic surgery: hepatic abscess.- Hepaticojejunostomy anastomotic strictures.- Stricture at Pancreatico-Jejunostomy or Pancreatico-Gastrostomy.- Postoperative Portal, Mesenteric and Splenic Vein Thrombosis.- Post-pancreatectomy Hemorrhage: Early and Late.- Major Disruptions of Pancreaticojejunostomy.- Persistent Pancreatic Fistula.- Management of Chyle Leaks Following Pancreatic Resection.- Hepatobiliary and Pancreatic Surgery: Preventing Pancreatic Fistula following Distal Pancreatectomy.- Pearls for the Small Bowel and Colon That Will Not Reach.- Anastomotic Leak / Pelvic Abscess.- Management of Anastomotic Stricture.- Colorectal Surgery: Intraoperative Ureteral Injury.- Colorectal surgery: Prostatic Urethral Injury.- Vaginal Injury During Stapled.- Anastomosis.- Management of rectovaginal fistula.- Management of Presacral / Pelvic Bleeding.- Breakdown / Nonhealing of Perineal Wound.- Complications after TEM (Transanal Endoscopic Microsurgery) and TAMIS Maria.- Parastomal hernia.- Stoma Retraction/Ischemia/Stenosis.- Incontinence after Lateral Internal Sphincterotomy/ Fistulotomy.- Anal Stenosis after Hemorrhoidectomy: Avoidance and Management.- Delivering Bad News: Conversations with My Surgeon.
Om författaren
Timothy M. Pawlik, MD, MPH, Ph D
Professor of Surgery and Oncology
Chief, Division of Surgical Oncology
John L. Cameron M.D. Professor of Alimentary Tract Diseases
Director, Johns Hopkins Medicine Liver Tumor Center Multi-Disciplinary Clinic
Johns Hopkins Hospital
Baltimore, MD
Shishir K. Maithel, MD
Associate Professor of Surgery
Division of Surgical Oncology
Department of Surgery
Emory University
Atlanta, GA
Nipun Merchant, MD
Professor of Surgery and Cancer Biology
Director, Vanderbilt Pancreas Center
Department of Surgery
Vanderbilt Medical Center
Nashville, Tennessee
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