By Henry Buchwald MD PhD
Buchwald's Atlas of Metabolic & Bariatric Surgical strategies and strategies, through best authority Henry Buchwald, MD, PhD, is the 1st pictorial atlas that demonstrates latest complete variety of open and laparoscopic bariatric approaches, in addition to concurrent surgical procedures resembling hernia fix and tubal ligation. hundreds and hundreds of top of the range images and illustrations assist you to in attaining the simplest results and deal with any problems which could come up. you can find insurance of such sizzling new methods as laparoscopic electrode placement, substitute open electrode placement, laparoscopic vagal pacing, and replacement open vagal pacing. At www.expertconsult.com you could reference the whole textual content and illustrations from any desktop or cellular gadget. See the right way to practice ultra-modern complete variety of open and laparoscopic strategies, in addition to concurrent surgical procedures equivalent to hernia fix and tubal ligation, through viewing enormous quantities of step by step images and illustrations. grasp scorching new systems reminiscent of laparoscopic electrode placement, substitute open electrode placement, laparoscopic vagal pacing, and replacement open vagal pacing. receive the simplest effects and keep away from problems with professional suggestions and proposals from Dr. Henry Buchwald, who has chaired or presided over the Surgical Council of the yankee collage of meals, the crucial Surgical organization, the yankee Society for Bariatric surgical procedure, and different top agencies. Reference the entire textual content and illustrations from any laptop or cellular machine at www.expertconsult.com. grasp every kind of bariatric surgical procedures, in addition to concurrent and revisional surgical procedures with step by step visible advice.
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Additional info for Buchwald's Atlas of Metabolic & Bariatric Surgical Techniques and Procedures
S Duodenal stump staple line inverted and oversewn. ◆ Chapter 3 • Biliopancreatic Diversion 37 Figure 3-14 Figure 3-15 Figure 3-16 38 Section II • Primarily Malabsorptive Procedures Figure 3-17: Next, the gastric resection is carried out. The lower two-thirds of the greater curvature short gastric vessels are taken down with a powered tissue divider or by clamping and ligation. In a similar fashion, the lesser curvature hepatogastric mesentery is divided from the pylorus to the origin of the left gastric artery, including the right gastric artery.
Figure 2-2: Insufflation of the abdominal cavity with carbon dioxide gas (experimentally, helium has been used) can be established via a spring-loaded, tension-sensing Veress needle inserted blindly. The 2-mm needle has a blunt inner cannula that automatically extends beyond the needle point upon entering the abdominal cavity. After insertion, to ensure that no tissue damage has occurred, the surgeon should aspirate the needle for blood, succus, or stool and then perform the “drop of saline” test, allowing a drop of saline placed on the hub of the needle to fall into the peritoneal cavity by gravity or on creating negative intraperitoneal pressure by lifting the abdominal wall.
S Hand-sewn anastomosis alternative. ◆ Chapter 3 • Biliopancreatic Diversion 39 Figure 3-17 Figure 3-18 40 Section II • Primarily Malabsorptive Procedures ◆ Figure 3-19: Completed biliopancreatic diversion with a nonrestrictive, large gastric pouch, a measured common channel, and a measured alimentary Roux limb. A subtotal distal gastrectomy has been performed, the duodenal stump has been carefully closed, and bowel continuity has been restored by gastrojejunostomy and jejunoileostomy, with closure of mesenteric defects.