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Small Animal Laparoscopy and Thoracoscopy
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Страница 1
Table of Contents
List of Tables
List of Illustrations
Guide
Pages
Страница 7
Small Animal Laparoscopy and Thoracoscopy
Страница 9
Contributors
Foreword
Foreword
Preface
Acknowledgment
About the Companion Website
History of Small Animal Laparoscopy and Thoracoscopy
Endoscopy in the Nineteenth Century
1930s: The Glory Days
Out in the Cold: 1940s to mid‐1960s
Controversy Galore: 1970s to 1990s
Small Animal MIS
Early Work: 1970s
MIS Takes Off in Small Animal Surgery: The 2000s and Beyond
Acknowledgments
References
Страница 26
1 Surgeons' Skills Training
Adding Minimally Invasive Surgery to a Surgeon's Repertoire
Basic Laparoscopic Skills
Simulation Training Models
Physical Simulation Models: Box Trainers
Virtual Reality Simulation
Hybrid Training Models: Augmented Reality
Robotic Surgery Simulation Training
How to Train MIS Surgeons Safely; The Optimal Training Program
Basic Skills
Life‐like‐High Fidelity‐ Training
Starting a Simulation Skills Training Curriculum
Tasks and Goals
Motivation
Feedback
Opportunity to Practice
Self‐Directed Training
Miscellaneous Training; Video and Serious Games
References
2 Minimally Invasive Suturing Techniques
Key Points
Introduction to Laparoscopic Suturing
Needle Holders for Laparoscopic Suturing
Suture Materials for Minimally Invasive Suturing Conventional Sutures
Suture Needles
Barbed Suture
Intracorporeal Hand Suturing Technique
Cannula Placement
Needle Introduction
Needle Positioning
Needle Dance
Techniques for Knot Tying: Simple Interrupted Sutures
Knot Tying Using a Vertical Plane: The “Rosser Technique” (
Figure 2.18
, Video 2.3)
Knot Tying with Horizontal C‐Loops as Described by Szabo et al. [15, 16](
Figure 2.20
, Video 2.4)
Continuous Suture Patterns
Extracorporeal Suturing Indications
Technique
Slip Knots
Tying the Weston Knot (
Figure 2.24
, Video 2.5)
Tying the Modified Roeder Knot (
Figure 2.25
, Video 2.6)
Automated Suturing Devices
Using the Endo Stitch
References
Страница 70
3 Imaging Equipment and Operating Room Set‐Up
Key Points
Imaging Equipment
Imaging Chain
Telescopes h3 General Concepts
Light Sources
Light Cables
Endoscopic Video Cameras
Display Monitors, Auxiliary Screens, and “All‐in‐One” Video Systems
Insufflators
Capture and Storage of Images and Video
Video Carts and Ceiling Booms
Integrated and Intelligent Operating Rooms
Operating Room Setup
Preparation for Open Surgery
Considerations for a Minimally Invasive Theater or Suite
Ergonomic Considerations
Planning Coordination and Efficiency
Fully Equipped Minimally Invasive Surgery Suite: Hybrid Rooms
References
4.1 Surgical Instrumentation
Key Points
Instrument Design
Forceps
Scissors
Tissue Retractors
Needle Holders and Suturing Devices
Laparoscopy Packs
4.2 Trocars and Cannulas
Key Points
The Trocar, Cannula, and Sheath
Cannula
Seal
Obturator
Trocar–Cannula Placement
Veress Needle Technique
Direct Insertion Technique
Hasson Technique
Types of Trocar Assemblies
Disposable Trocar Assemblies
Nondisposable Trocar Assemblies
Trocar Assembly‐Related Complications
Vascular Injury
Visceral Injury
Port Closure Devices
References
4.3 Miscellaneous Surgical Instrumentation
Key Points
Specimen Retrieval Bags
Suction and Irrigation Devices
Wound Protector and Retractor Devices
Morcellators
References
5 Energy Devices and Stapling Equipment
Key Points
Electrosurgical Theory
Waveforms
Monopolar Electrosurgery
Safety of Monopolar Electrosurgery
Bipolar Electrosurgery
Tissue Fusion Device
Ultrasonic Dissector
Microwave Ablation
Clip and Staple Applicators
References
6 Single Incision Laparoscopic Surgical Platforms
Key Points
Development of a New Platform
Adoption into Veterinary Laparoscopy
Access Methods for Single‐Port Surgery Operative Laparoscopy and Advanced Operative Laparoscopy
Single‐Port Access
Commercially Available Single‐Port Devices
Principles of Single‐Port Surgery
Access in Single‐Port Surgery
Insertion Techniques for Specifically Manufactured Single‐Port Devices
SILS Port (Covidien;
Figures 6.3
and
6.4
)
TriPort System (Olympus)
Insertion Technique of Standard Trocars for Single‐Port Entry
Innovative Adaptations of Existing Equipment Wound Retractor with Latex Glove and Finger Ports (
Figure 6.6
)
Instrumentation
Optics
Conclusion
References
Страница 154
7 Anesthesia Management of Dogs and Cats for Laparoscopy
Key Points
Introduction
Anesthesia Considerations Related to Disease
Anesthesia Considerations Related to Surgery
Pathophysiology of Pneumoperitoneum Hemodynamic Effects
Respiratory Effects
Complications Associated with Pneumoperitoneum
Anesthesia Management
Summary
References
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