Handbook of Reoperative General Surgery (eBook)

Mark P. Callery (Herausgeber)

eBook Download: PDF

2008
John Wiley & Sons (Verlag)
978-0-470-75999-8 (ISBN)

Infos

The Handbook of Reoperative General Surgery offers a technical overview of one of surgery's greatest challenges-reoperation. Emphasizing the complications of each disease as well as reoperative procedures, this indispensable text is extensively referenced with pertinent current and classical literature.

Organized primarily by body system, the Handbook of Reoperative General Surgery covers the spectrum of conditions faced by general surgeons today, including:

• 
  
• Diagnoses and operative strategy critical for breast cancer
  
• Coverage of reoperative of the liver, biliary tract, and pancreas
  
• Approaches to dealing with reoperations on all areas of gastrointestinal tract
  
• Strategies for care of the patient with recurrent hernias and pain
  
• An overview of reoperative bariatric surgery

Combining the expertise and advice of over thirty practicing surgeons from some of the finest medical centers in the United States, the Handbook of Reoperative General Surgery offers a practical, instructive manual for residents, attending, and surgery practitioners.

The Handbook of Reoperative General Surgery includes the essential information for dealing with the unusual complications of reoperation, and provides a basis for innovation and insight usually required to achieve the best operative and perioperative care.

Dr. Mark Callery is the Chief of General Surgery at Beth Israel Deaconess Hospital in Boston and Associate Professor of Surgery at Harvard University. He has invited some of the leaders in the field to contribute chapters (see TOC); each is an expert in a different area of surgery and reoperative surgery in particular.

Inhalt

Handbook of Reoperative General Surgery 1
Contents 9
Contributors 16
Foreword 21
Preface 27
Acknowledgements 29
1. REOPERATIVE HEPATOBILIARY SURGERY 30
Precis 30
Reoperative Hepatic Surgery 30
Recurrent Metastatic Colorectal Cancer 30
Recurrent Hepatocellular Carcinoma 31
Alternatives to Repeat Resection 32
lntraopetative Considerations in Repeat Hepatic Surgery 32
Reoperative Biliary Surgery 33
Diagnosis 34
lntraoperative Considerations in Repeat Biliary Surgery 35
lnterventional Radiologic and Endoscopic Techniques 36
Choledocholithiasis Following Biliary Surgery 37
BiIiary Reo perations FoIIowing Liver Transplantation 38
2. REOPERATIVE SURGERY IN TRAUMA 46
Precis 46
Introduction 46
Pathophysiology of Severe Injury 47
Hypothermia 47
Acidosis 47
Coagulopathy 48
Indications for Damage Control Celiotomy 48
Technique of Damage Control Laparotomy 50
Timing of Reoperation 52
Extension of Reoperative Strategies in Polytrauma 54
Vascular Trauma 54
Orthopedic Surgery 54
Thoracic Surgery 55
Summary 56
3. REOPERATIVE GASTRIC SURGERY 60
Precis 60
Introduction 60
Recurrent Ulcer Disease and Its Complications 60
Early Complications 61
Late Complications 63
Recurrent Peptic Ulcer Disease 63
Postvagotomy and Postgastrectomy Gastroparesis 66
Alkaline Reflux Gastritis 67
Dumping Syndrome 67
Postvagotomy Diarrhea 67
Afferent and Efferent Loop Syndromes 67
Postgastrectomy Cancer 67
Diagnostic Studies 68
Technical Considerations in Reoperative Gastric Surgery for Peptic Ulcer Disease 68
Revisional Antireflux Procedures 68
Anatomic Classification of Failed Antireflux Operations 69
Diagnostic Studies 71
Candidates for Revisional Operations 72
Technical Considerations in Reoperative Antireflux Operations 72
Complications 73
Summary and Future Directions 74
4. REOPERATIVE SURGERY FOR INFLAMMATORY BOWEL DISEASE 78
Precis 78
Introduction 78
Crohn's Disease 79
Prior Operation 79
General Principles 79
Multiple Prior Operations 79
Defunct Procedures 79
Recurrent Small Bowel Disease 80
Small Bowel Resection 80
Strictureplasty 80
Recurrent Colonic Disease 81
Complications of Prior Operation-Nonhealing Perineal Wound 81
Ulcerative Colitis 82
Prior Elective Operation (Proctocolectomy and IPAA) 82
lleostomy Closure 82
Prior Emergent Operation (Subtotal Colectomy and Rectal Stump) 83
Completion Proctectomy and IPAA 83
Early Complications of IPAA 83
Pouch Bleeding 83
Pouch Ischemia 83
Pouch Sepsis 84
Late Complications of IPAA 84
Small Bowel Obstruction 84
Delayed Pouch Sepsis 85
Poor Pouch Function 87
Small Volume Reservoir 88
Pouchitis 88
Retained Rectum/Cuffitis 89
Cancer 89
Cesarean Section After IPAA 90
Liver Transplantation and IPAA 90
5. REOPERATIVE BARlATRlC SURGERY 96
Precis 96
Introduction 96
Reoperation for Complications 98
Revisions for Complications of Vertical Banded Gastroplasty 99
Revisions for Complications of Roux-en-Y Gastric Bypass 102
Revisions for Complications of Laparoscopic Adjustable Gastric Band 104
Revisions for Complications of Malabsorptive Procedures 106
Reoperation for Failure of Weight Loss 106
Revisions for Insufficient Weight Loss Following Vertical Banded Gastroplasty 106
Revisions for Insufficient Weight Loss Following Roux-en-Y Gastric Bypass 107
Revisions for Insufficient Weight Loss Following Laparoscopic Adjustable Gastric Bypass 107
Conclusion 107
6. REOPERATIVE INGUINAL HERNIA SURGERY 112
Precis 112
Hernia Repair Today 112
Epidemiology of Inguinal Hernias 112
Epidemiology of Recurrent Inguinal Hernias 113
Etiology and Risk Factors 113
Types of Recurrence 115
Recurrent Hernia Is a Direct Inguinal Hernia 115
After Repair of a Direct Inguinal Hernia 115
After Repair of an Indirect Inguinal Hernia 115
Recurrent Hernia Is an Indirect Inguinal Hernia 116
After Repair of an Indirect Inguinal Hernia 116
After Repair of a Direct Inguinal Hernia 116
Recurrent Hernia Is a femoral Hernia 116
After Repair of Femoral Hernia 116
After Repair of an Inguinal Hernia 116
Anatomy 116
Surgical Management of Recurrent Inguinal Hernias 118
Timing of Surgery 118
Repair Techniques for Recurrent Groin Hernia 119
Anterior Repair with Mesh 120
Preperitoneal Repairs with Mesh 121
Complications of Recurrent Herniorrhaphy 127
Conclusion 127
7. REOPERATIVE SURGERY FOR MELANOMA 132
Precis 132
Overview 132
Radiologic Evaluation 132
Patient Selection 133
Rationale for Resection of Metastatic Lesions 133
Lymphadenectomy 134
Completion Lymphadenectomy Following a Positive Sentinel Node Biopsy 134
Technique of Resection 135
Approach to Deep Pelvic Node Dissection 137
Management of Bulky Lymphatic Metastasis 138
Application of Sentinel Node Biopsy for In-transit Disease 138
Delayed Sentinel Node Mapping Following Definitive Wide Local Excision 138
Management of Wound Complications 139
Management of Metastatic or Locally Recurrent Melanoma 139
Recurrence in Scar or in Soft Tissue 139
Excision of In-transit Metastases 140
Gastrointestinal Tract 140
Retroperitoneum 141
Is "Induction" Therapy with Surgical Salvage a Viable Concept? 141
8. REOPERATIVE PANCREATICODUODENAL SURGERY 144
Introduction 144
Management of Complications from Pancreatic Surgery 144
Complications of Pancreatic Resection 144
Pancreatic Fistula 145
Pancreatic Abscess 146
Pancreatic Ascites 147
Reoperations for Benign Conditions 147
Recurrent Pancreatitis 147
Pancreatic Pseudocyst 150
Cystic Neoplasms of the Pancreas 151
Special Problems in Reoperation for Malignancy 153
Reoperative Pancreaticoduodenectomy 153
Completion Pancreatectomy 155
lntraductal Papillary Mucinous Tumors 156
Reoperative Surgery for Neuroendocrine Disease 157
lnsulinoma 157
Gastrinoma 158
9. REOPERATIVE ENDOCRINE SURGERY 164
Precis 164
Reoperative Thyroid Surgery 164
Indications for Reoperation 164
Emergent Reexploration 164
Reoperation for Malignancy 165
Reoperation for Benign Disease (Thyroid Goiters) 165
Preoperative Assessment 166
Localization Studies 166
Operative Approach 167
Complications 168
Reoperative Parathyroid Surgery 169
Preoperative Assessment 169
Localization Studies 170
Operative Approach 172
lntraoperative Adjuncts 173
Complications 175
Conclusion 176
10. REOPERATIVE GASTROESOPHAGEAL SURGERY 180
Reoperation After Antireflux Surgery 180
Immediate Perioperative Issues 180
Leaks 181
Acute Wrap Herniation 181
Bleeding 182
Early Postoperative Problems 182
Dysphagia and Food Impaction 183
Gas Bloating or Aerophagia 183
Late Postoperative Problems 184
Results of Reoperative Antireflux Surgery 188
Reoperation After Surgery for Achalasia 189
Reoperation for Esophageal Perforation 189
Reoperation for Treatment Failure 190
Conclusion 192
11. REOPERATIVE COLORECTAL SURGERY 196
Precis 196
Introduction 196
Reoperation for Stomas 197
Reoperation for Stoma Complications 198
Recurrent Rectal Cancer 201
Recurrent Colon Cancer 204
Reoperation for Abscess/Fistulous Disease 205
12. REOPERATIVE VASCULAR SURGERY 210
Precis 210
Introduction 210
Aortofemoral Graft Limb Occlusion 211
Incidence 211
Etiology 211
Clinical Presentation 212
Diagnosis 212
Preoperative Preparation 212
Operative Approach 213
Aortic Graft Infection 215
Incidence 215
Etiology 215
Clinical Presentation 216
Diagnosis 216
Preoperative Preparation 217
Operative Approach 218
13. REOPERATIVE BREAST SURGERY 222
Precis 222
Introduction 222
Reoperation in Breast Cancer: Diagnosis 223
Reoperation in Primary Breast Cancer: Therapy 224
Re-excision Lumpectomy 224
lntraoperative Techniques for Minimizing Positive Surgical Margins in Insitu and Infiltrating Breast Cancer 226
Reoperation After Sentinel Lymph Node Biopsy 227
Reoperation in Breast Cancer: Recurrence 228
Local Recurrence in lnvasive Carcinoma 228
Local Recurrence in Ductal Carcinoma In Situ 229
Reoperation for Local Recurrence After Breast Conservation Therapy: Re-excision Versus Mastectomy 231
Reoperation for Local Recurrence Following Mastectomy: Chest Wall Recurrence 231
Chest Wall Recurrence Following Immediate Breast Reconstruction 232
Reoperation o f the Axilla for Regional Lymph Node Recurrence 233
Reoperative Sentinel Lymph Node Biopsy 234
14. REOPERATIVE SURGERY FOR INTESTINAL FISTULAS 242
Precis 242
Introduction 242
Clinical Findings 243
Staging or Classification 245
Management 245
Prognosis and Treatment 247
FoIIow-Up 249
Prognosis 250
Summary 250
Index 252

Produkt-Details

• Erscheint lt. Verlag: 15.4.2008
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Chirurgie
• Schlagworte: Body • challengesreoperation • Chirurgie u. chirurgische Spezialgebiete • Classical • complications • Current • Disease • extensively • General • Handbook • indispensable • Medical Science • Medizin • Nephrologie • Nephrology • Overview • pertinent • Procedures • referenced • Reoperative • Surgery • Surgery & Surgical Specialities • surgerys • System • technical
• ISBN-10: 0-470-75999-2 / 0470759992
• ISBN-13: 978-0-470-75999-8 / 9780470759998