Textbook of Laparoscopy for Surgeons and Gynecologists RK Mishra
INDEX
Page numbers followed by b refer to box, f refer to figure, and t refer to table.
A
Abdomen 370
acute 322
cleaning 265
inspection in 325
laparoscopy on 633
upper 367, 396
Abdominal access techniques 75
Abdominal wall 149f, 323, 377, 520, 523, 631
diagnosis of 571
infection 177
vessels 93, 571
Abdominoperineal resection 364
Aberdeen termination 128, 141
Abscess
cellulitis 372
hepatic 310
intra-abdominal 216
subdiaphragmatic 521
subphrenic 306
tubo-ovarian 404
Absorbable sutures 127
Access injury 92
risk factors 93
Access technique, complications of 92
Accessory spleen 521
Acidemia 566
Active electrode trauma 568
Acucise endoureterotomy 501
Adenitis, mesenteric 322
Adenocarcinoma 319
Adenoma 549, 618
Adhesiolysis 181
Adhesions 250, 294
Adnexa, anatomy of 325f
Adnexal torsion 405
laparoscopy for 404
Adrenal gland 509
Adrenal pathophysiology 528
Adrenalectomy 417, 527
Air tamponade 3
Aldosteronoma 527
Alkaline phosphatase 198
Alloderm 246, 246f
Amenorrhea, primary 322
American College of Surgeons National Surgical Quality Improvement Program 204
American Society of Anesthesiologists 68
Ampulla 411f
Analgesia, multimodal 72
Anastomosis 357, 368, 370
colon for 358f
Anastomotic leak 372
Anemia 256
Anesthesia 63, 264, 323
complication of 564
general 66, 66t, 209, 222, 322, 454, 540
local 67, 322
regional 66, 66t
Angle of His 298
Ankle
arthroscopy, indications for 552b
joint 552
strap 552
Anorexia 419
Anterior abdominal wall 75f, 454, 567
anatomy of 75
Antibiotic
bowel preparations 343
parenteral 343
Anus 364, 364f
Aorta 93
abdominal 180f
Aortic aneurysm, repair of abdominal 153
Apneumic laparoscopy 565, 566
Appendectomy 210f, 417, 519
incomplete 215
port position for 104f
Appendicectomy 215f
laparoscopic 208
port position in 210f
Appendicitis 208, 322
acute 208, 333f
complicated 209
Appendix 210f
adhesion of 332f
amputation of 216f
anatomic position of 208f
extraction of 214
normal laparoscopic view of 208f
perforated 216
retraction of 211, 211f
Arcuate line of Douglas 229
Argon
beamer coagulator 120
electrosurgery 120f
Arrhythmia 566, 630
cardiac 96, 332, 564, 566
Artery 49f, 185f
hepatic 180f, 316
marginal 365
testicular 509
umbilical 430f, 526
Arthroscopy 550, 552
Artificial balloon 545
Artificial intelligence 616
Ascites 222, 330, 393
Asherman's syndrome 481
Aspiration 256, 632
needle 45, 46f
test 80, 81f
Astigmatism 28
Atelectasis 306
Atraumatic bowel clamp 363, 365, 369
Atraumatic grasper 455
Atypia 618
Automatic intensity control circuit 14
Automatic pneumoperitoneum needle 4
Autosuturing device 47f
Avatera robotic surgical system 615, 616f
Azimuth angle 537f
B
Back pain 471
Backache 427
Bacteroides fragilis 343
Balloon
cannula system 544f
dilatation 456f
dissection 230f
Banded gastric bypass 299
Bariatric procedures 283
Bariatric surgery 557
laparoscopic 283
Barium esophagram 271
Barium swallow 257, 269
study 260
Barrel distortion 28
Barrett's epithelium 256
Barrett's esophagus 270, 280, 286
Barrett's mucosa 256
Bean bag 344
Behçet's disease 337
Belsey's fat 297
Beta-blockers 72
Bhandarkar knot pusher 128f
Bilateral hernia 228f
port position of 104f, 224f
Bilateral inguinal hernia 221, 523
repair of 226
Bile duct
injuries 520
leak 204
stricture 204
Biliary anatomy, exploration of 195
Biliary pancreatic diversion 557
Biliopancreatic diversion 285, 561
Binocular vision 29
Biological mesh 246
Biopsy 322, 526
forceps 45, 45f
Bipolar
coagulation 387
current, circuit of 113f
diathermy 113
dissector 596f
electrosurgery 113, 397
electrothermal energy 552
forceps 36, 36f, 394
jaw of 37f
Bladder 93, 511
autoaugmentation 528
cancer, history of 500
dissection of 475f
endometriosis
dissection of 427f
hysteroscopic view 426f
erosion of 478
flap 504
infection 426
injuries 233, 459, 575
mobilization of 438, 439f
muscle 503
fibers 455
perforation, risk of 463
peritoneum, dissection of 435f
prolapse, symptoms of 471
separation of 436f, 477f
tissue 529
Bladeless optical trocar 39, 39f
Bleeding 214, 256, 291, 306
after sleeve gastrectomy 291
control of 568
internal 297
postoperative 291
Blood
loss, reduced operative 312
pressure
high 295
intra-arterial 68
noninvasive 68
Blunt
dissection 109, 454, 575
technique 557
Boari flap 503, 504
Body
cavity 137
mass index 165, 283, 292, 293, 601
temperature 486
Bone
cyst 553
endoscopy 553
Bowel
adhesion 234, 247, 424
function, return of 341
injuries 233, 250
motility, promotion of 381
obstruction 297
scissors for 378f
symptoms 423
Broad ligament 434, 472f
Bronchospasm 564
Brown adipose tissue 284
Browning and Parks classification 371
Burch colposuspension 457
Burch procedure 453
Burch suspension
surgery 454f, 457f
laparoscopic 454f
Burn adjacent bowel 486
C
Caliber injuries 576
Calorie malnutrition 297
Calot's triangle 520, 540, 541, 606, 610f
dissection of 179
Camera
control unit 22
port positioning 599f
white balancing of 24
Cancer 295
removal of 344
sigmoid colon resection for 350
surgery 161, 337
testicular 510
Cannula 38
fixation 348
inserting instrument into 605f
positioning 348
removing primary 330
suprapubic 335
valve mechanism of 39f
Capnograph 70f
Carbon dioxide 4, 63, 65, 122, 482, 520, 543, 565, 629
embolism 565
diagnosis of 565
management of 565
prevention of 565
gas 486
insufflation 619
partial pressure of 64
Carcinoma
hepatic 326f
hepatocellular 310
Carcinomatosis 326f
Cardiac arrest 564
Cardiac diseases 177, 223
Cardiac flow rate, measurement of 69
Cardiac minimal access surgery, ports in 594f
Cardiopulmonary disease, severe 177
Cardiovascular collapse 96
Carter-Thomason CloseSure System 169, 169f
Cat eye stone 49, 136
Cavitron ultrasonic surgical aspirator 124, 124f
Cavity, abdominal 95f, 335, 512, 519, 526, 529, 632
Cecal diverticulitis 337
Cecum, mobilization of 346
Cellulitis 247, 250
Central venous pressure 316
measurement of 69
Cerebral edema 96
Cervical
canals 486
incompetence 486
Cervix 473f, 478f, 486
dilatation of 486
Charge-coupled device 20, 23, 58
camera 24f
Chemical sterilization 58
Chlamydia 404
Chloride 12
Chlorine fluoride 12
Chlorofluorocarbon 58
Chocolate cyst 426f
Cholangiogram 521
intraoperative 183, 185f
Cholangiography 201
fluorescence 194
intraoperative 198
techniques of 198
Cholecystectomy 6, 191, 305, 519, 520
alternative port position for 104f
laparoscopic 6, 177, 179f, 189191, 193, 194, 199, 520, 521, 540, 606, 612
mini-laparoscopic 189
operating room setup for 608f
port position of 104f, 179f
transvaginal 626f
Cholecystitis, acute 177, 178, 189
Cholecystojejunostomy 318
Choledocholithiasis 198, 199
Choledochoscopy 201
Choledochotomy, laparoscopic 200f
Cholelithiasis 177, 520
uncomplicated 533
Cholesterol, high 295
Cholesterolosis 177
Chondral injury 551
Chondral lesions 551
Chondrocytes, autologous 551
Chromotubation after recanalization 407f
Chronic obstructive pulmonary disease 93, 177, 209, 223
Cidex® ortho-phthalaldehyde high-level disinfectant 60f
Circular stapler 359f, 360f
Cirrhosis 310, 326
Clarithromycin 579
Clermont-Ferrand uterine manipulator 50, 50f
Clomiphene citrate, use of 411
Clonidine 72
Close vaginal incision 467f
Closed access technique 76
Cohen procedure 528
Colectomy 341
laparoscopic 340, 497
Collagen status 236
Colon 93, 514f
cancer, right-sided 344, 348
descending 352, 362, 472
extraction of 356, 357f
left side of 351f
proximal loop of 358f
right side of 347f
Colonic mesentery 367
Colonoscopy 348
intraoperative 341
Colorectal cancer, treatment of 340
Colorectal operations 343
Colorectal surgery 343f, 345f, 346f, 349f, 356f
bowel preparation in 342
complications of 372
hand-assisted 340f
Colpocervical junction, anterior 471, 472f
Colposuspension, laparoscopic 478
Colpotomy 159, 161f, 400f, 435, 438, 450f
anterior 436f
posterior 436f, 449f
steps of 436f
Common bile duct 6, 178, 185f, 201f, 202f, 318, 587f
injury, causes of 191
laparoscopic exploration of 198
stone
laparoscopic extraction of 199
removal of 201t
testing of 191f
Common hepatic duct 185f
Common iliac artery 430f
Complementary metal oxide semiconductor 21, 23
Compression bandage 377
Constipation 427, 471
Continuous ambulatory peritoneal dialysis 328
Controlled pressure insufflation 34
Conventional surgical techniques 618
Cooper's ligament 221, 232, 455f, 457, 457f, 477, 511
Copper 12
Core technology 596
Corneal resection 413
Covidien endo GIA® articulating endoscopic linear stapler
cartridge 55f
gun 55f
Crohn's disease 286, 334, 337, 338, 342, 344, 519
segmental 348
Crura, approximation of 276f
Crush injury 495
Cryosurgery, laparoscopic 313
Cryotherapy 123
device 122f
Cul-de-sac nodularity 393
Cuschieri ball handle 41f
Cuschieri liver retractor 46f
Cuschieri pencil handle 41f
Cyst 396f, 426
adrenal benign 527
removal of 312f
wall 394
Cystic adnexal structures 393
Cystic artery 180f, 181, 193f, 520, 611f, 612f
clipping of 179, 183
division of 179, 183
Cystic duct 49f, 183f, 185f, 200, 536f, 541, 609, 610f, 611f
clip stone 49
clipping of 179, 183
division of 179, 183
ligation of 186
narrowness of 185
perforation 185
rupture 185
separation of 182
Cystic pedicle 180, 607
dissection of 181, 182f, 535f
Cystic teratoma 393
benign 396
Cystic wall 396f
Cystocele 470, 471, 471f
development 471
repair 471, 474f
Cystotomy 505
Cytokines 377
D
da Vinci cannula 601f
da Vinci port 600, 608f
da Vinci prostatectomy 614f
da Vinci robot 616
da Vinci surgeon console 595f
da Vinci surgical system 592, 592f, 594, 597, 614f
da Vinci vision cart 595f
Davis intubated ureterotomy 500
Death, circle of 221
Deep inferior epigastric vessels 484
Deep vein thrombosis 35, 291, 372
Denonvilliers’ fascia 365
Dexmedetomidine 72
Diabetes mellitus 292, 293
Diagnostic laparoscopy 179, 322, 323f, 330, 333, 471, 525, 608f
indications for 322
port position for 103f, 325f
Dialysis catheter 328
Diameter 19
Diaphragm
trauma to 609
urogenital 460
Diaphragmatic injury 331
Diarrhea 427
Diathermy 368, 371
hook, use of 113, 632
Diethylstilbestrol 415, 486
Digital laparoscopes 20, 615
Digital surgery program 616
Digital visual interface 26
Direct coupling 569
prevention of 569
Direct tactile sensation, loss of 150
Direct vision, safety of 631
Dissection
mesentery 337f
prevention of 577
Distal esophagus 255
Distal tubal occlusion, laparoscopic management of 407
Diverticular disease, sigmoidectomy for 358
Diverticulitis 322, 348, 358
Diverticulum 333f
Dizziness 485
Docking
camera arm 601, 602f, 609f
instrument cannula 609f
steps of 599
Döderlein-Krönig technique 442
Double-action jaw graspers 42, 42f
Doxycycline 579
Drains, insertion of 316
Dumbbell formation 136f
Dumping syndrome 297
Dundee Jamming knot 128, 139
Duodenal perforation 263, 322
endoscopic finding of 263f
laparoscopic repair of 263, 264f, 265f
Duodenal switch 285, 561
Duodenal ulcer, perforated 263
Duodenum 346, 514f
Dye extravasation 185
Dye leak test 299f
Dyschezia 423
Dysgenic gonads 398
Dysmenorrhea 427
Dyspareunia 423, 427
Dysphagia 256, 294, 618
Dysuria 426
E
Echelon flex endopath staplers 54
Ectopic gestation 411
Ectopic pregnancy 322, 328f, 404, 411, 414, 415
laparoscopy in treatment of 415
management of 411, 418
risk of 411
Ehlers-Danlos syndrome 551
Ejaculation, retrograde 371
Elastic deformation 43
Elbow joint 552
Electrical
current, types of 577
energy 597
morcellator 161f
Electrocardiogram 68
Electrocardioscopic monitoring 68
Electrocautery device 112f
Electrolyte imbalance 342
Electronic carbon dioxide laproflattor 34
Electrosurgery
complications of 568
frequency range of 111f
resectoscopic 486
types of 115f
Electrosurgical
accidents 577
coagulation 115
dissection 110
electrode 569
hooks 114
injuries 568
instruments 620f
unit 568
Emphysema, subcutaneous 96, 566, 567
Empyema gallbladder 177
Enchondroma 553
Endobag 157, 158f, 451f, 611
gallbladder placed in 612f
large size 515f
pulled outside abdominal wall, neck of 160f
Endo-gastrointestinal linear stapler, use of 307f
Endoknife 45, 45f
Endometrial
cavity 446
polyp 481, 488
Endometrioma 394, 425f
dissection 425f
medical management of 394
Endometriosis 322, 327f, 423, 424, 425f, 427
diaphragmatic 428
genitourinary 426
laparoscopic management of 423
recurrent 424
removal of 428
superficial 423
Endometrium carcinoma 488
Endopath articulating endoscopic linear
cutter 54f
stapler 54f
Endoscope 604
insertion 604
operative 627f
removal 604
Endoscopic
camera 25f
clip 510
hernioplasty 219
parathyroidectomy 548, 549
retrograde
cholangiography 198
cholangiopancreaticography 199
cholangiopancreatography 178, 318
scissors 509
skills 519
sphincterotomy 199
spinal surgery 552
thyroidectomy 549
transoral incisionless fundoplication 271
vision technology evolution 25
Endoscopy 269
virtual reality systems for 585f
Endoski needle 128, 128f, 137
Endoureterotomy, ureteroscopic 500
Endowrist instruments 594, 597
End-tidal carbon dioxide pressure 68, 70
Energy source system 36
Enzymatic laparoscopic instrument cleaner 58
Epididymitis 528
Epigastric
artery, superficial inferior 572
vessels 361
Erythema 372
Escherichia coli 343
Esophageal atresia 519
Esophageal
endoscopy 270
intubation 564
manometry 257, 271
mobilization 258, 258f
peristalsis 269
pH testing 270
sphincter, lower 269, 271
Esophagectomy 153
Esophagogastroscopy 3
Esophagus, mobilization of 260f, 273, 274f
Ethylene oxide 58
Extracorporeal knot 136, 212, 244f, 533
Extraperitoneal
gas 566
insufflation 96
F
Faintness 485
Falciform ligament, division of 313, 315f
Fallopian tube 323, 385, 403, 434, 486
Falope ring 49f, 386f, 387
applicator 49f, 387
handle of 49f
loading of 389f
Family planning, trend of 385f
Fan retractor 45, 46f
Fascia, subperitoneal 346
Fast-track laparoscopic bariatric surgery 67
Fat, retroperitoneal 524
Fatigue 415
Fatty liver disease, nonalcoholic 295
Fecal
incontinence 370
microflora 342
Female pelvis, anatomy of 324f
Femoral hernia 522
laparoscopic repair of 219, 231
Fetal consideration 419
Fever, low-grade 419
Fiberoptic 16
cable 15f, 16, 16f
Fibrinolysis 377
Fibrinolytic activity, normal 376
Fibroid 332f, 445, 481
capsule 447
pedunculated 445
submucosal 445
subserosal 445
uterus
morcellation of 449f
types of 445f
Filshie clip 386f, 387, 390f
Fistula 291, 294
formation of 495
uteroperitoneal 446
Flow rate 35, 83
Fluid
absorption, excessive 482
accumulation of 294
monitoring 482
Fogarty catheter 203f
Folate 300
Foley catheter 460, 503, 504, 512
balloon 486
Food and Drug Administration 157, 168
Formaldehyde 61
Fourestier method 25
Fowler-Stephens procedure 525
Fracture 43
French position 78
Fulguration 115, 115f
Functional residual capacity 64, 556
Fundoplication 258, 275
methods of 271
parietal 277
port position in 273f
selection of type of 271f
surgery, types of 271
Fundus pull 275
G
Gallbladder 180f, 322, 536f, 587f, 613f
appearance of 177f
diseases 4
dissection of 179, 186, 612f
exposure of 180
extraction of 179, 186, 187f
fossa 611
inspection of 612f
lighting scene 28f
perforation during laparoscopic cholecystectomy 188
polyps, adenomatous 177
removal of 315
separation of 186f
stone 520
disease 520
topographic anatomy of 180f
Gallstone 297
disease 533, 606
pancreatitis 178
Garry and Reich classification 432
Gas
bloat syndrome, symptoms of 277
concentration 59
embolism 96
flow rate 34, 82
test, insufflation of 81
Gasless laparoscopic surgery 95, 96, 97f
Gastrectomy 290f
Gastric
banding 285, 557, 561
bypass 318, 557, 561
emptying 524
disorder 269
study 271
endoscopy 270
entry, recognition of 573
fold 294
leakage 291
obstruction 294
plication 294, 295f
steps of 295f
pouch 296f, 557, 558
reflux 566
restriction 557
studies 257
Gastroduodenal artery 180f
Gastroesophageal junction 558
anatomy of 255
physiology of 255
Gastroesophageal reflux 269, 519, 564, 591
disease 269, 271, 278f, 293, 419, 546, 546f
severe 286
symptomatic 256
treatment of 269
Gastrointestinal
anastomosis 334
complications 573
endometriosis 427
endoscopy 269, 270
leak 300
motility 524
obstruction 342
perforations 331
stromal tumor 337
system 418
tract 573
Gastrojejunal stomal stricture 300
Gastrojejunostomy 296f, 298f, 299f, 318
Gastrostomy, percutaneous endoscopic 260
Genital function 351
Genitofemoral nerve 235, 393
Gentle tissue 484
handling 379
Gerota's fascia 362, 367, 513, 514
Ghrelin hormone 283
Giant cell tumor 553
Giant paraesophageal hernia, operative procedure of 260
Glands, abnormal 549
Glisson's capsule 186f, 311f
Glutaraldehyde 60, 60f
Gonadotropin-releasing hormone 394, 445
Gonococcus infection 404
Graspers, different jaw of 42f
Gravid uterus 418
Growth hormone 445
Gynecologic disorders 423
Gynecologic surgery, complications of 495
Gynecological abdominal emergencies 322
H
Haemophilus influenzae 303
Halide 12
Halogen 11
bulbs 11
light source 10
Hand instrument
articulation of 41f
different handles of 41
insert of 42, 42f
outer sheath of 41, 42f
Hand-assisted laparoscopic surgery 149, 150f152f, 153, 154f, 161
Hand-port system 150
Hanging drop test 81, 82f
Harmonic scalpel 122f, 216f, 413, 440f, 447
Hartmann's pouch 180, 534f
Hartmann's procedure 368
Hasson cannula 6, 6f, 37, 38f
Hasson technique 633
Hasson trocar 38f, 87f, 89f, 525
fixation of 89f
Heart disease 295
Heartburn 269, 591
severe 256
typical 256
Heat filter 14
Heat-sink effect 315
Helicobacter pylori 263
Hemangioma 326f
Hematoma 234, 424, 442, 459
formation 234
retroperitoneal 514
Hematuria 426, 497, 575
postoperative 498
Hemicolectomy 154f
open right 344
Hemoperitoneum 411, 415
massive 414f
mild 414f
Hemorrhage 459, 570
Hemostasis 316, 568
adequate 526
Hepatic
cysts 313
duct 193f
malignancy 326
parenchyma, transection of 315, 316f
resection 313, 315
Hepaticopancreatic diseases, laparoscopic management of 310
Hernia 216, 297, 478, 523
bilateral 228f
direct 219f
inguinal 221, 523
laparoscopic 523
content of 537
contralateral 522
femoral 522
hiatal 255, 256, 256f, 524
incarcerated inguinal 222
incisional 166f, 557, 578
indications of laparoscopic repair of 221
indirect 523
inguinal 219, 222, 522, 523
internal 300
laparoscopic 227
bilateral inguinal 105f
femoral 522
repair of 222
umbilical 105f
large scrotal 222
left-sided 224f
laparoscopic inguinal 105f
massive 222, 232
mixed 256
paraesophageal 255
port-site incisional 170
recurrent
inguinal 221
laparoscopic 227
repair of 259f
right-sided 224f
sac 225f, 522, 523
secure trap ethicon stapler 227f
sliding 255
stapler 53
surgery 232f
unilateral laparoscopic 523
ventral 239, 533
Herniorrhaphy
inguinal 219
laparoscopic 219, 222, 523
Heterotrophic pregnancy 418
management of 418
Hiatal defect, closure of 258
Hiatal hernia 255, 256, 256f, 524
laparoscopic repair of 255
operative management of 257
port position in 258f
surgery 257f
High-definition television 32
High-frequency
electrosurgical dissection 111, 111f
monopolar electrosurgery 111
High-velocity water-jet dissection 120
Hilar dissection 315
Hilar region 521
Hill gastropexy 278
Hilum 521
Hip
arthroscopy, indications for 551b
joint 551
Hirschsprung's disease 519
Hologram projection system 625f
Hook
ceramic coating of 36f
scissors 44, 44f
types of 36f, 114f
Hopkins forward-oblique telescope 20
Hopkins rod-lens system 20
Hormone
deficiency 471
luteinizing 393
replacement therapy 423
Hulka clip 390f
Human placental lactogen 445
Human-assisted laparoscopic surgery 149f
Hyaluronic acid solution 381
Hybrid system 569
Hydatid
cyst, port position of 311f
cystic liver, laparoscopic management of 310
disease 310
Hydrargyrum medium-arc iodide 17
Hydrochlorofluorocarbon 58
Hydrodissection 121, 497
Hydrogen peroxide gas plasma 59, 59f
Hydronephrosis 499
Hypercalcemia 549
Hypercapnia 64
Hypercarbia 630
Hyperglycemia 486
Hyperparathyroidism 549
Hypertension, ocular 96
Hypertonic solutions 342
Hypochondria, right lower 520
Hypogastric nerves 365
Hypotension 564, 566
mild 419
mild-to-moderate 93
Hypothermia 96
Hypoventilation 564
Hysterectomy
laparoscopic 6, 430, 432, 432t, 441, 495, 496f, 579
large uterus laparoscopic 104f
subtotal 439
supracervical 439
total laparoscopic 50f, 430, 435, 438f, 498f
transvaginal 442
types of 442
Hysterocele 470
Hysterosalpingogram, patency on 408
Hysteroscopy 481f
contraindications 481
diagnostic 481
essentials of 481
history of 482, 482f
indications 481
patient position in 483f
I
Iatrogenic urologic injury 496
Iceberg lesion 424
Icodextrin solution 380
Ideal anesthesia machine 66f
Idiopathic thrombocytopenic purpura 521
Ileal mesentery 347
Ileal resection 335f, 336f
Ileal surgery 335
Ileal ureter interposition 502
Ileocolectomy 337
indications 337
Ileocolic artery 346
Ileocolic pedicle 346
Ileocolic vessels 346
Ileum 557
Ileus 521
Iliac artery 93
internal 430f
Iliac vessels 431, 511
external 220f, 526
Iliopectineal ligaments 453
Iliopubic vein 234
Image display systems 32
In vitro fertilization 322, 403, 416
Incision, abdominal 460f
Incisional hernia 166f, 557, 578
development of 578
diagnosis 578
large 367
management 578
prevention 578
Indocyanine green 7, 193, 195
fluorescence cholangiography 194f
Infection 222, 247, 251, 478, 579
Inferior epigastric vessels 220f, 234, 572
Inferior mesenteric
artery 351, 352, 362, 365, 501
dissection of 353f
pedicle 362
vein 352, 357
dissection of 354f
vessel, division of 369
Inferior vena cava 93
infrahepatic 313, 315f
suprahepatic 313
Infertility, cases of 486
Inflammatory bowel disease 344
Infrared light source 15
Infrared ureteral stent 354, 497
Infrared ureteric catheter 497f
use of 497
Infraumbilical port 99f
position 100
Infundibulopelvic ligament 323, 385, 392, 393, 398, 398f, 430, 434
dissection of 397, 438
Infundibulum 411f
Inguinal hernia 219, 222, 522, 523
laparoscopic repair of 219
repair 232, 522
transabdominal preperitoneal repair of 223
Injury
intra-abdominal 330332
ligamentous 551
Instrument 101, 150f, 597, 602, 603f, 619
Insufflation
cannulas 37
needle injuries 573
system 34
transvaginal route of 634f
Insufflator, quadromanometric indicators of 82
Insulation failure 118, 118f, 569
complication of 569
Insulinoma 319
Internal organs, medical endoscopy for 550
Interrupted sutures 146
Intestinal
adhesion 322
infarction 322
retraction 545
Intestine 336
loop of 337f
perforation of 297
ulceration 297
Intra-abdominal pressure 34, 64, 459, 520
measurement of 81
Intra-articular condylar fractures 551
Intracorporeal sutures 277f
Intracranial pressure 332
Intramural
fibroids 445
myoma 488f
enucleation of 448f
Intraperitoneal
adhesions 501, 522
onlay mesh 219, 240
pressure 68, 566, 567
vessel injury 572
Intrauterine
adhesions 481
device 487f
pedunculated pathologies 488
synechia 488
Intravenous pyelogram 496f
Intravenous urogram 500
Iron 300
deficiency 297, 561
anemia 557
Irrigation 35
system 35
test 80, 81f
Ischemia 96, 495
cardiac 35
minimize 334
Ischemic structure 399
Isthmus 411f
sterilization in 389f
J
Jaundice 198, 520
obstructive 178
Jejunal surgery 335
Jejunojejunostomy 298f
Jejunum 557
division of 298f
J-pouch reconstruction 519
K
Kelly clamp 84
Kidney 512, 524
anterior relation of 512, 512f
hilum of 546f
ipsilateral 502
posterior relation of 512, 512f
removal 515f
small dysplastic 529
Kirschner wire 540
Knee joint 551
diagnosis 551
trauma 551
Knot 128
pusher 47
types of 582f
L
Labral tears, diagnosis of 551
Lahey scissors 503
Laparoendoscopic single-site surgery 7
Laparolift 95f
Laparoscope 5f, 544f
angle of 20f
inside view of 20f
types of 20f
Laparoscopic
adhesiolysis 376
contraindications of 376
technique 378
adjustable gastric banding 558
anatomy 180, 208, 221, 240, 323, 324f, 385, 454
antireflux operations 524
appendectomy 209, 214, 217, 520
advantages of 209
contralateral port position for 104f
indications of 209, 209t
ipsilateral port position for 106f
approach
advantages of 177, 222, 264
disadvantages of 303
relative contraindications for 232
autosuturing instrument 47f
camera 21, 22f
focusing of 24
cholecystectomy 6, 177, 179f, 189191, 193, 194, 199, 520, 521, 540, 606, 612
complications of 191
indocyanine green used in 193f
clip 127
applicator 47, 48f
colectomy 340, 497
technique of 340
colon resections 340
colorectal
sigmoidectomy 350
surgery 340, 373
common bile duct exploration 199
construction 503
control 526
disposable clip applicator 48f
dissection
medial-to-lateral 352
techniques 109
types of 109
Endo-GIA stapler 288f
equipment 34
fundoplication 269, 271, 519
alternative port position in 273f
contralateral port position for 105f
port position 272f
gastric
banding, port position of 558f
volume reduction 294f
gastrointestinal anastomosis 212
general surgical procedures 175
gynecological
procedures 383
surgery, ipsilateral port position for 106f
hand instruments 40
hepatic resections 313
hernia repair 220f
complications of 232
types of 222
hill gastropexy 271
hysterectomy 6, 430, 432, 432t, 441, 495, 496f, 579
classification of 432
imaging systems 9
in situ thermal ablation 313
inguinal hernia repair 235
instrument 34
sterilization of 57, 60f, 579
irrigation 35f
knot pusher 48f
left oophorectomy, port position for 397f
light source, troubleshooting of 15, 15t
linear stapler 54
liver
resection 312, 314f
surgery 310
magnetic sphincter augmentation 271
myomectomy 445, 446, 446f, 448f, 451
complications 450
contraindications 446
indications 445
port placement 446
procedure 447
needle 128
nephrectomy 511, 512, 514
complications of 514
contralateral port position for 105f
port position in 513f
oophorectomy 392f, 397
contraindications 397
indications 397
operative procedure 397
ovarian
anatomy 392
surgery 392
wedge resection 398
pancreatic
procedures 319
resection 319, 319f
surgery 316
partial fundoplication 271
pectopexy 474, 478, 479
pediatric
fundoplication 523
nephrectomy 527
procedures 527
surgery 519
urology 524
pelvic lymphadenectomy 511
port closure
Cobbler's needle 166f
instruments 166
technique 165
port position, principles of 99
procedure 151t, 376
pregnancy during 419
pseudocyst
drainage 320
gastrostomy 320
radical
nephrectomy 513
prostatectomy 614
rectal surgery 340
resection 372t
rectopexy 368
retroperitoneal node dissection 510
reusable clip applicator 48f
right hemicolectomy 344
scissors, types of 43
skill acquisition 588
sleeve gastrectomy 283, 285, 292294
port position for 287f
sling surgery 471
small bowel surgery 334
splenectomy 6, 302, 304f, 307f, 521
advantages of 303
complications of 306
staplers 127
sterilization 385, 386
risk of 386
straight handle needle holder 47f
suction irrigation machine 35f
surgery 31, 63, 72, 177, 223, 323, 341f, 378, 414, 417, 505, 540f, 583, 584, 586, 625
advantages of 417
anesthesia in 63
contralateral port position in 101
hand-assisted 331, 359, 585f
ipsilateral port position in 103
limitation of 521
surgical knots, types of 128
suture material 128
technique 240, 340, 393, 398, 540, 588
popularity of 582
tissue approximation techniques 127
trocar 386, 512
trolley 9, 9f
tubal
anatomy 403
ligation 385
reconstruction 405
surgery 403
urological procedures 509
varicocele ligation, technique of 509
vertical-banded gastroplasty 557, 558f
video monitor 25
vision 522
Laparoscopically-assisted vaginal hysterectomy 101, 104f, 113f
port position for 433f
rule of diamond for 101
Laparoscopic-assisted
appendectomy 216
technique 334
vaginal hysterectomy, vaginal part of 435
Laparoscopy 3, 326, 328, 330, 495, 566, 572
anesthetist's role in 67
complications of 332
gasless 565
general anesthesia for 66t
gynecological 78f
hand-assisted 161
hysterectomy 431
in carcinoma assessment, role of 328
in pregnancy
advantages of 419
risks of 419
learning curve in 587
management 392
medical complications in 564
monocular vision in 620f
regional anesthesia for 66t
shadow in 31
simulators 585
technique 317
therapeutic 332
Laparothorakoskopie 4
Laparotomy 330, 634
LapDisc 152f
hand access device 153
Laproflattor 34
Large caliber
suprapubic catheter 576
urethral catheter 576
Laser
dissection 121
generator 122f
welding 127
Lateral pelvic
organs 377
structures 398
Leaf broad ligament
anterior 436f
posterior 436f
Leak after sleeve gastrectomy 291
Learning curve 236, 588f
drawing of 587
effect of 588
factors affecting 587
statistical evaluation of 588
Led light source 14
Lee-Huang point 447
Left colon
division of 365
mobilization 367
Left kidney 512
posterior dissection of 545f
Leiomyomas 445
Leiomyosarcoma 451
Lens system 20
Leukocytosis 419
Levator ani muscle 455f
Lever, types of 43f
Lichtleiter endoscope 3f
Ligament 220f
tubo-ovarian 410
Ligasure™ 124f
Light
cable 15
display control interface attachment of 19f
maintenance of 18
emitting diode 12, 598, 605f, 606f
light source 12, 14f, 15f
intensity of 18f
quality of 11
significant loss of 18f
source 10
spectrum of 10f, 17f
total internal reflection of 15
Linx sphincter augmentation system 278f
Lipoma 337
Liquid crystal 16
gel cable 16
Lithium chloride 12
Lithotomy position 367, 386
Liver 93, 322
cirrhosis 326
retractor 258f
Longitudinal ligament, anterior 476f
Low anterior resection 359, 361, 361f, 363f, 620
Low-molecular-weight heparin 64
Luft tamponade 3
Lungs 486
Lymph node 180f, 512, 543
Lymphadenectomy 351
retroperitoneal 417
Lymphocele
drainage, technique of 510
laparoscopic management of 510
Lymphoma 337
M
Magnesium sulfate 72
Magnetic resonance
cholangiopancreatography 178
imaging 278
Magnetic sphincter augmentation 278
Malignant disease, sigmoidectomy for 349f
Mangeshikar uterine manipulator 51, 51f
Manipulation 137
Mannitol 342
Marlex rectopexy 370, 371
Maryland dissector 610f
Maryland forceps, closed jaw of 139
Mass, tubo-ovarian 379f
Master-Slave manipulator 593, 594f
McBurney's point 544
Mean arterial pressure 72
Mechanical bowel trauma, treatment of 577
Meckel's diverticulum 520
Medial umbilical ligament 220f, 511
Mediastinal emphysema, development of 567
Mediastinal parathyroids 549
Meltzer's knot 128, 130, 133, 212, 520, 535f, 541
Memory 582f
Meniscal injury 551
Menopause 471
Mesenteric vessel, secondary branches of 93
Mesh 231f, 245
cutting corner of 226f
fixation of 236, 248, 260f
infection 235
migration of 234
peritonization of 477f, 479f
placement of 225, 231f, 248
rejection of 234
size 236
Mesoappendix, dissection of 212f, 213f
Metal clips, application of 633
Metal halide
bulb 13f
gas discharge lighting system 13f
lamps 12
light source 10
tube, internal structure of 13f
vapor arc lamp 11, 12
Metastatic lesions 326
Micronutrients, long-term deficiencies of 300
Micro-tip scissor 44, 45f
Middle colic
artery 346
vessels 346
Midurethra 463
Mill-wheel heart murmur 565
Mini gastric bypass 294, 295f, 296f, 561
Minimal access
bariatric surgery 556
neck surgery 547
robotic surgery 591
surgery 3, 9, 31, 32f, 75, 109, 152, 165, 170, 519, 550, 552, 564, 591, 627f, 629
augmented reality in 627
benefits of 550b
complications of 564
future of 625
role of training in 582
safety considerations in 116
Minimally invasive
component separation 247
laparoscopic surgery 165
safety 629f
surgery 3, 15, 629
Mishra's knot 133, 141, 143f, 212
Mishra's point 90, 91f
Mishra's technique 90
Modulation transfer function 28
Monitor connecting cables 26
Monitor systems, types of 26t
Mono-ovulatory cycles 399
Monopolar
current, circuit of 112f
electrode 447
scissors 449f
Morbid obesity 91
laparoscopic treatment for 556
surgery 153
Morcellator 52, 161
type of 161f
Morsafe® tissue
containment system 52f
isolator 162, 163f
Moschcowitz technique 474
Mosquito forceps 84
Motor drive operation 598
Mucocele gallbladder 177
Mucosa 334
Müllerian malformations 481
Multichannel intraluminal impedance testing 270
Multifunctional laparoscopic handle 42f
Multimode fiber 17f
Multiparameter monitor 68f
Muscle layer 537f
suturing of 449f
Muscularis propria 334
Mycobacterium chelonae 579
Myoma 447
extraction of 450f
fixation screw 49
morcellation of 52f, 451f
removal of 448f, 449f
screw 50f, 448f
submucosal 481f, 487f, 488f
tissue retrieval, equipment for 450f
Myomectomy 52f, 447
laparoscopic 445, 446, 446f, 448f, 451
N
Narcotic overdose 564
Nasogastric tube 342, 510, 520
Nathanson liver retractor 45, 46f
National Surgical Quality Improvement Program 303
National Television System Committee 26
Natural orifice transluminal endoscopic surgery 191, 625
safe application of 626
Nausea 294, 415, 485
postoperative 66
Neatclose automated port closure device 168, 168f
Needle 137
control 137
holder 46, 137, 620f
jaw of 46f
movement test 80
Negative pressure test 632
Neodymium-doped yttrium aluminum garnet 122
Neosalpingostomy 408
Nephrectomy 153, 417, 514, 515f, 591f
dissection in 514f
laparoscopic 511, 512, 514
parietal 545
robotic-assisted 615f
Nerve
entrapment 234
injury 234, 247
Neuralgias 235
Neuroendocrine 319
Neurologic injury 576
diagnosis 576
management 577
prevention 576
Neurovascular injury 232
New three-dimensional techniques 31
Nissen fundoplication 153, 256, 259f, 272f, 519, 523, 524
laparoscopic 271
Nitrous oxide 566
Nonabsorbable prosthetic materials 379
Nondescent vaginal hysterectomy 441
Nonfatal pulmonary embolus 291
Nongynecological acute abdomen 322
Nonsteroidal anti-inflammatory drugs 72, 263
Nulliparous uterus, normal 430
O
Obesity 283, 556f
Obliterated umbilical arteries 511, 572
Obstruction 294
anastomotic 297
Obstructive cystic valves 185
Obturator membrane 464f
perforated 464f
Olympus visera 3D platform 22f
Omental
necrosis 322
patch 265, 267f
Omentum 93f
Omniport 151
One-port technique 538
Oocytes, entrapment of 424
Oophorectomy 400f
bilateral 423
complete 393
laparoscopic 392f, 397
Oophoropexy, contralateral 405
Open abdominal wound management 373
Open access technique, steps of 87
Open appendectomy 209
indications of 209, 209t
Open colon resection 372t
Open fielding technique 89, 633
Open insufflation technique 633
Open renal surgery 524, 529
Opening cave of Retzius 314
Operating room
configuration 597, 598
setup 77, 241f, 303, 335, 348
Operation ending of 189, 227, 231, 265, 276, 330, 533
Operative technique 272, 350
Optical trocar 89f
insertion of 633
insufflation with 634
Optimum area, draw line of 101
Oral antibiotics 343, 527
Organ injury 297
adjacent 478
Organoscopy 4
Orthopedic
surgery 550
trauma 552
Ortho-phthalaldehyde 60
Osteoarthritis 551
Osteoporosis 547
Ostomy, high risk of 372
Ovarian
abnormalities 392
artery 430f
biopsy 322
cancer 396
carcinoma 326
cortex 396f
cyst 322, 397
benign 404
laparoscopic management of 393
cystectomy 394, 395f
laparotomy for 394
left-sided laparoscopic 104f
defects, large 426
dissection 423
drilling 398, 399
endometriosis, resection of 424
ligament 324f, 392f, 403, 431f
malignancy 393
remnant syndrome 399
surgery, right-sided 393f
torsion 398
wedge resection 398
Ovary 392f, 431f
anatomy of 392f
extraction of 396f
position of 392f
suspensory ligament of 392f, 431f
torsion of 399f
Oximetry monitoring 68
P
Pain 247, 269
abdomen 415, 417, 418, 427
epigastric 256
lower abdominal 415
postoperative 233, 251, 441
symptoms 428
testicular 235
triangle of 221
Palmer's point 90, 90f, 91f, 99, 100f, 241f, 242f, 296, 533, 537f
Palmer's technique 90
Palplus 32
Pancreatectomy 153
Pancreatic malignancy 318
laparoscopic staging of 317
Pancreatic pseudocyst 320f
laparoscopic management of 319
Pancreatitis 198, 204, 319
Pap smear 439
Paraesophageal hernia 255
repair 255, 257, 260f
Paraovarian cysts 399
Parasitic cysts, hepatic surgery for 313
Parathyroid 547549
Parathyroidectomy 547
thoracoscopic 549
Paravaginal fascia 457
suturing of 457f
Partial thrombin time 433
Pectineal ligament 478f
side of 479f
Pectopexy
port position in 477f
technique 477
Pediatric
appendicectomy, port position for 523f
hernia, laparoscopic repair of 522
Pelvic
adhesiolysis, ports for 377f
adhesions, abdominal 367
anatomy 463f
brim 434
cancers, advanced 495
cavity 323
heaviness 470
inflammatory disease 322, 403, 404
lymph node 431, 543, 544
resection 222
organ 322, 424
prolapse 470
pain 376, 415
retroperitoneum 543
sidewall 423
Pelvis 345, 544
inspection of 326, 329f
Peracetic acid 59
Percutaneous spinal needle 311f
Perforation, closure of 265
Perineal
anatomy 366f
dissection 366, 366f
incision 366
Peripheral oxygen saturation 68
Peritoneal
carcinosis, diagnosis of 326
cavities 4, 504, 521, 567, 568
endometriosis 424
superficial 424
fluid 424
implants 424
incision 351, 358
injury, inguinal 379
lavage, diagnostic 331
membrane 567
metastases 326
preventing 379
reflection 503
Peritonealized rectum 370
Peritoneum 93f, 322, 522
closure of 228f
over sacral promontory
incision of 351f
opening of 476f
posterior 610f
Peritonitis
generalized 177
tuberculous 327
Periureteral adventitia 495
Persistent stones 204
Pfannenstiel incision 338, 363, 503
Pheochromocytoma 67, 417, 527
Phrenicogastric ligament 558
Phrenoesophageal membrane 255f
Picolax 343
Pipkin fracture 551
Plastic
deformation 43
sheaths 462
tape, removal of 462f
tube 466f
Pledget dissection 109, 110f
Pleural cavity 4
Pleuritic shoulder 428
Pneumaturia 575
Pneumomediastinum 96
Pneumonia 291, 306, 521, 564
Pneumonitis 564
Pneumoperitoneum 6365, 90, 96b, 234, 387, 511, 565, 607
creation of 179, 264
effects of 419
gas for 79
slow-release of 342
Polycystic liver disease 310
Polycystic ovarian
disease 399
syndrome 401f
Polycystic ovary 329f
drilling of 398
Polydioxanone 128
Polyethylene glycol 342, 380
Polypectomy 481
Polypropylene 557
endobag 160f
mesh 219, 239
Polytetrafluoroethylene 219, 240, 245, 380, 557
Polyurethane-covered mesh 246
Pomeroy technique 386
Porcelain gallbladder 177
Port
access instrument 38
closure
needle 166, 167f
techniques 94, 170
insertion of 179, 229
location 179, 265
placement 597, 599, 600f
position 200, 209, 223, 241, 257, 272, 303, 324, 335, 361, 364, 377, 393
site metastases 329, 341, 348
slipping of 86
Portable carbon dioxide monitor 71f
Portal vein 180f
thrombosis 306
Positive end-expiratory pressure 65
Postcholecystectomy syndrome 190
Posterior minor hepatic veins, division of 313, 315f
Posterior quadratus lumborum block 72
Postlaparoscopy infection, types of 579
Postoperative care 190, 291
after appendectomy 214
Potassium
chloride 12
iodide 12
titanyl-phosphate 123
Pregabalin 72
Pregnancy 232
abdominal cavity during 417f
late 177
Premature ovarian failure 322
Preperitoneal repair, disadvantages of 227
Preperitoneal space 227f, 228
creation of 226f
dissection of 229, 231f
pelvic surgery in 222
Presacral vessels 472
Pressure controlled ventilation 66
Primary trocar 84
confirmation of entry of 85
insertion 83
place for 543f
steps of 84
Progesterone intrauterine device 415
Prolene mesh, size of 472f
Prostate cancer 511
Prostatectomy, laparoscopic 614
Prostatic utricles, excision of 528
Protein 297
energy malnutrition 561
losing nephropathy 527
Proton pump inhibitor therapy 270
Proximal ligation, early 344
Pseudomyxoma peritonei 327
Psoas
hitch 503, 504
muscle 514
Pubic symphysis 457
Pulse oximetry 68
Pyelogram, preoperative intravenous 497
Pyelography, retrograde 501
Pyelolithotomy 545
Pyeloplasty 528, 545
Pyrexia of unknown origin 327
Q
Quad extended graphics array 27
Quad wide extended graphics array 27
Quadromanometric test 81
Quartz halogen incandescent lamp 11
R
Radiofrequency ablation 123
Randomized controlled trial 243, 588
Real-time near-infrared fluorescent cholangiography 193, 195
Rectal
artery, superior 351
cancer surgery 364
division 370
mobilization 363, 365, 371
prolapse 369f, 472
surgery 374
Rectocele 471
Rectopexy 153, 370, 371
Rectosigmoid colon 362
Rectum 364, 364f, 475f
division of 354, 363
exposure of 350f
mobilization of 368, 370
Rectus
abdominis muscle 435, 459
layer 537f
Recurrent inguinal hernia, repair of 227
Recurrent laryngeal nerve 548
Regurgitation 269
Remote center technology 600, 601f
Renal
artery 514f
biopsy 527
failure 293, 372
hilum 513
pelvis 500
trauma 527
vein 513, 514
Renin-angiotensin-aldosterone system 72
Resection rectopexy 368, 370f
Resectoscope 482, 483f
monopolar electrocautery 483
procedure 482
Respiration, rate of 68
Respiratory
distress, acute 291
system 418
Retrocecal appendix 215f
Retrogastric tunnel 558, 559f, 560f
Retroperitoneal
dissection 545
space, finger dissection of 544f
vein 93
Retroperitoneoscopy 543, 543f, 544, 544f
patient position in 78f
Retroperitoneum 322
exposure and dissection of 365
Retropubic
dissection 455f
space 461f
tape 463
Retzius, space of 454
Richter's hernias 578
Right colectomy 343, 344f, 347f
contraindications 344
equipment 344
indications 344
instruments 344
operative technique 345
Right iliac fossa 433, 434
Right subcostal cannula 353
Ring loading 388f
Ringer's lactate solution 214
Rioux and Kleppinger developed 385
Ripstein procedure 371
Robot single-site cholecystectomy 195
Robotic
arm 7f, 592f, 594f, 607
atraumatic grasper 596f
cart, docking of 608
cholecystectomy 191, 606
final port position for 608f
segments of 606
clip applicator 596f, 610f
console 594f
coronary bypass surgery 613
endowrist instruments 596f
grasper 596f
instruments 613
needle holder 596f
prostatectomy 7, 614, 615
scissor 596f
surgery 591, 593f
instruments of 594
port placement 591f
surgical system 616
system 592
technology, advent of 529
telesurgery 6
tenaculum 596f
transabdominal preperitoneal repair 240
Robotized laparoscopic needle holder 47, 48f
Roeder's knot 128, 129, 133, 212, 215f, 520, 541
extracorporeal 130
Roeder's loop 135f
Rossetti-Nissen fundoplication 277
Round ligament 324f, 392, 431f, 473f
Routine intraoperative cholangiography, criteria for 198
Roux-en-Y gastric bypass 283, 297f, 561
laparoscopic 297, 300, 558
port position for 299f
surgical technique of 297
Rumi uterine manipulator 51f
S
Sacral promontory 351
Sacrocolpopexy
abdominal 479
laparoscopic 471, 479
operative procedure of 471
Safe laparoscopic surgery, strategies for 420
Saline
drop test 632
irrigation 619
Salpingectomy 408, 409f, 413
laparoscopic 409f
Salpingitis, acute 322
Salpingo-catheterization 487f
Salpingo-oophorectomy 392, 397, 423
Salpingoscopy 408
Scalpel 45
Scar 484, 539f, 540f, 633
Scissors 43
dissection 110, 111f
Scrotal hematoma, postoperative 232f, 234
Seprafilm 380f
Septate uterus 487f
Seroma 234, 247, 250
Serosa 334
Serosal layer 449f
suturing of 448f
Sexual dysfunction 374
Sexually transmitted disease 411
Sharp dissection 110
instrument for 42
Shock, vasovagal 630
Shoulder
arthroscopy 552
indications for 552b
joint 552
pain 485
Sialorrhea 294
Sigmoid
colectomy 497
colon 353f, 364, 364f, 472
arterial supply of 352f
mesentery 371
mobilization of 352
Sigmoidectomy 348, 361f
laparoscopic 358
port position for 349f
Silicon
dioxide 17
rubber bands 387
Silver chloride 12
Single puncture tubal ligation 388f
Single-action jaw graspers 42
Single-incision laparoscopic
cholecystectomy 190
surgery 7, 538, 538f, 540f542f
advantages of 539
disadvantages of 539
equipment 539f
Skin
incision 88f, 527, 537f
separation 297
wound 537
closure of 168f
Sleep apnea 295
Sleeve gastrectomy 283f, 286f, 292, 561
advantages of 285
complications of 291
contraindications of 286
disadvantages of 286
indications of 285
risks of 291
Sling insertion 275f
Small bowel 93
ileus 474
laparoscopic resection of 334
obstruction, early postoperative 373
perforation of 333f
resection 334
Small intestine 336f
Small uterus laparoscopic hysterectomy 104f
Smart tissue anastomosis robot 7
Sodium chloride 12
Soft tissue 477
Solitary small metastatic disease 310
Sounding test 92
Space of Retzius 221
Spatula 36f
Spermatic
artery 526
vein 510f
vessels 220f, 234, 511
Sphincterotomy 198
Spine surgery 552
Spleen 297, 322
inferior aspect of 305f
Splenectomy 153, 291, 417, 519
concomitant 521
laparoscopic 6, 302, 304f, 307f, 521
steps of 304f
Splenic
anatomy 302f
artery 521
flexure, mobilization of 356, 357f, 362
hilum
dissection of 306f
transection of 305f
vasculature, anatomy of 302
Square knot 128
Stapler
appendicectomy 214, 214f
jaw of 53f
Steam sterilization 58
Stereopsis 29
Stereoscope 619f
Stereoscopic vision 620f
Sterilization 58
legislation in 57
methods of 386f
Sternocleidomastoid muscle 549
Stomach 297
fundus of 276f
mobilization of 273, 275f
pouch 298f
remnant, blowout of 300
Stress incontinence 453, 454, 459
contraindications 454
indications 454
laparoscopic management of 453
pathophysiology of 453, 453f
postoperative complications 456
Stretta endoscopic procedure 280
Stretta therapy 278f
Study of European Association for Endoscopic Surgery 199, 199t
Stump appendicitis 209
Subcutaneous emphysema, risk of 567
Suction tubes 35, 35f
Super extended graphics array 27
Super video graphics array 27
Supraumbilical port 100f
position 100
Supraumbilical skin incision 435
Surgeon's knot 128
steps of 138, 139f
Surgery
arthroscopic 550, 551
hand-assisted 149
indications of 470
lower abdominal 573
timing of 178
Surgical
robots 616f
generation of 591
team, position of 77f, 178, 179f, 210, 223, 241, 257f, 304f, 323, 361, 364, 367, 368, 377, 433
technique 286, 294, 296, 297
wound, profuse bleeding of 297
Surgisis 245, 246f
Suture
placement 457f
size 128
types of 127
Swan-Ganz catheter 69f
Sweet spot 603f
Swelling, testicular 235
Swiss cheese defects 252
Synovectomy, arthroscopic 552
Synovium, adjacent 551
T
Tachycardia 548
Tayside knot 128, 133, 212
steps of 135f
Teflon-coated guidewire 500
Telescope 19, 85f, 101
fiber bundle 20
sweeping movement of 229
tip of 93f, 166f
Television systems 26
Tendinous arc 455f
Tenesmus 427
Tension-free vaginal tape 459, 460f, 463
contraindication of 467
obturator, operative technique of 464
procedure, injuries in 463f
Teratoma 394
Testicular atrophy 523
Testis
intra-abdominal 525
nonpalpable 525
Thermal
ablation 394
injury 568, 575, 577
Thoracoscopic surgery, port position in 103f
Thoracoscopy 67, 519
Three-dimensional
stereoscope 21
technology systems 31
video systems 31
vision 29
physiology of 29
Thrombocytopenia 521
Thromboprophylaxis 64
Thyroid 549
artery, inferior 547, 548
disorder 549
gland 549
Tissue 486
containment system 52
dissection 273
distraction 110
ischemia 499
malignant 623f
margin of 622f
mobilization 273
morcellator 51, 51f
power morcellation of 162f
removal 511
response electrosurgical generator 123, 123f
retrieval technique 157
stripping 110, 110f
Titanium clip 136f
Titanized polypropylene mesh 246
Toldt's fascia 524
Toldt's line 352
Totally extraperitoneal hernia repair 219, 220f, 227
access technique of 229f
Toupet fundoplication 272f
Toupet procedure 256
Toxic colitis 342
Transabdominal preperitoneal repair 219, 220, 220f, 240
procedure of 223
Transabdominal retromuscular repair 240
Transanal endoscopic microsurgery 618, 619f623f
indications of 618
procedures 619
suturing in 623f
technology, inventor of 618f
Transobturator tape 462, 463, 465f
contraindication of 467
Transoral incisionless fundoplication 279f, 280, 547f
esophyx device for 279f
Transumbilical port 99f
Transureteroureterostomy 499, 500, 502, 504
Transvaginal insufflation 634
Transverse abdominis plane block 72, 291
Trauma
abdominal 330
parietal 349
Traverse lacunar ligament 234
Trendelenburg position 65, 90, 91f, 286, 386
Trephine left iliac fossa colostomy 366
Triangle of Calot 7
Triangle of Doom 220f, 221
Tripolar electrosurgery 113
Trocar 3, 38, 514
injury 573, 574, 577
diagnosis 574
management 574
prevention 574
insertion 85f, 91f
open technique for 377
placement 435, 438f
configuration for 511
secondary 410
site herniation 165
tip of 38f
types of 631
T-shaped mesh 471, 478f
T-tube 204f, 205f
fixation 205f
management 204
Tuba peritoneal infertility 404
Tubal ectopic, salpingectomy for 413f
Tubal pregnancy 411f
Tubal recanalization 406f
surgery 405f, 407f
Tubal segment, resection of 413
Tubal sterilization
methods of 386
port position for 386f
Tubal surgery left side, port position 404f
Tuberculosis 342
intestinal 337
laparoscopic diagnosis of 327
Tumble square knot 128, 138
steps of 140f
Tumor 356f, 553
cells 336
laparoscopic staging of 313
malignant 326
necrosis factor-alpha 556
spillage 512
submucosal 337
Tungsten-halogen bulb 11
Two-port cholecystectomy 533
port position for 533f
Typhoid carrier 177
U
Ulcerative colitis 342, 519
Ulcers, marginal 300
Ultra extended graphics array 27
Ultra-high definition television 32
Ultrasonic
dissection 120
generator 121
laparoscopic instrument cleaner 58f
Ultrasonography 178
intraoperative 185
laparoscopic 186, 198
Ultrasound
guided entry 92f
visceral slide 92
Umbilical
ligaments 221
port, removing 533
Umbilicus
incision 542
inferior crease of 99, 99f, 100
superior crease of 99, 99f, 100
Unruptured ectopic pregnancy 413f
salpingotomy for 412f
Upper mesorectum, dissection of 354, 355f
Upper midline incision 634
Upper pedicle, dissection of 439f
Urachal disease, complicated 528
Urachus 511
Uremia 499
Ureter 369, 392f, 430f, 431f, 544f
anatomy of 495f
clipping of 515f
damaged 497
dissection of 514
stent in 501f
tissue 504
travels 495
upper 528
Ureteral
anatomy 501
catheterization 496
injury 495, 498, 501
frequency of 495
intraoperative 496
level of 496
management 499
pathophysiology of 498
prevention of 496
rate of 495
recognition of 498
risk of 352, 497, 575
necrosis 499
obstruction
acute 495
complete 426
reimplantation 528
resection 500
stent 498, 499, 504
placement 500
stricture 495, 499
treatments of 500
Ureteric
injury 496f, 497f, 575
treatment logarithm of 499
lacerations 576
Uretero fistula 575
Ureterolithotomy 545
Ureterolysis, laparoscopic 511
Ureteroneocystostomy 499, 500
Ureterotomy 499, 500
Ureteroureterostomy 500, 501, 504
Uretheral patency 456
Urethra 455, 501
Urethral catheter guide 461f
Urethral sphincter weakness, causes of 459
Urethrovesical junction 455
Urinary
ascites 497
bladder 575
extravasation 499
frequency 426
incontinence 459, 471, 478, 575
retention 234, 478
system 418
tract
endometriosis of 426
infection 372, 459
injury 232
obstruction, lower 468
upper 524
urgency 426
Urologic surgery 509
Uropathy, obstructive 527
Urostomy, external 502
Uterine
artery 430f, 431
securing 440f
bleeding
abnormal 431, 481, 486
dysfunctional 445
excessive 445
cavity 487
fibroids 431
leiomyomas 445
malformations, congenital 481
manipulator 49, 50, 392
insertion of 435, 439f
types of 435
motility 415
pedicle 437f
rupture, risk of 446
segment, lower 438
surgery 430
vessels, securing 438
Utero-ovarian ligament 324f, 392f, 431f, 434
Uterosacral ligament 324f, 392f, 430f, 431f
Uterovesical junction 434
Uterus 323, 324f, 392f, 431f, 434, 440f, 597
anatomy of 430f
asymmetrical 413
bicornuate 329f, 487f
laparoscopic anatomy of 430
muscle layer of 448f
position of 431f
removal of 439
securing 350f
suturing muscle layer of 448f
V
Vagina 475f
Vaginal apex 471
Vaginal cuff closure 439
Vaginal fascia 478f
anterior 473f, 478
complete 456
Vaginal hysterectomy 431, 441
laparoscopic-assisted 430, 433, 433f, 434f, 442, 586f
Vaginal incision 460f
Vaginal midline incision 464f
Vaginal orifice 627f
Vaginal procedure 431
Vaginal speculum 484f
Vaginal vault 471
prolapse 470, 473
Vaginal wall, posterior 365, 471
Vaginalis 522, 526
Varicocelectomy 509
laparoscopic 509, 509f
Vas deferens 220f, 234, 511
blind-ending 526
intra-abdominal 509
Vascular injury 233, 234, 247
prevention of 567
Vasopressin, injection of 447f
Venous gas embolism 64
Ventilation
manual 66
parameters 483
perfusion mismatch 565
Ventral hernia 239, 533
extended totally extraperitoneal repair for 247
laparoscopic
repair of 239, 240
view of 239f
mesh in 245
preperitoneal repair of 247
repair 241f, 252f
two-port repair of 533
Veress needle 5f, 37, 37f, 76f, 79, 80f, 82f, 90, 91f, 170, 242f, 265, 483, 510, 525, 633
eye of 77f
guard required length of 80f
insertion 76, 91f, 631
inventor 76f
parts of 76f
technique 170
Versaone™ fascial closure system 169, 169f
Vesicoureteral reflux 527
Vesicovaginal fistula 478, 575
Vessel, testicular 235
Viscera, manipulation of 471
Visceral injury 215, 435
Visceral peritoneum, dissection of 179
Visceral thermal injury, diagnosis of 568
Vision
cart 597
position of 599, 599f
frames of reference in 26
Visiport 38, 39f, 89f
optical trocar 634
Visual entry technique 89
Vitamin 297
A deficiency 561
D deficiency 561
Vomiting 153, 256, 294, 485
postoperative 66
W
Water intoxication 486
Water-wheel heart murmur 565
Weight loss 292
excessive 285
Weston knot, extracorporeal 144
Whipple's procedure 177, 319
White adipose tissue 284
Wide extended graphics array 27
Wide quad super extended graphics array 27
Wide quad ultra extended graphics array 27
Wilcoxon's signed-rank test 431
Wolverine's healing factor 168
Wound
closure of 179, 357
healing 379
infection 215, 235, 300, 372, 579
superficial 372
protector 337f, 356, 358f, 359f
Wrist joint 552
X
Xanthogranulomatous pyelonephritis 527
Xenon
lamp 11
light source 10, 11f
Xiang's study 416
Xylocaine 323
Z
Zeus system 592
Ziehl-Neelsen stain 579
×
Chapter Notes

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Textbook of Laparoscopy for Surgeons and Gynecologists
Textbook of Laparoscopy for Surgeons and Gynecologists
(Previously known as Textbook of Practical Laparoscopic Surgery)
Fourth Edition
RK Mishra Director and Chief Surgeon, World Laparoscopy Hospital, Gurugram, Haryana, India Professor and Chairperson, World Laparoscopy Training Institute, Dubai, UAE Professor and Chairperson, World Laparoscopy Training Institute, Florida, USA Professor and Head of Minimal Access Surgery, TGO University First University Qualified Master Minimal Access Surgeon of India (M.MAS) Editor-in-Chief, World Journal of Laparoscopic Surgery (WJOLS) General Secretary, World Association of Laparoscopic Surgeons (WALS) General Secretary, International College of Robotic Surgeons (ICRS) Member, European Association for Endoscopic Surgery (EAES) Member, European Association for Transluminal Surgery (EATS) Member, Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Member, Society of Laparoendoscopic Surgeons (SLS) Member, Society of Robotic Surgery (SRS) Member, Clinical Robotic Surgery Association (CRSA) Fellow, International Medical Sciences Academy (IMSA) Member, Indian Association of Gastrointestinal Endosurgeons (IAGES) Member, Association of Surgeons of India (ASI) Member, Indian Medical Association (IMA) Foreword Steven D Wexner
Jaypee Brothers Medical Publishers (P) Ltd
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Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book.
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Textbook of Laparoscopy for Surgeons and Gynecologists
First Edition: 2008
Second Edition: 2009
Third Edition: 2013
Fourth Edition: 2022
9789390020614
Printed at:
My teacher Professor Sir Alfred Cuschieri
Foreword
I consider it an honor to be asked by Professor RK Mishra to write the foreword to his Textbook of Laparoscopy for Surgeons and Gynecologists (Previously known as Textbook of Practical Laparoscopic Surgery). Almost 30 years ago, laparoscopy was a revolutionary technology available in a few selected centers and its indications unclear at best. Currently, laparoscopy is the gold standard method of surgery for a wide range of pathology, ranging from cholecystitis and gastroesophageal reflux disease (GERD) to morbid obesity and colon cancer. At present, every gastrointestinal tract surgery is feasible laparoscopically. In most scenarios, the laparoscopic approach has been proven superior with less pain, morbidity, and cost along with shorter hospital stay. Besides, it has gained much popularity for urologic, gynecologic and other intra-abdominal diseases. The demand for education and training in laparoscopic surgery remains high, reflecting its overwhelming surgeon and patient preference. Although many textbooks have been written to help satisfy this void, a few are as easy-to-read and as informative about the gamut of laparoscopic themes. The 50 chapters allow those budding surgeons completely new to laparoscopy to rapidly understand the technical considerations related to these procedures. However, the depth and breadth of the well-illustrated volume also allows the experienced laparoscopic general, urologic, or gynecologic surgeon to become familiar with the new and exciting areas such as robotics and hepatopancreatic operations. The illustrations are all crystal clear, the cutaway enlargements very helpful, and the text explaining them is easy-to-read. The subject matter has been well researched and is written in an authoritative, although not pedantic way as could only be done by a highly experienced laparoscopic surgeon with a wonderful aptitude for sharing his knowledge. Professor RK Mishra has beautifully detailed each area ranging from the history of sterilization techniques to the physics of energy sources to practical methods of port site closure. The constant thread throughout the book is its practical nature this is not a book to be taken from the shelf on rare occasions to use as a reference prior to performing the occasional obscure operation. This book instead one to read cover-to-cover and then to share with one's residents, fellows, theater staff, and associates to ensure that each of them is fluent in the practicalities of laparoscopy. Having written a few books, I know how much work is required to produce such a well-illustrated and superbly written comprehensive textbook. It was immediately apparent to me during my reading that the textbook of practical laparoscopy was a labor of love for Professor RK Mishra and thus will become a cherished and favorite resource for all its readers, including me. I wish to congratulate him on his outstanding achievement and thank him for having allowed me to review it and to write this brief foreword.
Steven D Wexner
MD PhD (Hon) FACS FRCS (England) FRCS (Edinburgh) FRCSI (Hon) Hon FRCS (Glasgow)
Professor
Department of Surgery
Ohio State University, Columbus, OH
Chief of Staff, Cleveland Clinic Florida, Weston, FL, USA
Past President, American College of Surgeons
Past President, Society of American Gastrointestinal Endoscopic Surgeons (2006–2007)
Professor, Department of Surgery, University of Siena, Italy, Jerusalem and Israel
Clinical Professor, Department of Surgery, Division of General Surgery
University of South Florida, College of Medicine, Tampa, FL
Chief of Staff and Chairman, Medical Executive Committee
Cleveland Clinic Hospital, Cleveland, OH
Chairman, Department of Colorectal Surgery, Division of Research and Education
Research Professor of Biomedical Science
Florida Atlantic University
Boca Raton, FL, USA
Preface to the Fourth Edition
Textbook of Laparoscopy for Surgeons and Gynecologists was previously known as the Textbook of Practical Laparoscopic Surgery. Textbook of Practical Laparoscopic Surgery was well received and has become one of the best-selling books on laparoscopic surgery since its being published in 2007. This book has gained support from surgeons and gynecologists from all over the world for its rich content, concise text, and clinical practicability in operation with helpful tips and notes of laparoscopic surgery. Now this new edition of the book which is in your hand has condensed 50 chapters full of technical detail and clinical skill. To share and exchange information and skills of minimal access surgery is my primary goal in writing this book. The field of laparoscopic and robotic surgery has undergone many changes over the past three decades and minimal access surgery has seen tremendous advances during this period. These innovations in minimal access surgery have contributed to improved diagnosis, faster recovery time, smaller scars, less adhesion formation, fewer complications, lower cost, and, most importantly, better results. I have added in this edition of the book all the latest breakthroughs in 4K video technology, infrared advanced instrumentation, adhesion prevention, the latest technique of tissue extraction, and the latest robotic technology. These new chapters will certainly allow surgeons and gynecologists to routinely perform a number of procedures laparoscopically rather than by laparotomies.
As a professor of minimal access surgery, both in India and in countries around the world, I have realized that not only surgeons and gynecologists in training, but also practicing laparoscopic surgeons would benefit from an instructional book that utilized simplified illustrations to enhance their surgical knowledge. I believe that in combining the knowledge and experience of my 25 years of practice as a laparoscopic surgeon and with simplified, clear drawings and illustrations, this book will be very useful for both young and experienced laparoscopists. All the 50 chapters in this edition have been updated, and many have been rewritten to give readers the most up-to-date information. The book tackles the challenging topic of translating what is taught in the operating room into text and images. Additionally, the book addresses numerous methods to overcome challenges encountered during the laparoscopic procedure. With this book, we have combined all the procedural surgical videos which will give the complete knowledge of operative laparoscopic surgery and I am sure that after reading the book, surgeons and gynecologists will be able to perform all the common minimal access surgeries themselves on their patients.
RK Mishra
Preface to the First Edition
When I was to finish my Master's in Minimal Access Surgery from Ninewells Hospital and Medical School, UK, I was one among the few fortunate students who was called by Chancellor Sir James W Black (Nobel Prize Winner in Medicine 1988) for special meeting. Sir Black advised us to start training of minimal access surgery after completing our degree. He realized the great lack of university trained well-qualified personnel who could propagate art and science of minimal access surgery to the medical fraternity. Sir Black emphasized that training of minimal access surgery is going into the profit-making hands of the industry; and as a qualified minimal access surgeon, this is our duty to disseminate the knowledge of our skill to the entire specialty who wants to use this surgical proficiency. Keeping in mind this instruction of my Chancellor, I started teaching laparoscopy to surgeon gynecologists, urologists and pediatric surgeons all over the world. This book is based on seven years of my teaching experience in minimal access surgery. Within seven years, I have trained more than 1,500 surgeons and gynecologists from every corner of the world.
In recent years progress in medical care has been rapid especially in areas of laparoscopic robotic and natural orifice transluminal endoscopic surgery (NOTES). The major reason of this progress has been the interdisciplinary approach of merging technology with medicine. However, there are limited good books available which are self-sufficient and yet easy to understand. This book has been written to fill this gap. It has grown out of numerous discussions during various educational training programs. The participants have included gynecologists, urologists, and general surgeons from fresh doctors to senior surgeons.
The book is primarily intended for the reader who has some background of conventional operative surgical and gynecological procedures. It is broad in its scope and depth, wherever needed, is provided without being unnecessarily sophisticated. There are plenty of illustrations and diagrams to facilitate faster learning.
The essential section of the book includes the concept of ergonomics, task analysis and practical problems encountered in attempting to venture into laparoscopic operative surgery. An overall view of the latest instruments is presented and detailed explanations in appropriate sections are penned down. The medical terminology is deliberately introductory to facilitate easy understanding. Enough fundamentals are presented within the context of this book to make it reasonably self-sufficient. In fewer than 200 pages, this book guides you through the process of developing a foundation of laparoscopic surgery like developing skill of dissection, suturing, knotting and tissue approximation.
The second section of the book describes comprehensive laparoscopic operative procedure demonstrating a method that is tested, proven, and based upon sound instructional theory. The procedures are written according to systemic task analysis and students are advised to see the DVDs provided with this book. The latter chapters are devoted to special topics of recent advances in minimal access surgery to give the reader a true overall view of the field.
Although I have taken every care to make this book error free, nonetheless mistakes may have been overlooked. I will be grateful for any constructive criticism.
RK Mishra
Acknowledgments
I would like to express my gratitude to all those who gave me the inspiration to write this book. I want to thank my colleagues at surgical skill unit, Ninewells Hospital and Medical School, UK. I express my gratitude to all my fellow doctors and students whose constructive criticism in words of encouragement motivated me to accomplish this work.
I am very grateful to Mr AM Sinha, Department of Biotechnology, All India Institute of Medical Sciences (AIIMS), New Delhi, India whose infectious enthusiasm, innovative ideas, valuable suggestions and proofreading is largely responsible to give the book the present form.
I take this opportunity to thank my junior Dr Rahul Pandey for his hard work and dedication towards this book. His suggestions and ideas were very useful in major chapters of this book. I would like to thank him for efficient proofreading and working out the figures and illustrations in the book.
I would like to thank Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director), Mr MS Mani (Group President), Ms Chetna Malhotra Vohra (Associate Director–Content Strategy), and Ms Pooja Bhandari (Production Head), M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India. I am really impressed by the efficient publication team, especially Mr Ashwani Kumar (Quality Controller) and Mr Chandra Dutt (DTP Operator). I am grateful to them for their patience and unconditional support.
This work would not have been possible without the unconditional love and support from my family members. I thank my parents Late Dr RP Mishra and Mrs Shanti Mishra. I would like to give my special thanks to my wife Mrs Sadhna Mishra and children Drs Nidhi Mishra, Rishi Mishra, and Ashish Mishra whose patience and love enable to complete this work.