Textbook of Laparoscopy for Surgeons and Gynecologists
Textbook of Laparoscopy for Surgeons and Gynecologists
(Previously known as Textbook of Practical Laparoscopic Surgery)
Fourth Edition
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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
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.