By Robert G. Moore, Jay T. Bishoff, Stefan Loenig, Steven G. Docimo
ISBN-10: 1841841706
ISBN-13: 9781841841700
Sensible and straightforward to take advantage of, this beautifully illustrated textual content will give you the trainee with diagnostic and surgical tips, suggestions and tips, and a great sturdy historical past to using minimally invasive urological surgical procedure concepts.
The editors, all specialists in urological laparoscopy, have selected an elite staff, mostly from the us and Germany, to offer their useful surgical services in a essentially written, instructive publication which additionally contains an in depth part on pediatric operations.
With laparoscopy education now integrated into many urology education programmes, this can be certainly a hugely worthwhile and critical reference for trainees within the box.
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Extra resources for Minimally Invasive Urological Surgery
Sample text
Using direct vision, palpation, and an external perspective, the human body has been precisely characterized. Similarly, traditional medical education has focused on the teaching and learning of anatomy in this manner. Laparoscopic surgery, however, presents a novel perspective on a traditional science. The laparoscopic surgeon must work in a twodimensional world with limited haptic feedback. While initially counter-intuitive, limiting, and perhaps frustrating, the technology associated with laparoscopic surgery permits the experienced laparoscopic surgeon a view that may be considered superior to that of the traditional surgical approach.
Umbilicus The umbilicus is an optimal site for laparoscopic access. Because the umbilicus is centrally located, it will usually provide an intuitive perspective for laparoscopic visual orientation. Cosmetically, it is a superior site, as a curvi-linear incision made close to the umbilicus will frequently retract into the umbilicus. When the patient is in the supine position, the umbilicus is an excellent site for primary access to the peritoneal cavity because the peri-toneum is closest to the skin at this point on the abdom-inal wall.
7A Schematic of the pelvic organs with the ureteral orifices, labeled ureter, located within the bladder on the trigone. 7B Comparison of the male and female urinary bladder. the apex of the triangle. As the endoscope is passed into the bladder through the bladder neck, the scope must be directed laterally and posteriorly to identify the orifices. As mentioned previously, a large prostate can displace the ureteral orifices, especially when a large median lobe is encountered. Similarly, previous transurethral resection of the prostate or open pelvic surgery may have altered the anatomy.