By Michael Zinner, Jr, Stanley Ashley
THE DEFINITIVE ILLUSTRATED consultant TO belly OPERATIONS FOR basic, COLORECTAL, AND GASTROINTESTINAL SURGEONS--NOW IN complete COLOR!
A Doody's center identify for 2015.
With every one variation, Maingot's stomach Operations has equipped a legacy of expertise,currency, and scientific rigor acclaimed through surgical trainees and working towards surgeons. awarded in full-color for the 1st time, the sixty three streamlined chapters of the 12th version supply a concise, but entire, survey of the analysis and administration of benign and malignant digestive ailments. This authoritative source has every thing you want to comprehend congenital, bought, and neoplastic disorders--and optimize surgical results for any form of belly procedure.
- Contemporary specialize in operative strategies, and new techniques within the prognosis and administration of belly disease
- Convenient organ/procedure presentation offers a continuing evaluate of surgical protocols, in addition to pre- and postoperative thoughts and techniques
- Thirteen new "Perspective" chapters characteristic professional remark and replacement viewpoints at the such a lot clinically correct topics
- Added chapters on gastrointestinal bleeding, belly trauma, and stomach vascular emergencies--along with minimally invasive surgical procedure chapters woven in the course of the text--present present, ready-to-use insights designedto increase surgical care and recovery
- More than 1,250 illustrations (most in complete color)
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Extra resources for Maingot’s Abdominal Operations
Such patients need aggressive nutritional support during the perioperative periods to minimize the risk of infection and poor healing. Dialysis-dependent patients should have dialysis within 24 hours before surgery, and may benefit from monitoring of intravascular volume status during surgery. 85 Postoperatively, patients with chronic renal insufficiency or end-stage renal disease will need to have surgical volume losses replaced, but care should be taken to avoid excess. Replacement fluids should not contain potassium, and early dialysis should be employed to address volume overload and electrolyte derangements.
It is caused by decreased renal perfusion seen with hypotension and intravascular volume contraction. Intrarenal causes of oliguric renal failure include acute tubular necrosis (from aortic cross-clamping, shock, or renal ischemia), and less commonly, acute interstitial nephritis from nephrotoxic medication. Postrenal causes include obstruction in the collecting system (from bilateral ureteral injury, Foley catheter occlusion, or urethral obstruction). Workup should include urinalysis, serum chemistries, and measurement of the fractional excretion of sodium.
Replacement in patients with renal insufficiency may be complex. Hyperkalemia is more commonly seen in renal patients. It may also be seen in myonecrosis, hemolysis, and acidosis. 5 mEq/L and death is associated with levels greater than 8 mEq/L. These patients should have cardiac monitoring until their levels normalize. ECG will show widened QRS interval, peaked T waves, and absent P waves. Hyperkalemia should be treated with sodium bicarbonate to stimulate acidosis, as well as intravenous calcium and insulin with glucose to drive potassium into the intracellular compartment.
Maingot’s Abdominal Operations by Michael Zinner, Jr, Stanley Ashley