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Author: Juan Pekolj Publisher: Springer Nature ISBN: 3031133838 Category : Medical Languages : en Pages : 162
Book Description
Bile duct injuries (BDI) are considered the most serious surgical complication associated with cholecystectomy. According to different reports, its incidence has remained constant over the years, ranging from 0.1% to 0.9%. BDI is associated with a greater risk of perioperative morbidity and mortality, a reduction in the quality of life, and a decrease in long-term survival. Also, this complication is a concern to surgeons since its progression is uncertain and may lead to demands on professional responsibility ("malpractice") and emotional and physical consequences ("second victim"). Given that injuries in a high percentage of patients are initially unsuspected, the postoperative recovery may be prolonged, and the possibility of a successful repair reduced. Several surgical, endoscopic, and percutaneous procedures may be necessary to manage the lesions and to treat coexisting complications. BDI patients often undergo several repair attempts before successful resolution. This affects their quality of life and has a high psychological, physical, and mental impact due to the prolonged, complex, and unexpected nature of the injury. This currently represents a frequent problem in specialized referral centers or hepatobilopancreatic surgery units, where patients arrive with the sequelae of previous inadequate treatments. Usually, these patients require more elaborate procedures such as reoperations, liver resections and liver transplantation. The prevention, early diagnosis, and adequate treatment in the first approach is of crucial importance to ensure good long-term results. Therefore, this book is an essential resource for surgeons who perform cholecystectomy or treat BDI patients. It provides practical information and a comprehensive review on prevention and proper management, including complex cases. Readers will find contributions by experienced authors from a multidisciplinary and reference team in the management of BDI patients.
Author: Juan Pekolj Publisher: Springer Nature ISBN: 3031133838 Category : Medical Languages : en Pages : 162
Book Description
Bile duct injuries (BDI) are considered the most serious surgical complication associated with cholecystectomy. According to different reports, its incidence has remained constant over the years, ranging from 0.1% to 0.9%. BDI is associated with a greater risk of perioperative morbidity and mortality, a reduction in the quality of life, and a decrease in long-term survival. Also, this complication is a concern to surgeons since its progression is uncertain and may lead to demands on professional responsibility ("malpractice") and emotional and physical consequences ("second victim"). Given that injuries in a high percentage of patients are initially unsuspected, the postoperative recovery may be prolonged, and the possibility of a successful repair reduced. Several surgical, endoscopic, and percutaneous procedures may be necessary to manage the lesions and to treat coexisting complications. BDI patients often undergo several repair attempts before successful resolution. This affects their quality of life and has a high psychological, physical, and mental impact due to the prolonged, complex, and unexpected nature of the injury. This currently represents a frequent problem in specialized referral centers or hepatobilopancreatic surgery units, where patients arrive with the sequelae of previous inadequate treatments. Usually, these patients require more elaborate procedures such as reoperations, liver resections and liver transplantation. The prevention, early diagnosis, and adequate treatment in the first approach is of crucial importance to ensure good long-term results. Therefore, this book is an essential resource for surgeons who perform cholecystectomy or treat BDI patients. It provides practical information and a comprehensive review on prevention and proper management, including complex cases. Readers will find contributions by experienced authors from a multidisciplinary and reference team in the management of BDI patients.
Author: Elijah Dixon Publisher: Springer ISBN: 3319222732 Category : Medical Languages : en Pages : 428
Book Description
This volume covers the pathophysiology, epidemiology, presentation, diagnosis, medical and surgical management of benign biliary stenosis. The book is uniquely structured in a way that allows areas of controversy to be highlighted through the use of a two chapter format for each topic. Each chapter topic is written by an expert in the field, with a second expert highlighting controversies and offering opposing viewpoints and treatment paradigms through a counterpoint chapter immediately following the primary chapter. The volume also features an array of diagrams and illustrations. As an authoritative text on the clinical care of patients with benign biliary stenosis, Management of Benign Biliary Stenosis and Injury: A Comprehensive Guide is a valuable resource for all practitioners involved in the care of these patients, including gastroenterologists, gastrointestinal surgeons, surgical oncologists, and transplant physicians.
Author: Miguel A. Mercado, M.d. Publisher: ISBN: 9781536170375 Category : Languages : en Pages : 216
Book Description
Shortly after Langenbuch performed the first cholecystectomy in 1877 in Berlin, the first bile duct injury associated to cholecystectomy occurred and was published. For decades frequency maintained low, until the presentation of laparoscopic cholecystectomy, when the number of cases complicated with bile duct injury doubled. Nowadays, it is estimated that this injury occurs in up to every three to six cholecystectomies. In 2019, despite the great efforts, educational programs, simulators and learning curves, injuries continue to happen. In some way, it represents a great emotional burden both for the surgeon and the patient. This text compiles a wide revision of this problem. In the United States, it represents a health issue due to the costs it carries. In Mexico, where the information published by the authors is gathered, there are no official statistics of the problem. The different chapters of the book deeply explore anatomical and physiological aspects of the bile duct, the etiology of the lesions and the mechanisms or tools to approach the patient, as the multidisciplinary outcomes of the injury. This book is addressed to all health professionals, especially surgeons, who are involved in these complex cases directly or not. We intend to approach, in a wide and profound manner, all the situations related to the management of these lesions.
Author: Vinay K. Kapoor Publisher: Springer Nature ISBN: 9811512361 Category : Medical Languages : en Pages : 254
Book Description
This book provides detailed insight to the readers into various aspects of bile duct injury. Bile duct injury is a common complication of cholecystectomy to treat gall stone disease prevalent all over the world. Risk of bile duct injury is more during a laparoscopic procedure as compared to open procedure and most cholecystectomies today are performed laparoscopically. Bile duct injury causes major morbidity and may even result in death, additionally it increases the healthcare costs and impairs quality of life. It is therefore important that every surgeon who performs cholecystectomy knows how to suspect, diagnose, manage and prevent bile duct injury. This book provides practical information and offers assistance in managing patients with difficult cases of bile duct injury. It summarises Dr Kapoor’s experience with management of more than 1,000 patients with post-cholecystectomy bile duct injury/ biliary stricture. Chapters cover anatomy, epidemiology, mechanism, pathophysiology, clinical presentation, investigations, classification, diagnosis, management and prevention of bile duct injury. It also includes non-medical issues including health care, socio-economic, costs and quality of life.
Author: Miguel Angel Mercado Diaz Publisher: Nova Science Publishers ISBN: 9781633217713 Category : Bile ducts Languages : en Pages : 0
Book Description
The treatment of bile duct benign pathology demands a multidisciplinary approach, involving a team of both specialised physicians and solid infrastructure. Radiologists, endoscopists, and surgeons are all involved in the treatment of these kinds of patients. This statement is also true for the diagnosis and treatment of the catastrophic results of bile duct injury. Cholecystectomy is one of the most common surgical procedures done either openly or through laparoscopy. The presence of bile duct injury is one of its most severe complications. The solution for this unfortunate event poses a technically demanding approach that involves an array of alternatives comprising surgical and radio-interventional procedures. This book focuses on benign bile duct diseases, mainly related to iatrogenic bile duct injury. The reader will find a complete and profound review of bile duct anatomy and function, a thorough explanation about the type of bile duct injuries and how to approach them, beautiful descriptions of both the surgical and radiological techniques used in the management of bile duct injuries, a compilation of the experience of a high-yield centre of this kind of diseases, and logical techniques to lower the incidence of these injuries. This text is aimed at an audience composed of health care professionals involved in the integrative treatment of iatrogenic bile duct injuries. In a world where the best medical evidence defines the most effective therapeutic alternative, this book focuses on giving a solid and broad enough basis upon which medical teams can approach this disease.
Author: Miguel Ángel Mercado Publisher: Nova Science Publishers ISBN: 9781633217898 Category : MEDICAL Languages : en Pages : 275
Book Description
The treatment of bile duct benign pathology demands a multidisciplinary approach, involving a team of both specialized physicians and solid infrastructure. Radiologists, endoscopists, and surgeons are all involved in the treatment of these kinds of patien
Author: Michele Molinari Publisher: ISBN: Category : Medicine Languages : en Pages :
Book Description
The vast majority of bile duct injuries is iatrogenic and occurs during abdominal surgeries or other interventions such as endoscopic or percutaneous cannulation of the biliary tree. Accidental traumas are responsible only for 1-5% of the total number of biliary injuries. The diagnosis of non-iatrogenic traumatic bile duct injuries is challenging as current cross-sectional imaging tests are not very specific. Therefore, most of the patients are diagnosed when they undergo early explorative laparotomy or when they develop late complications. Among all patients who experience traumatic bile duct injuries, 80-90% are victims of penetrating traumas from stab or gunshot wounds. On the other hand, bile duct lesions due to blunt traumas are predominantly caused by traffic accidents (compression by safety belt or airbag), falls, kicks, or work accidents. Iatrogenic bile duct injuries have been extensively covered in many other papers. In this chapter, we will focus our attention only on traumatic bile duct injuries.
Author: William E. G. Thomas Publisher: Oxford University Press ISBN: 0192534351 Category : Medical Languages : en Pages : 2216
Book Description
The Oxford Textbook of Fundamentals of Surgery provides a solid foundation of the knowledge and basic science needed to hone all of the core surgical skills used in surgical settings. Presented in a clear and accessible way, the Oxford Textbook of Fundamentals of Surgery addresses the cross-specialty aspects of surgery applicable to all trainees. With an emphasis on practical application and international best practice, it will support you to confidently deliver the highest
Author: Juan Pekolj
Author: Juan Pekolj
Author: Elijah Dixon
Author: Douglas O. Olsen
Author: Miguel A. Mercado, M.d.
Author: Vinay K. Kapoor
Author: Samiran Nundy
Author: Miguel Angel Mercado Diaz
Author: Miguel Ángel Mercado
Author: Michele Molinari
Author: William E. G. Thomas