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New PDF release: Atlas of Robotic Prostatectomy

By Robert P. Myers (auth.), Hubert John, Peter Wiklund, Jorn H. Witt (eds.)

In many facilities of excellence in Urology, robot prostatectomy has develop into the 1st selection for the surgical operation of localized prostate melanoma due to advantages reminiscent of diminished ache and minimization of impotence and incontinence. This atlas, in particular designed to be used through surgeons, presents a fantastically illustrated, step by step advisor to all points of the process. a few of the concepts that may be hired to accomplish very good oncological and useful effects are conscientiously depicted in applicable aspect; for instance, nerve-sparing ideas, bladder neck reconstruction, and techniques geared toward the early recovery of continence are sincerely defined. certain occasions, corresponding to earlier prostate surgical procedure, a wide prostate, and salvage prostatectomy, also are totally coated. the data contained during this atlas should be of serious price in allowing surgeons to enhance their effects and to take complete benefit of some great benefits of robot prostatectomy in comparison with open prostatectomy.

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Download PDF by Robert P. Myers (auth.), Hubert John, Peter Wiklund, Jorn H.: Atlas of Robotic Prostatectomy

In lots of facilities of excellence in Urology, robot prostatectomy has turn into the 1st selection for the surgical procedure of localized prostate melanoma due to merits reminiscent of diminished soreness and minimization of impotence and incontinence. This atlas, particularly designed to be used via surgeons, offers a superbly illustrated, step by step advisor to all elements of the technique.

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1 Exposition and Incision Fig. 16 The trigone between both endopelvic fascias and the dorsal venous complex is de-fatted for further dissection 4 Surgical Steps Fig. 16 (continued) 41 42 Fig. 17 Incision of the endopelvic fascia and exposure of the dorsal vascular complex H. John et al. 2 Ligature and Stapler Fig. 18 Ligation of the dorsal vascular complex 43 44 Fig. 19 Stapling of the dorsal vascular complex H. John et al. 1 Pubovesical Ligaments: Incision Fig. 20 Incision of the right pubovesical ligament 45 46 Fig.

Fractionated doses of piritramide or clonidine are additionally administered in cases of catheter intolerance. The volume therapy is continued with an additional A. Jansen and G. Lippert 22 1,000 ml crystalloid infusion [Sterofundin®]. The patient is returned to the ward as soon as his haemodynamics and vigilance allow. 5 Alternative Anaesthesia Management To reduce postoperative drowsiness and thus improve patient comfort, intravenous anaesthesia with propofol and Ultiva is conceivable as an alternative anaesthetic procedure.

Therefore, accurate tube fixation is important. We have so far not observed laryngeal oedema necessitating immediate postoperative re-intubation and follow-up ventilation, as described by Phong et al. in a case report (Phong and Koh 2007). An insufficient depth of anaesthesia constitutes a particular risk in this operation. Spontaneous movements of the patient during the operation could lead to substantial injuries as a result of the fixed settings of the ports. There is thus a need to ensure continuous control and monitoring of the depth of anaesthesia and relaxation.

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