Physiologic Effects of Pneumoperitoneum: Implications of Laparoscopy in Critically Ill Patients Undergoing Emergency Minimally Invasive Surgery View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2018-01-05

AUTHORS

Jeremy R. Grushka , Kosar A. Khwaja

ABSTRACT

Over the past 30 years, minimally invasive surgery (MIS) has revolutionized the practice of modern surgery and has become standard for the treatment of many surgical conditions. Multiple benefits of MIS compared to traditional open surgery are well documented including less induced surgical trauma and physiologic stress, reduced in-hospital length of stay, decreased postoperative pain, and faster functional recovery as well as improved cosmesis [1–4]. Decades of research examining the physiologic changes, clinical outcomes, and complications associated with MIS, along with major technological advances in optics and MIS instrumentation and surgical training, have led to near universal acceptance of MIS in all surgical specialties for both advanced elective and select emergency operations. For the acute care surgery (ACS) patient, MIS provides clear visualization of the thoracic cavity, the peritoneal space, and the anterior abdominal wall and, unlike other diagnostic modalities, has the potential benefit for therapeutic intervention while also decreasing rates of unnecessary nontherapeutic procedures. Despite these clear potential advantages, MIS has yet to achieve widespread acceptance within the ACS community. Debate continues to surround both the appropriate indications and applications of MIS in the acute emergency general surgery patient. More... »

PAGES

1-5

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-3-319-64723-4_1

DOI

http://dx.doi.org/10.1007/978-3-319-64723-4_1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1100189423


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