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Endoscopy, An Issue of Veterinary Clinics of North America: Small Animal Practice, E-Book

Endoscopy, An Issue of Veterinary Clinics of North America: Small Animal Practice, E-Book

MaryAnn G. Radlinsky

(2016)

Additional Information

Book Details

Abstract

Dr. MaryAnn Radlinsky has assembled an expert team of authors on the topic of Small Animal Endoscopy. Articles include: Advances in equipment and instrumentation for endoscopic surgery, Anesthesia for endoscopy, Advances in laparoscopy, Assisted laparoscopic procedures, Advances in flexible endoscopy, Advances in otoscopy, Advances in urinary tract endoscopy, and more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Endoscopy\r i
Copyright\r ii
Contributors iii
EDITOR iii
AUTHORS iii
Contents v
Preface: Endoscopy \r v
Advances in Laparoscopic Skills Training and Management \r v
Advances in Equipment and Instrumentation in Laparoscopic Surgery\r v
Anesthesia for Endoscopy\r v
Laparoscopic-Assisted Surgical Procedures\r vi
Advances in Laparoscopic Surgery\r vi
Advances in Flexible Endoscopy\r vi
Advances in Urinary Tract Endoscopy\r vi
Complications and Conversion from Endoscopic to Open Surgery\r vii
Advances in Video-Assisted Thoracic Surgery, Thoracoscopy\r vii
Advances in Otoscopy\r vii
VETERINARY CLINICS OF\rNORTH AMERICA: SMALL\rANIMAL PRACTICE\r viii
FORTHCOMING ISSUES viii
March 2016 viii
May 2016 viii
July 2016 viii
RECENT ISSUES viii
November 2015 viii
September 2015 viii
July 2015 viii
Preface: Endoscopy \r ix
Advances in Laparoscopic Skills Training and Management 1
Key points 1
LAPAROSCOPIC SKILLS TRAINING 1
SIMULATION MODELS 2
SETTING UP A TRAINING PROGRAM 2
Training Tasks 3
Motivation of Trainees 6
Feedback 8
Ample Opportunity to Practice 8
SURGEON SELF-TRAINING 8
VIDEO GAMES 9
MAINTAINING SKILLS 10
REFERENCES 10
Advances in Equipment and Instrumentation in Laparoscopic Surgery 13
Key points 13
LAPAROSCOPIC ACCESS 14
Threaded Metal Port 14
Optical Port 14
SINGLE INCISION LAPAROSCOPIC SURGERY 14
Laparoscopic Suturing 16
Barbed Sutures 16
AUTOMATED SUTURING DEVICES 18
Endo Stitch 18
Single Incision Laparoscopic Surgery Stitch 18
Dissecting Instruments 18
Roticulating Maryland Dissector 19
Blunt Dissection Probe 20
Monopolar Pencil Electrode Extensions 21
Laparoscopic Aspirator/Lavage with Monopolar Hook 21
5 mm Miniretractor 21
Energy-Based Devices 22
Vessel Sealing Devices 22
LigaSure 22
Enseal tissue sealing device 23
Force Triad energy platform (Ligasure, second generation) 23
Ultrasonic Energy Devices 24
Laparoscopic Stapling 25
Tri-Staple technology 25
REFERENCES 28
Anesthesia for Endoscopy 31
Key points 31
INTRODUCTION 31
EFFECT OF PNEUMOPERITONEUM 32
PREOPERATIVE PREPARATION 33
PREMEDICATION, INDUCTION, AND MAINTENANCE AGENTS 33
MONITORING 35
ANESTHETIC MANAGEMENT 36
LAPAROSCOPIC SURGERY 36
THORACOSCOPIC SURGERY 38
RECOVERY 41
SUMMARY 41
ACKNOWLEDGMENTS 42
REFERENCES 42
Laparoscopic-Assisted Surgical Procedures 45
Key points 45
INTRODUCTION 45
INDICATIONS/CONTRAINDICATIONS 46
GENERAL PATIENT CONSIDERATIONS AND POSITIONING FOR LAPAROSCOPIC-ASSISTED TECHNIQUES 46
LAPAROSCOPIC-ASSISTED PROCEDURES OF THE URINARY BLADDER 47
Patient Preparation and Positioning 48
Approach 48
Technique/Procedures 48
Urinary calculus removal 48
Urinary bladder polypectomy 49
Cystopexy 49
Tube cystostomy 50
LAPAROSCOPIC-ASSISTED PROCEDURES OF THE FEMALE REPRODUCTIVE TRACT 51
Patient Preparation and Positioning 51
Approach 51
Technique/Procedure 52
Ovariohysterectomy 52
LAPAROSCOPIC-ASSISTED PROCEDURES OF THE MALE REPRODUCTIVE TRACT 53
Cryptorchidectomy 53
Patient preparation and positioning 53
Approach 53
Technique/procedure 54
LAPAROSCOPIC-ASSISTED PROCEDURES OF THE GASTROINTESTINAL TRACT 54
Patient Preparation and Positioning 55
Approach 55
Technique/Procedures 55
Laparoscopic-assisted gastropexy 55
Laparoscopic-assisted small intestinal biopsy or resection/anastomosis 56
Laparoscopic-assisted enterostomy tube placement 56
Laparoscopic-assisted colopexy 56
LAPAROSCOPIC-ASSISTED SPLENECTOMY 57
Patient Preparation and Positioning 57
Approach 57
Technique/Procedure 58
COMPLICATIONS AND MANAGEMENT 58
POSTOPERATIVE CARE 58
REFERENCES 59
Advances in Laparoscopic Surgery 63
Key points 63
INTRODUCTION 63
SINGLE-PORT ACCESS SURGERY 63
Principles of Single-port Access Surgery 64
Human Applications 64
Veterinary Applications 65
SINGLE-PORT ENTRY DEVICES 65
Insertion Techniques for Commercially Available Single-Port Devices 65
SILS Port 65
EndoCone Port 66
GelPOINT Access System 66
TriPort System 67
INSERTION TECHNIQUES FOR STANDARD TROCARS USED IN SINGLE-PORT ENTRY 68
Single-port Access Technique 68
INNOVATIVE ADAPTATIONS 69
Wound Retractor with Latex Glove and Finger Ports 69
Instrumentation and Optics 69
SINGLE-PORT PROCEDURES 70
Ovariectomy 70
Indications 70
Contraindications 71
Patient preparation and positioning 71
Approach and port placement 71
Ovariectomy procedure 71
Complications and management 72
Postoperative care 72
Reporting, follow-up, and clinical implications 72
Ovariectomy in Combination with Gastropexy 73
Indications 73
Contraindications 73
Patient preparation and positioning 73
Approach and port placement 73
Spay and gastropexy procedure 73
Complications and management 74
Postoperative care 74
Reporting, follow-up, and clinical implications 75
Cryptorchidectomy 75
Indications 75
Contraindications 75
Patient preparation and positioning 75
Approach and port placement 75
Cryptorchidectomy procedure 75
Complications and management 76
Postoperative care 76
Reporting, follow-up, and clinical implications 76
Hepatic biopsy 76
Indications 76
Contraindications 76
Patient preparation and positioning 77
Approach and port placement 77
Laparoscopic liver biopsy technique 77
Complications and management 78
Postoperative care 78
Reporting, follow-up, and clinical implications 78
Laparoscopic-assisted Intestinal Surgery 78
Indications 78
Contraindications 78
Patient preparation and positioning 78
Approach and port placement 78
Intestinal surgery 78
Complications and management 79
Postoperative care 79
Reporting, follow-up, and clinical implications 80
SUMMARY 80
REFERENCES 80
Advances in Flexible Endoscopy 85
Key points 85
INTRODUCTION 85
INDICATIONS 86
EQUIPMENT 86
Endoscope Components 86
Support Items 87
Endoscope Sizes 88
Endoscopic Instruments 89
GENERAL FLEXIBLE ENDOSCOPY 90
Patient Preparation 90
Patient Positioning 91
Approach 91
Procedure 91
STENT PLACEMENT FOR BENIGN OR MALIGNANT OBSTRUCTION 92
Procedure 92
Complications 93
Postoperative Care 94
Outcomes 94
Limitations and Future Considerations 94
Colonic Stents 94
ENDOSCOPIC ULTRASONOGRAPHY AND ENDOSCOPIC ULTRASOUND-GUIDED FINE NEEDLE ASPIRATION OF THE PANCREAS 94
Endoscopic Ultrasonography 94
Procedure 95
Complications 96
Endoscopic Ultrasound-Guided Fine Needle Aspiration of the Pancreas 96
Procedure 96
Complications 98
Postoperative care 98
Follow-up and clinical implications 98
Outcomes 98
Limitations and future considerations 98
ENDOSCOPIC RETROGRADE PANCREATOGRAPHY AND CHOLANGIOPANCREATOGRAPHY 98
Procedure 99
Complications 99
Postoperative Care 100
Follow-up and Clinical Implications 100
Outcomes 100
Limitations and Future Considerations 103
NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY 103
Procedure 104
Complications 104
Postoperative Care 105
Follow-up and Clinical Implications 105
Outcomes 105
Limitations and Future Considerations 105
ENDOMICROSCOPY 106
Procedure 106
Complications 107
Postoperative Care 107
Follow-up, Clinical Implications, and Outcomes 107
Limitations and Future Considerations 108
ENDOSCOPIC GASTROPEXY 108
Procedure 108
Complications 109
Postoperative Care 109
Follow-up, Clinical Implications, and Outcomes 110
Limitations and Future Considerations 110
SUMMARY 110
REFERENCES 111
Advances in Urinary Tract Endoscopy 113
Key points 113
KIDNEY 114
Endoscopic Approach to Nephrolithiasis 114
Extracorporeal shock-wave lithotripsy 114
Endoscopic nephrolithotomy 115
Idiopathic renal hematuria 115
Sclerotherapy 115
Ureteroscopy 117
URETERAL INTERVENTIONS 117
Benign Ureteral Obstruction 117
Traditional ureteral surgery 117
Subcutaneous ureteral bypass device in cats 117
Ureteral stents 120
Feline ureteral stents 120
Canine Ureteral Stenting for Benign Disease 121
Canine malignant ureteral obstruction 123
Cystoscopic-guided laser ablation of ectopic ureters 123
URINARY BLADDER AND URETHRA 125
Perineal Access for Urethrocystoscopy in Male Dogs 125
Bladder Stone Removal 126
Cystoscopic-guided stone basket retrieval 126
Laser lithotripsy 127
Percutaneous cystolithotomy 127
Endoscopic Polypectomy for Benign Bladder Masses 128
Bulking Agent Injections for the Treatment of Urethral Sphincter Mechanism Incompetence 129
Glutaraldehyde Cross-Linked Bovine Collagen (Contigen) 131
Endoscopic Laser Ablation for Vaginal Remnants 131
Botulinum-A Toxin Injection for Refractory Detrusor Reflex Dyssynergia or Overactive Bladder 132
SUMMARY/DISCUSSION 132
REFERENCES 132
Complications and Conversion from Endoscopic to Open Surgery 137
Key points 137
COMPLICATIONS 137
CONVERSION TO OPEN SURGERY 139
REVIEW OF LITERATURE 140
REFERENCES 141
Advances in Video-Assisted Thoracic Surgery, Thoracoscopy 147
Key points 147
PERICARDIAL EFFUSION AND NEOPLASIA 147
CRANIAL MEDIASTINAL NEOPLASIA 149
PERSISTENT RIGHT AORTIC ARCH AND LEFT LIGAMENTUM ARTERIOSUM 151
PULMONARY NEOPLASIA 154
SPONTANEOUS PNEUMOTHORAX 159
Exploratory and Partial Lung Lobectomy 159
CHYLOTHORAX 162
Thoracic Duct Ligation 163
Pericardectomy 165
COMPLICATIONS 165
POSTOPERATIVE CARE 165
OUTCOMES 165
Pericardectomy and Pericardial Window 165
Cranial Mediastinal Mass Extirpation 166
Left Ligamentum Division 166
Lung Lobectomy: Neoplasia 166
Pulmonary Exploratory and Partial Lung Lobectomy–Spontaneous Pneumothorax 167
Thoracic Duct Ligation and Pericardectomy 167
SUMMARY 167
REFERENCES 167
Advances in Otoscopy 171
Key points 171
EQUIPMENT 171
ANATOMY 174
INDICATIONS FOR VIDEO-OTOSCOPY 174
OTOSCOPIC EXAMINATION 175
ASSESSING THE TYMPANIC CAVITY 178
TREATMENT OF THE TYMPANIC CAVITY 178
AFTERCARE 179
SUMMARY 179
REFERENCES 179
Index 181