Overcoming Technical Challenges: Reoperative Surgery

  • Brian R. Englum
  • M. Benjamin Hopkins
  • John Migaly
Chapter

Abstract

With a growing population of patients with previous abdominal surgery and an ever-increasing number of surgeons comfortable with complex laparoscopic cases, the use of minimally invasive techniques for reoperative colorectal cases is becoming a more common yet still difficult surgical challenge. Distorted anatomy, adhesions, and the need for prolonged adhesiolysis are the key differences between reoperative and more typical laparoscopic cases. Achieving the benefits of laparoscopic surgery without increased rates of organ injury and other complications is possible for surgeons with advanced laparoscopic skills; however, extreme care must be taken during patient selection, surgical planning, abdominal entry, and adhesiolysis.

Keywords

Anterior Abdominal Wall Port Placement Ureteral Stents Laparoscopic Case Reoperative Surgery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 20.1

Optical trocar entry (MOV 46393 kb)

Video 20.2

Lighted ureteral stents (MOV 80187 kb)

Video 20.3

Extensive lysis of adhesions (MOV 205980 kb)

Video 20.4

Laparoscopic colostomy takedown (MOV 136567 kb)

Video 20.5

Laparoscopic reoperative low anterior resection (MOV 670152 kb)

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Brian R. Englum
    • 1
  • M. Benjamin Hopkins
    • 2
  • John Migaly
    • 3
  1. 1.Department of SurgeryDuke University Medical CenterDurhamUSA
  2. 2.Department of SurgeryDuke Raleigh HospitalRaleighUSA
  3. 3.Department of SurgeryDuke University Medical CenterDurhamUSA

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