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Minimalinvasive Techniken in der Gefäß- und Herzchirurgie: (German)

Minimalinvasive Techniken in der Gefäß- und Herzchirurgie: (German)

          
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About the Book

Das Buch beschreibt erstmals umfassend die verschiedenen Anwendungsmöglichkeiten minimalinvasiver video-endoskopischer Verfahren in der Gefäß- und Herzchirurgie. Erstmals werden video-endoskopische Techniken auch im Bereich der arteriellen Rekonstruktion dargestellt und Anleitungen zu ihrer Durchführung gegeben. Der Einsatz minimalinvasiver Techniken auch im Bereich der Venenchirurgie stellt einen weiteren Schwerpunkt dar. Der Leser findet neben einer Beschreibung der verschiedenen Operationsverfahren eine Vielzahl von Abbildungen und Zeichnungen, die es ihm ermöglichen sollen, die verschiedenen Techniken in der klinischen Praxis umzusetzen.

Table of Contents:
1 Einleitung.- 1.1 Geschichte der endoskopischen und laparoskopischen Chirurgie.- 1.2 Lebensqualität als ein Zielkriterium minimalinvasiver Eingriffe.- 2 Technische Voraussetzungen und Instrumente für video-endoskopische Eingriffe im Bereich der aortoiliakalen Gefäße.- 2.1 Hilfstechniken.- 2.2 Die gaslose Laparoskopie.- 3 Pathophysiologische Konsequenzen laparoskopischer Eingriffe.- 3.1 Hämodynamische Veränderungen.- 3.2 Auswirkungen auf Atemfunktion und CO2-Haushalt.- 3.3 Immunologische Folgen des Pneumoperitoneums.- 4 Gefäßchirurgischer Standard aortoiliakaler Rekonstruktionen.- 4.1 Methodenvielfalt aortoiliakaler Rekonstruktionen.- 4.2 Stellenwert interventioneller Techniken bei der Behandlung von Patienten mit aortoiliakalen Verschlußerkrankungen.- 4.3 Der retroperitoneale Zugang zur Aorta.- 5 Minimalinvasive Techniken zur Rekonstruktion aortoiliakaler Gefäße.- 5.1 Das transperitoneale video-assistierte Verfahren zur aortoiliakalen Rekonstruktion nach Anlage eines Pneumoperitoneums.- 5.2 Das retroperitoneale video-assistierte Verfahren mit einem Pneumo-Retroperitoneum.- 5.3 Die gaslose transperitoneale laparoskopisch-assistierte Bypassanlage.- 5.4 Die transperitoneale modifizierte laparoskopisch-assistierte AFB-Anlage mit Hilfe des Pneumoperitoneums.- 5.5 Die laparoskopisch-assistierte retroperitoneale gaslose aortoiliakale Rekonstruktion.- 5.6 Der iliakofemorale Crossover-Bypass.- 5.7 Vollständige aortoiliakale Rekonstruktionen unter Zuhilfenahme des Pneumoperitoneums.- 5.8 Laparoskopisch-assistierte Eingriffe zur Ausschaltung infrarenaler Aneurysmen.- 5.9 Abschließende Wertung.- 6 Die laparoskopische lumbale Sympathektomie.- 6.1 Entwicklung der Sympathektomie.- 6.2 Konventionelle Operationstechnik.- 6.3 Die laparoskopische Operationstechnik.- 6.4 Diethorakoskopische Sympathektomie.- 7 Kombinierte Revaskularisationstechniken (Hybridverfahren) in der Gefäßchirurgie und ihre Bedeutung.- 7.1 Fallbeispiel.- 7.2 Port-Access-Chirurgie zur Durchführung aortoiliakaler Rekonstruktionen.- 8 Angioskopisch-unterstützte Eingriffe.- 8.1 Geschichte der Angioskopie.- 8.2 Instrumente.- 8.3 Eingriffe.- 8.4 Schäden durch das Angioskop.- 8.5 Kosten-Nutzen-Analyse.- 9 Minimalinvasive Herzchirurgie.- 9.1 Einleitung.- 9.2 Die Verringerung des chirurgischen Traumas durch Verkleinerung des operativen Zugangs.- 9.3 Verringerung des operativen Traumas durch den Verzicht auf die Herz-Lungenmaschine.- 9.4 Aktuelle minimalinvasive Operationstechniken in der Herzchirurgie.- 9.5 Perspektiven der minimalinvasiven Herzchirurgie.- 10 Video-assistierte Eingriffe im Bereich des venösen Systems.- 10.1 Die video-endoskopische Perforansvenen-Dissektion.- 10.2 Die endoskopische subfasciale Perforansdissektion mit CO2-Insufflation.- 10.3 Die endoskopische Perforansdissektion bei Patienten mit postthrombotischem Syndrom.- 10.4 Standards der endoskopischen Perforansdissektion nach den Richtlinien der Deutschen Gesellschaft für Phlebologie.- 10.5 Wertung der verschiedenen Techniken.- 10.6 Die Insuffizienz des tiefen Venenklappensystems.- 10.7 Die video-endoskopische subcutane Saphena-Entnahme zur aortokoronaren oder peripheren Bypassanlage.- Stichwortverzeichnis.


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Product Details
  • ISBN-13: 9783642936982
  • Publisher: Springer-Verlag Berlin and Heidelberg GmbH & Co. KG
  • Publisher Imprint: Springer-Verlag Berlin and Heidelberg GmbH & Co. K
  • Edition: Softcover reprint of the original 1st ed. 1999
  • Language: German
  • Returnable: N
  • Spine Width: 14 mm
  • Width: 155 mm
  • ISBN-10: 3642936989
  • Publisher Date: 24 Jan 2012
  • Binding: Paperback
  • Height: 235 mm
  • No of Pages: 24
  • Series Title: German
  • Weight: 367 gr


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