Автор: Bruce L. Flamm; Edward J. Quilligan Название: Cesarean Section ISBN: 1461275563 ISBN-13(EAN): 9781461275565 Издательство: Springer Рейтинг: Цена: 15245.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: " The fear of not having performed a section in my opinion is real, although difficult to prove, and until the public can be educated that cesarean section delivery cannot eradicate fetal death and damage, this fear will remain and will be responsible for some unnecessary cesarean sections.
Автор: Benrubi Название: Difficult Cesarean Delivery Safeguard Cb ISBN: 1975116674 ISBN-13(EAN): 9781975116675 Издательство: Lippincott Williams & Wilkins Рейтинг: Цена: 24024.00 р. Наличие на складе: Поставка под заказ.
Описание: Rising numbers of Cesarean sections and maternal obesity and associated health risks have resulted in increasingly complex Cesarean deliveries and outcomes, requiring today’s surgeon to stay attuned to evolving best practices and master new surgical techniques. This first-of-its-kind reference provides step-by-step, highly illustrated guidance on managing challenging Cesarean sections with a focus on the challenges of abnormal placentation and strategies to manage it. In a concise, readable format, this text is designed to help surgeons anticipate intraoperative and postoperative challenges and optimize outcomes for mother and baby.
Focuses on avoiding and managing surgical pitfalls and complications, providing safeguards and practical, hands-on guidance for surgeons at all levels of experience.
Reviews the physiology of abnormal placentation (placenta accreta spectrum) and management of pre-delivery diagnosis, intraoperative and emergent abnormal placentation.
Covers preparation and decision-making regarding type of incision, anesthesia, uterine conservation, management of acute post-procedure hemorrhage, intraoperative uterine artery catheterization and occlusion, and transarterial embolization.
Includes special chapters on Peripartum Hysterectomy, Urologic and Gastrointestinal Injuries, Prerequisites for the Operative Suite, and two important imaging chapters on Diagnostic Imaging in Abnormal Placentation and the Role of Interventional Radiology.
The eBook provides access to 11 surgical videos.
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This book offers a highly informative guide to surgical remedies for massive hemorrhage and the management of consumptive coagulopathy during cesarean section. Featuring extensive illustrations and videos coupled with detailed anatomical figures to offer readers vivid insights, it discusses the history of uterine hemostatic methods and explains their evolution and the benefits of using compression sutures. Further, it addresses the treatment of consumptive coagulopathy with massive hemorrhage, which can be complicated during cesarean section.
It is broadly known that ligation of the internal iliac artery is not always effective in hemostasis of uterine bleeding: the success rate of hemostasis is only 40-60%, because uterine blood flow during pregnancy differs considerably from the normal flow. Moreover, the number of complex collateral arteries formed during pregnancy make the situation more complicated, especially in the case of placenta previa.
This book introduces new clinical practice guidelines for critical obstetrical hemorrhage, helping obstetricians successfully manage consumptive coagulopathy. It offers a new and indispensable reference guide for all obstetricians, not only for residents, but also for experienced practitioners.
Описание: In this collection, a combined method of preventing and stopping a postpartum obstetric hemorrhage is proposed, involving surgical hemostasis by ligation of the descending branch of the uterine artery and placement of a hemostatic external supraplacental pleated suture, as well as mechanical compression of the uterine cavity with both vaginal and uterine Zhukovsky catheters, and coagulopathy management using thromboelastography (TEG). Uterine hemostatic sutures and their advantages and disadvantages are described in detail, and the benefits of the innovative external supraplacental pleated suture are discussed. Intrauterine balloon tamponade (IUBT) devices have been shown to to be an effective management for severe postpartum hemorrhage (PPH) resulting from uterine atony as well as placental site bleeding. IUBT have now been incorporated into standard protocols for management of severe PPH as a second line conservative surgical procedure due to its simplicity and relatively non-invasive nature. In recent decades, the use of second line procedures has rapidly increased and the effectiveness of these second-line procedures in reducing hysterectomy has been demonstrated in literature. Among these various second line procedures, the use of uterine balloon tamponade increased most rapidly. Balloon tamponade is less invasive and easier to apply than other second line management. Intrauterine balloon tamponade should probably be the first second-line procedure to consider in management of severe PPH. Lastly, the book discusses how anesthesia in pregnant women with rare diseases is challenging. Because of the low occurrence and heterogeneity of these diseases, most anesthesiologists are not familiar with the symptomatology, associated comorbidities, and their consequences for anesthesia. The authors suggest that peroperative monitoring should primarily focus on the cardiopulmonary system, the depth of the neuromuscular block, and the core temperature. Because of the high risk of respiratory depression following general anesthesia in patients with rare diseases, these patients should be closely monitored during the postoperative period, with an emphasis on complete reversal of neuromuscular blockade.
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