Main description:

This book provides detailed insight to the readers into various aspects of bile duct injury. Bile duct injury is a common complication of cholecystectomy to treat gall stone disease prevalent all over the world. Risk of bile duct injury is more during a laparoscopic procedure as compared to open procedure and most cholecystectomies today are performed laparoscopically. Bile duct injury causes major morbidity and may even result in death, additionally it increases the healthcare costs and impairs quality of life. It is therefore important that every surgeon who performs cholecystectomy knows how to suspect, diagnose, manage and prevent bile duct injury.
This book provides practical information and offers assistance in managing patients with difficult cases of bile duct injury. It summarises Dr Kapoor's experience with management of more than 1,000 patients with post-cholecystectomy bile duct injury/ biliary stricture. Chapters cover anatomy, epidemiology, mechanism, pathophysiology, clinical presentation, investigations, classification, diagnosis, management and prevention of bile duct injury. It also includes non-medical issues including health care, socio-economic, costs and quality of life.

Contents:

Surgical anatomy.- Epidemiology.- Etiology.- Prevention.- Patho-physiology of bile leak, bile loss and biliary obstruction.- Non-biliary injuries.- Nomenclature and classification.- Intra-operative diagnosis and management.- Postoperative diagnosis and management.- External biliary fistula.- Benign biliary stricture.- Surgical management.- Endoscopic management.- Follow up.- Health care.- Socio-economic and medico-legal aspects.