简介
Summary:
Publisher Summary 1
Surgeons specialize, of course, but specialized surgery rests on a core of knowledge and experience fundamental to all surgery. This atlas is intended as a concise reference useful to residents and others who need to review before operating. Townsend (U. of Texas Medical Branch, Galveston) and Evers (U. of Kentucky) have brought together a highly illustrated guide to the most common procedures, offering visual instruction in the "how" of surgery. It's intended as a companion to texts such as the one they edited (Sabiston Textbook of Surgery) that focus on physiology, diagnosis, and surgical treatment. An abundance of clear line drawings illustrate essential steps with an emphasis on surgical anatomy. Each procedure is detailed in a step-by-step manner, concluding with three to five "pearls" or pitfalls. Both open and minimally invasive (laparoscopic) techniques are included. The online version of the text is included with purchase of the printed edition. Annotation 漏2010 Book News, Inc., Portland, OR (booknews.com)
Publisher Summary 2
Atlas of General Surgical Techniques covers the full spectrum and breadth of general surgery through nearly 1200 easy-to-follow anatomic drawings. Drs. Courtney M. Townsend, Jr. and B. Mark Evers present step-by-step guidance for common and complex procedures, including open and minimally invasive techniques. The highly consistent approach and oversized format allow for large educational illustrations with pearls and pitfalls at the end of each chapter. Comprehensive coverage includes hot topics such as Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy,Hernia Repair, Exploration of Neck for Trauma, and Subclavian Artery Stab. You'll have a complete array of surgical procedures at your fingertips-in print and online at expertconsult.com!2009 PROSE Awards(awarded by Association of American Publishers for professional and scholarly excellence)Finalist/Honorable Mention, Clinical Medicine
Includes access to the fully searchable text online at expertconsult.com, along with downloadable images.Features 1200 easy-to-follow, step-by-step anatomic drawings that clearly depict the full spectrum and breadth of surgical techniques-both open and minimally invasive.Covers hot topics such as Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy,Hernia Repair, Exploration of Neck for Trauma, and Subclavian Artery Stab.Provides step-by-step instructions for each procedure in a highly consistent format that makes applying techniques easy.Highlights pearls and pitfalls at the end of each chapter so you know what to expect before entering the operating room.Presents the detailed guidance of authorities on what you need to know about common and challenging procedures.
Publisher Summary 3
Atlas of General Surgical Techniques covers the full spectrum and breadth of general surgery through nearly 1200 easy-to-follow anatomic drawings. Drs. Courtney M. Townsend, Jr. and B. Mark Evers present step-by-step guidance for common and complex procedures, including open and minimally invasive techniques. The highly consistent approach and oversized format allow for large educational illustrations with pearls and pitfalls at the end of each chapter. Comprehensive coverage includes hot topics such as Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy,Hernia Repair, Exploration of Neck for Trauma, and Subclavian Artery Stab. You'll have a complete array of surgical procedures at your fingertips-in print and online at expertconsult.com!2009 PROSE Awards(awarded by Association of American Publishers for professional and scholarly excellence)Finalist/Honorable Mention, Clinical Medicine
Includes access to the fully searchable text online at expertconsult.com, along with downloadable images.Features 1200 easy-to-follow, step-by-step anatomic drawings that clearly depict the full spectrum and breadth of surgical techniques-both open and minimally invasive.Covers hot topics such as Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy,Hernia Repair, Exploration of Neck for Trauma, and Subclavian Artery Stab.Provides step-by-step instructions for each procedure in a highly consistent format that makes applying techniques easy.Highlights pearls and pitfalls at the end of each chapter so you know what to expect before entering the operating room.Presents the detailed guidance of authorities on what you need to know about common and challenging procedures.
目录
Front Cover 1
Copyright Page 2
Contributors 3
Preface 7
Acknowledgments 9
Chapter 1. Thyroidectomy (Lobectomy, Subtotal Resection, Total Thyroidectomy) 10
STEP 1: SURGICAL ANATOMY 10
STEP 2: PREOPERATIVE CONSIDERATIONS 10
STEP 3: OPERATIVE STEPS 12
STEP 4: POSTOPERATIVE CARE 24
STEP 5: PEARLS AND PITFALLS 26
SELECTED REFERENCES 26
Chapter 2. Modified Radical Neck Dissection Preserving Spinal Accessory Nerve 27
STEP 1: SURGICAL ANATOMY 27
STEP 2: PREOPERATIVE CONSIDERATIONS 28
STEP 3: OPERATIVE STEPS 30
STEP 4: POSTOPERATIVE CARE 46
STEP 5: PEARLS AND PITFALLS 47
SELECTED REFERENCES 49
Chapter 3. Parathyroidectomy 50
STEP 1: SURGICAL ANATOMY 50
STEP 2: PREOPERATIVE CONSIDERATIONS 51
STEP 3: OPERATIVE STEPS 51
STEP 4: POSTOPERATIVE CARE 56
STEP 5: PEARLS AND PITFALLS 56
SELECTED REFERENCES 58
Chapter 4. Parotidectomy 59
STEP 1: SURGICAL ANATOMY 59
STEP 2: PREOPERATIVE CONSIDERATIONS 59
STEP 3: OPERATIVE STEPS 62
STEP 4: POSTOPERATIVE CARE 71
STEP 5: PEARLS AND PITFALLS 71
SELECTED REFERENCES 72
Chapter 5. Tracheotomy 73
STEP 1: SURGICAL ANATOMY 73
STEP 2: PREOPERATIVE CONSIDERATIONS 74
STEP 3: OPERATIVE STEPS 75
STEP 4: POSTOPERATIVE CARE 82
STEP 5: PEARLS AND PITFALLS 82
SELECTED REFERENCES 83
Chapter 6. Cricothyroidotomy 84
STEP 1: SURGICAL ANATOMY 84
STEP 2: PREOPERATIVE CONSIDERATIONS 84
STEP 3: OPERATIVE STEPS 86
STEP 4: POSTOPERATIVE CARE 89
STEP 5: PEARLS AND PITFALLS 90
SELECTED REFERENCES 90
Chapter 7. Thyroglossal Duct Cyst 91
STEP 1: SURGICAL ANATOMY 91
STEP 2: PREOPERATIVE CONSIDERATIONS 91
STEP 3: OPERATIVE STEPS 91
STEP 4: POSTOPERATIVE CARE 95
STEP 5: PEARLS AND PITFALLS 95
SELECTED REFERENCES 95
Chapter 8. Adrenals\u2014Anterior, Posterior (Open and Laparoscopic) 96
STEP 1: SURGICAL ANATOMY 96
STEP 2: PREOPERATIVE CONSIDERATIONS 96
STEP 3: OPERATIVE STEPS 98
STEP 4: POSTOPERATIVE CARE 112
STEP 5: PEARLS AND PITFALLS 113
SELECTED REFERENCES 113
Chapter 9. Wide Local Excision 115
STEP 1: SURGICAL ANATOMY 115
STEP 2: PREOPERATIVE CONSIDERATIONS 116
STEP 3: OPERATIVE STEPS 117
STEP 4: POSTOPERATIVE CARE 122
STEP 5: PEARLS AND PITFALLS 123
SELECTED REFERENCES 123
Chapter 10. Modi. ed Radical Mastectomy 125
STEP 1: SURGICAL ANATOMY 125
STEP 2: PREOPERATIVE CONSIDERATIONS 126
STEP 3: OPERATIVE STEPS 128
STEP 4: POSTOPERATIVE CARE 137
STEP 5: PEARLS AND PITFALLS 138
SELECTED REFERENCES 139
Chapter 11. Sentinel Lymph Node Biopsy 140
INTRODUCTION 140
STEP 1: SURGICAL ANATOMY 140
STEP 2: PREOPERATIVE CONSIDERATIONS 140
STEP 3: OPERATIVE STEPS 142
STEP 4: POSTOPERATIVE CARE 149
STEP 5: PEARLS AND PITFALLS 149
STEP 6. CONCLUSION 150
SELECTED REFERENCES 151
Chapter 12. Excision of Benign Breast Lesion 152
STEP 1: SURGICAL ANATOMY 152
STEP 2: PREOPERATIVE CONSIDERATIONS 152
STEP 3: OPERATIVE STEPS 154
STEP 4: POSTOPERATIVE CARE 156
STEP 5: PEARLS AND PITFALLS 156
Chapter 13. Major Duct Excision 158
STEP 1: SURGICAL ANATOMY 158
STEP 2: PREOPERATIVE CONSIDERATIONS 158
STEP 3: OPERATIVE STEPS 158
STEP 4: POSTOPERATIVE CARE 162
STEP 5: PEARLS AND PITFALLS 162
Chapter 14. Intraductal Papilloma 163
STEP 1: SURGICAL ANATOMY 163
STEP 2: PREOPERATIVE CONSIDERATIONS 164
STEP 3: OPERATIVE STEPS 164
STEP 4: POSTOPERATIVE CARE 168
STEP 5: PEARLS AND PITFALLS 168
Chapter 15. Zenker\u2019s Diverticula 170
STEP 1: SURGICAL ANATOMY 170
STEP 2: PREOPERATIVE CONSIDERATIONS 170
STEP 3: OPERATIVE STEPS 172
STEP 4: POSTOPERATIVE CARE 179
STEP 5: PEARLS AND PITFALLS 179
SELECTED REFERENCES 179
Chapter 16. Esophagectomy\u2014Transhiatal 180
STEP 1: SURGICAL ANATOMY 180
STEP 2: PREOPERATIVE CONSIDERATIONS 180
STEP 3: OPERATIVE STEPS 182
STEP 4: POSTOPERATIVE CARE 201
STEP 5: PEARLS AND PITFALLS 201
SELECTED REFERENCES 201
Chapter 17. Esophagectomy\u2014Transthoracic (Ivor Lewis) 202
STEP 1: SURGICAL ANATOMY 202
STEP 2: PREOPERATIVE CONSIDERATIONS 202
STEP 3: OPERATIVE STEPS 204
STEP 4: POSTOPERATIVE CARE 210
STEP 5: PEARLS AND PITFALLS 210
SELECTED REFERENCES 210
Chapter 18. Esophagogastrectomy 211
STEP 1: SURGICAL ANATOMY 211
STEP 2: PREOPERATIVE CONSIDERATIONS 211
STEP 3: OPERATIVE STEPS 213
STEP 4: POSTOPERATIVE CARE 236
STEP 5: PEARLS AND PITFALLS 236
SELECTED REFERENCES 236
Chapter 19. Open Heller Myotomy 237
STEP 1: SURGICAL ANATOMY 237
STEP 2: PREOPERATIVE CONSIDERATIONS 238
STEP 3: OPERATIVE STEPS 239
STEP 4: POSTOPERATIVE CARE 245
STEP 5: PEARLS AND PITFALLS 246
Chapter 20. Stamm Gastrostomy 248
STEP 1: SURGICAL ANATOMY 248
STEP 2: PREOPERATIVE CONSIDERATIONS 248
STEP 3: OPERATIVE STEPS 248
STEP 4: POSTOPERATIVE CARE 253
STEP 5: PEARLS AND PITFALLS 253
SELECTED REFERENCES 253
Chapter 21. Witzel Jejunostomy 254
STEP 1: SURGICAL ANATOMY 254
STEP 2: PREOPERATIVE CONSIDERATIONS 254
STEP 3: OPERATIVE STEPS 254
STEP 4: POSTOPERATIVE CARE 260
STEP 5: PEARLS AND PITFALLS 260
SELECTED REFERENCES 260
Chapter 22. Percutaneous Gastrostomy Feeding Tube Placement (by surgeon or gastroenterologist) 261
STEP 1: SURGICAL ANATOMY 261
STEP 2: PREOPERATIVE CONSIDERATIONS 262
STEP 3: OPERATIVE STEPS 263
STEP 4: POSTOPERATIVE CARE 268
STEP 5: PEARLS AND PITFALLS 268
SELECTED REFERENCES 268
Chapter 23. Pyloroplasty 269
STEP 1: SURGICAL ANATOMY 269
STEP 2: PREOPERATIVE CONSIDERATIONS 269
STEP 3: OPERATIVE STEPS 270
STEP 4: POSTOPERATIVE CARE 274
STEP 5: PEARLS AND PITFALLS 274
SELECTED REFERENCES 274
Chapter 24. Finney Pyloroplasty 275
INTRODUCTION 275
STEP 1: SURGICAL ANATOMY 275
STEP 2: PREOPERATIVE CONSIDERATIONS 275
STEP 3: OPERATIVE STEPS 276
STEP 4: POSTOPERATIVE CARE 279
STEP 5: PEARLS AND PITFALLS 279
SELECTED REFERENCES 279
Chapter 25. Jaboulay Side-to-Side Gastroduodenostomy 280
INTRODUCTION 280
STEP 1: SURGICAL ANATOMY 280
STEP 2: PREOPERATIVE CONSIDERATIONS 280
STEP 3: OPERATIVE STEPS 281
STEP 4: POSTOPERATIVE CARE 281
STEP 5: PEARLS AND PITFALLS 285
SELECTED REFERENCES 285
Chapter 26. Gastric Resection: Billroth I 286
STEP 1: SURGICAL ANATOMY 286
STEP 2: PREOPERATIVE CONSIDERATIONS 286
STEP 3: OPERATIVE STEPS 286
STEP 4: POSTOPERATIVE CARE 299
STEP 5: PEARLS AND PITFALLS 299
SELECTED REFERENCES 299
Chapter 27. Gastric Resection: Billroth II 300
STEP 1: SURGICAL ANATOMY 300
STEP 2: PREOPERATIVE CONSIDERATIONS 300
STEP 3: OPERATIVE STEPS 300
STEP 4: POSTOPERATIVE CARE 311
STEP 5: PEARLS AND PITFALLS 311
SELECTED REFERENCES 311
Chapter 28. Total Gastrectomy 312
STEP 1: SURGICAL ANATOMY 312
STEP 2: PREOPERATIVE CONSIDERATIONS 312
STEP 3: OPERATIVE STEPS 312
STEP 4: POSTOPERATIVE CARE 322
STEP 5: PEARLS AND PITFALLS 322
SELECTED REFERENCES 322
Chapter 29. Open and Laparoscopic Closure of Perforated Peptic Ulcer 323
STEP 1: SURGICAL ANATOMY 323
STEP 2: PREOPERATIVE CONSIDERATIONS 324
STEP 3: OPERATIVE STEPS 324
STEP 4: POSTOPERATIVE CARE 330
STEP 5: PEARLS AND PITFALLS 331
SELECTED REFERENCES 331
Chapter 30. Bleeding Duodenal Ulcer 332
STEP 1: SURGICAL ANATOMY 332
STEP 2: PREOPERATIVE CONSIDERATIONS 332
STEP 3: OPERATIVE STEPS 332
STEP 4: POSTOPERATIVE CARE 335
STEP 5: PEARLS AND PITFALLS 335
SELECTED REFERENCES 335
Chapter 31. Truncal Vagotomy 336
STEP 1: SURGICAL ANATOMY 336
STEP 2: PREOPERATIVE CONSIDERATIONS 336
STEP 3: OPERATIVE STEPS 336
STEP 4: POSTOPERATIVE CARE 340
STEP 5: PEARLS AND PITFALLS 340
SELECTED REFERENCES 341
Chapter 32. Gastrojejunostomy 342
STEP 1: SURGICAL ANATOMY 342
STEP 2: PREOPERATIVE CONSIDERATIONS 342
STEP 3: OPERATIVE STEPS 342
STEP 4: POSTOPERATIVE CARE 352
STEP 5: PEARLS AND PITFALLS 352
SELECTED REFERENCES 352
Chapter 33. Pyloromyotomy 353
STEP 1: SURGICAL ANATOMY 353
STEP 2: PREOPERATIVE CONSIDERATIONS 353
STEP 3: OPERATIVE STEPS 354
STEP 4: POSTOPERATIVE CARE 360
STEP 5: PEARLS AND PITFALLS 361
SELECTED REFERENCES 361
Chapter 34. Roux-en-Y Gastric Bypass (Open and Laparoscopic) 362
STEP 1: SURGICAL ANATOMY 362
STEP 2: PREOPERATIVE CONSIDERATIONS 362
STEP 3: OPERATIVE STEPS 363
STEP 4: POSTOPERATIVE CONSIDERATIONS 392
STEP 5: PEARLS AND PITFALLS 392
SELECTED REFERENCE 393
Chapter 35. Laparoscopic Placement of Adjustable Gastric Band (Pars Flaccida Approach) 394
STEP 1: SURGICAL ANATOMY 394
STEP 2: PREOPERATIVE CONSIDERATIONS 394
STEP 3: OPERATIVE STEPS 395
STEP 4: POSTOPERATIVE CONSIDERATIONS 400
STEP 5: PEARLS AND PITFALLS 401
Chapter 36. Meckel\u2019s Diverticulectomy 402
STEP 1: SURGICAL ANATOMY 402
STEP 2: PREOPERATIVE CONSIDERATIONS 402
STEP 3: OPERATIVE STEPS 402
STEP 4: POSTOPERATIVE CARE 404
STEP 5: PEARLS AND PITFALLS 406
SELECTED REFERENCES 406
Chapter 37. Laparoscopic Appendectomy 407
STEP 1: SURGICAL ANATOMY 407
STEP 2: PREOPERATIVE CONSIDERATIONS 407
STEP 3: OPERATIVE STEPS 408
STEP 4: POSTOPERATIVE CARE 411
STEP 5: PEARLS AND PITFALLS 411
SELECTED REFERENCES 411
Chapter 38. Open Appendectomy 412
STEP 1: SURGICAL ANATOMY 412
STEP 2: PREOPERATIVE CONSIDERATIONS 412
STEP 3: OPERATIVE STEPS 413
STEP 4: POSTOPERATIVE CARE 418
STEP 5: PEARLS AND PITFALLS 418
SELECTED REFERENCES 418
Chapter 39. Intussusception 419
STEP 1: SURGICAL ANATOMY 419
STEP 2: PREOPERATIVE CONSIDERATIONS 419
STEP 3: OPERATIVE STEPS 420
STEP 4: POSTOPERATIVE CARE 423
STEP 5: PEARLS AND PITFALLS 423
SELECTED REFERENCES 423
Chapter 40. Correction of Malrotation with Midgut Volvulus 424
STEP 1: SURGICAL ANATOMY 424
STEP 2: PREOPERATIVE CONSIDERATIONS 424
STEP 3: OPERATIVE STEPS 426
STEP 4: POSTOPERATIVE CARE 428
STEP 5: PEARLS AND PITFALLS 428
SELECTED REFERENCES 428
Chapter 41. Laparoscopic and Open Cholecystectomy 430
STEP 1: SURGICAL ANATOMY 430
STEP 2: PREOPERATIVE CONSIDERATIONS 430
STEP 3: OPERATIVE STEPS 432
STEP 4: POSTOPERATIVE CARE (LAPAROSCOPIC AND OPEN CHOLECYSTECTOMY) 442
STEP 5: PEARLS AND PITFALLS 442
SELECTED REFERENCES 443
Chapter 42. Choledochoduodenostomy and Hepaticojejunostomy 444
STEP 1: SURGICAL ANATOMY 444
STEP 2: PREOPERATIVE CONSIDERATIONS 444
STEP 3: OPERATIVE STEPS 446
STEP 4: POSTOPERATIVE CARE (CHOLEDOCHODUODENOSTOMY AND HEPATICOJEJUNOSTOMY) 459
STEP 5: PEARLS AND PITFALLS 459
SELECTED REFERENCES 460
Chapter 43. Sphincteroplasty 461
STEP 1: SURGICAL ANATOMY 461
STEP 2: PREOPERATIVE CONSIDERATIONS 462
STEP 3: OPERATIVE STEPS 462
STEP 4: POSTOPERATIVE CARE 468
STEP 5: PEARLS AND PITFALLS 468
SELECTED REFERENCES 469
Chapter 44. Segmental Hepatic Resection\u2014Left Lateral Segmentectomy and Nonanatomic Resections 472
STEP 1: SURGICAL ANATOMY 472
STEP 3: OPERATIVE STEPS 475
STEP 4: POSTOPERATIVE CARE 482
STEP 5: PEARLS AND PITFALLS 483
SELECTED REFERENCES 483
Chapter 45. Right Hepatectomy 484
STEP 1: SURGICAL ANATOMY 484
STEP 2: PREOPERATIVE CONSIDERATIONS 486
STEP 3: OPERATIVE STEPS 486
STEP 4: POSTOPERATIVE CARE 498
STEP 5: PEARLS AND PITFALLS 499
Chapter 46. Left Hepatic Lobectomy 500
STEP 1: SURGICAL ANATOMY 500
STEP 2: PREOPERATIVE CONSIDERATIONS 502
STEP 3: OPERATIVE STEPS 503
STEP 4: POSTOPERATIVE CARE 512
STEP 5: PEARLS AND PITFALLS 513
SELECTED REFERENCES 513
Chapter 47. Distal Pancreatectomy and Splenectomy 516
STEP 1: SURGICAL ANATOMY 516
STEP 2: PREOPERATIVE CONSIDERATIONS 518
STEP 3: OPERATIVE STEPS 518
STEP 4: POSTOPERATIVE CARE 528
STEP 5: PEARLS AND PITFALLS 528
SELECTED REFERENCES 529
Chapter 48. Beger and Frey Procedures 530
STEP 1: SURGICAL ANATOMY 530
STEP 2: PREOPERATIVE CONSIDERATIONS 532
STEP 3: OPERATIVE STEPS 533
STEP 4: POSTOPERATIVE CARE 551
STEP 5: PEARLS AND PITFALLS 551
SELECTED REFERENCES 552
Chapter 49. Pylorus-Saving Pancreaticoduodenectomy 553
STEP 1: SURGICAL ANATOMY 553
STEP 2: PREOPERATIVE CONSIDERATIONS 555
STEP 3: OPERATIVE STEPS 556
STEP 4: POSTOPERATIVE CARE 570
STEP 5: PEARLS AND PITFALLS 571
SELECTED REFERENCES 571
Chapter 50. Pancreaticojejunostomy (Puestow) 572
STEP 1: SURGICAL ANATOMY 572
STEP 2: PREOPERATIVE CONSIDERATIONS 574
STEP 3: OPERATIVE STEPS 575
STEP 4: POSTOPERATIVE CARE 584
STEP 5: PEARLS AND PITFALLS 584
SELECTED REFERENCES 585
Chapter 51. Pseudocysts\u2014Cystogastrostomy, Cystoduodenostomy, and Cystojejunostomy 586
STEP 1: SURGICAL ANATOMY 586
STEP 2: PREOPERATIVE CONSIDERATIONS 589
STEP 3: OPERATIVE STEPS 589
STEP 4: POSTOPERATIVE CARE 606
STEP 5: PEARLS AND PITFALLS 608
SELECTED REFERENCES 608
Chapter 52. Splenectomy/Splenic Repair 610
STEP 1: SURGICAL ANATOMY 610
STEP 2: PREOPERATIVE CONSIDERATIONS 610
STEP 3: OPERATIVE STEPS 612
STEP 4: POSTOPERATIVE CARE 616
STEP 5: PEARLS AND PITFALLS 616
SELECTED REFERENCES 617
Chapter 53. Port Placement for Colon Operations 620
STEP 1: SURGICAL ANATOMY 620
STEP 2: PREOPERATIVE CONSIDERATIONS 620
STEP 3: OPERATIVE STEPS 622
STEP 4: POSTOPERATIVE CONSIDERATIONS 624
STEP 5: PEARLS AND PITFALLS 624
SELECTED REFERENCES 624
Chapter 54. Diverting End Colostomy with Mucous Fistula or Hartmann\u2019s Pouch 625
STEP 1: SURGICAL ANATOMY 625
STEP 2: PREOPERATIVE CONSIDERATIONS 625
STEP 3: OPERATIVE STEPS 626
STEP 4: POSTOPERATIVE CARE 634
STEP 5: PEARLS AND PITFALLS 634
Chapter 55. Brooke Ileostomy 635
STEP 1: SURGICAL ANATOMY 635
STEP 2: PREOPERATIVE CONSIDERATIONS 635
STEP 3: OPERATIVE STEPS 635
STEP 4: POSTOPERATIVE CARE 642
STEP 5: PEARLS AND PITFALLS 642
Chapter 56. Loop Colostomy 643
STEP 1: SURGICAL ANATOMY 643
STEP 2: PREOPERATIVE CONSIDERATIONS 643
STEP 3: OPERATIVE STEPS 643
STEP 4: POSTOPERATIVE CARE 648
STEP 5: PEARLS AND PITFALLS 648
Chapter 57. Stoma Takedown: Takedown of Loop Colostomy or Ileostomy 649
STEP 1: SURGICAL ANATOMY 649
STEP 2: PREOPERATIVE CONSIDERATIONS 649
STEP 3: OPERATIVE STEPS 650
STEP 4: POSTOPERATIVE CARE 658
STEP 5: PEARLS AND PITFALLS 659
SELECTED REFERENCES 659
Chapter 58. Right Hemicolectomy 660
STEP 1: SURGICAL ANATOMY 660
STEP 2: PREOPERATIVE CONSIDERATIONS 660
STEP 3: OPERATIVE STEPS 661
STEP 4: POSTOPERATIVE CARE 671
STEP 5: PEARLS AND PITFALLS 671
SELECTED REFERENCES 671
Chapter 59. Right Colectomy (Laparoscopic-Assisted) 672
STEP 1: SURGICAL ANATOMY 672
STEP 2: PREOPERATIVE CONSIDERATIONS 672
STEP 3: OPERATIVE STEPS 674
STEP 4: POSTOPERATIVE CARE 681
STEP 5: PEARLS AND PITFALLS 681
SELECTED REFERENCES 682
Chapter 60. Left and Sigmoid Colectomy 683
STEP 1: SURGICAL ANATOMY 683
STEP 2: PREOPERATIVE CONSIDERATIONS 683
STEP 3: OPERATIVE STEPS 684
STEP 4: POSTOPERATIVE CARE 692
STEP 5: PEARLS AND PITFALLS 692
SELECTED REFERENCES 693
Chapter 61. Left and Sigmoid Colectomy (Laparoscopic-Assisted) 694
STEP 1: SURGICAL ANATOMY 694
STEP 2: PREOPERATIVE CONSIDERATIONS 695
STEP 3: OPERATIVE STEPS 695
STEP 4: POSTOPERATIVE CARE 705
STEP 5: PEARLS AND PITFALLS 705
SELECTED REFERENCES 706
Chapter 62. Total Colectomy 707
STEP 1: SURGICAL ANATOMY 707
STEP 2: PREOPERATIVE CONSIDERATIONS 708
STEP 3: OPERATIVE STEPS 709
STEP 4: POSTOPERATIVE CARE 720
STEP 5: PEARLS AND PITFALLS 720
SELECTED REFERENCES 721
Chapter 63. Ileoanal Anastomosis (Straight and J Pouch) 722
STEP 1: SURGICAL ANATOMY 722
STEP 2: PREOPERATIVE CONSIDERATIONS 722
STEP 3: OPERATIVE STEPS 726
STEP 4: POSTOPERATIVE CARE 739
STEP 5: PEARLS AND PITFALLS 740
SELECTED REFERENCES 741
Chapter 64. Low Anterior Resection\u2014 Total Mesorectal Excision 742
STEP 1: SURGICAL ANATOMY 742
STEP 2: PREOPERATIVE CONSIDERATIONS 742
STEP 3: OPERATIVE STEPS 743
STEP 4: POSTOPERATIVE CARE 753
STEP 5: PEARLS AND PITFALLS 753
SELECTED REFERENCES 754
Chapter 65. Miles Abdominoperineal Resection with Total Mesorectal Excision 755
STEP 1: SURGICAL ANATOMY 755
STEP 2: PREOPERATIVE CONSIDERATIONS 755
STEP 3: OPERATIVE STEPS 756
STEP 4: POSTOPERATIVE CARE 766
STEP 5: PEARLS AND PITFALLS 766
SELECTED REFERENCES 766
Chapter 66. Hemorrhoidectomy 768
STEP 1: SURGICAL ANATOMY 768
STEP 2: PREOPERATIVE CONSIDERATIONS 768
STEP 3: OPERATIVE STEPS 768
STEP 4: POSTOPERATIVE CARE 772
STEP 5: PEARLS AND PITFALLS 772
SELECTED REFERENCE 772
Chapter 67. Drainage of Perirectal Abscess 773
STEP 1: SURGICAL ANATOMY 773
STEP 2: PREOPERATIVE CONSIDERATIONS 773
STEP 3: OPERATIVE STEPS 773
STEP 4: POSTOPERATIVE CARE 775
STEP 5: PEARLS AND PITFALLS 775
SELECTED REFERENCES 775
Chapter 68. Lateral Sphincterotomy 776
STEP 1: SURGICAL ANATOMY 776
STEP 2: PREOPERATIVE CONSIDERATIONS 776
STEP 3: OPERATIVE STEPS 776
STEP 4: POSTOPERATIVE CARE 779
STEP 5: PEARLS AND PITFALLS 779
SELECTED REFERENCE 779
Chapter 69. Pilonidal Cyst Curettage 780
STEP 1: SURGICAL ANATOMY 780
STEP 2: PREOPERATIVE CONSIDERATIONS 780
STEP 3: OPERATIVE STEPS 781
STEP 4: POSTOPERATIVE CARE 783
STEP 5: PEARLS AND PITFALLS 783
SELECTED REFERENCE 783
Chapter 70. Incision of Fistula-in-Ano 784
STEP 1: SURGICAL ANATOMY 784
STEP 2: PREOPERATIVE CONSIDERATIONS 784
STEP 3: OPERATIVE STEPS 786
STEP 4: POSTOPERATIVE CARE 788
STEP 5: PEARLS AND PITFALLS 788
SELECTED REFERENCE 788
Chapter 71. Hernia Repair: General Principles\u2014Tension-Free versus Tension 790
STEP 1: SURGICAL ANATOMY 790
STEP 2: PREOPERATIVE CONSIDERATIONS 794
STEP 3: OPERATIVE STEPS 795
STEP 4: POSTOPERATIVE CARE 798
STEP 5: PEARLS AND PITFALLS 800
SELECTED REFERENCES 800
Chapter 72. Mesh Repair 801
STEP 1: SURGICAL ANATOMY 801
STEP 2: PREOPERATIVE CONSIDERATIONS 801
STEP 3: OPERATIVE STEPS 801
STEP 4: POSTOPERATIVE CARE 809
STEP 5: PEARLS AND PITFALLS 809
SELECTED REFERENCES 809
Chapter 73. Inguinal Herniorrhaphy\u2014Bassini 810
STEP 1: SURGICAL ANATOMY 810
STEP 2: PREOPERATIVE CONSIDERATIONS 810
STEP 3: OPERATIVE STEPS 810
STEP 4: POSTOPERATIVE CARE 818
STEP 5: PEARLS AND PITFALLS 818
SELECTED REFERENCES 818
Chapter 74. Inguinal Herniorrhaphy (McVay; Cooper\u2019s Ligament Repair) 819
STEP 1: SURGICAL ANATOMY 819
STEP 2: PREOPERATIVE CONSIDERATIONS 820
STEP 3: OPERATIVE STEPS 820
STEP 4: POSTOPERATIVE CARE 827
STEP 5: PEARLS AND PITFALLS 827
SELECTED REFERENCE 827
Chapter 75. Inguinal Herniorrhaphy\u2014 Shouldice 828
STEP 1: SURGICAL ANATOMY 828
STEP 2: PREOPERATIVE CONSIDERATIONS 830
STEP 3: OPERATIVE STEPS 832
STEP 4: POSTOPERATIVE CARE 840
STEP 5: PEARLS AND PITFALLS 840
SELECTED REFERENCES 840
Chapter 76. Sliding Inguinal Hernia 841
STEP 1: SURGICAL ANATOMY 841
STEP 2: PREOPERATIVE CONSIDERATIONS 841
STEP 3: OPERATIVE STEPS 841
STEP 4: POSTOPERATIVE CARE 844
STEP 5: PEARLS AND PITFALLS 844
SELECTED REFERENCE 844
Chapter 77. Inguinal Hernias in Infants and Small Children 845
INTRODUCTION 845
STEP 1: SURGICAL ANATOMY 845
STEP 2: PREOPERATIVE CONSIDERATIONS 846
STEP 3: OPERATIVE STEPS 846
STEP 4: POSTOPERATIVE CARE 851
STEP 5: PEARLS AND PITFALLS 851
SELECTED REFERENCES 851
Chapter 78. Laparoscopic Inguinal Hernia Repair 852
STEP 1: SURGICAL ANATOMY 852
STEP 2: PREOPERATIVE CONSIDERATIONS 852
STEP 3: OPERATIVE STEPS 854
STEP 4: POSTOPERATIVE CARE 864
STEP 5: PEARLS AND PITFALLS 864
SELECTED REFERENCES 864
Chapter 79. Femoral Hernia 865
STEP 1: SURGICAL ANATOMY 865
STEP 2: PREOPERATIVE CONSIDERATIONS 866
STEP 3: OPERATIVE STEPS 867
STEP 4: POSTOPERATIVE CARE 870
STEP 5: PEARLS AND PITFALLS 870
SELECTED REFERENCE 870
Chapter 80. Umbilical Hernia (Child and Adult) 871
STEP 1: SURGICAL ANATOMY 871
STEP 2: PREOPERATIVE CONSIDERATIONS FOR A CHILD 871
STEP 2: PREOPERATIVE CONSIDERATIONS FOR AN ADULT 871
STEP 3: OPERATIVE STEPS FOR A CHILD 872
STEP 3: OPERATIVE STEPS FOR AN ADULT 874
STEP 4: POSTOPERATIVE CONSIDERATIONS 880
STEP 5: PEARLS AND PITFALLS 880
SELECTED REFERENCES 880
Chapter 81. Incisional/Ventral Hernia\u2014 Mesh and Tissue Flap 881
STEP 1: SURGICAL ANATOMY 881
STEP 2: PREOPERATIVE CONSIDERATIONS 882
STEP 3: OPERATIVE STEPS 882
STEP 4: POSTOPERATIVE CARE 885
SELECTED REFERENCE 885
Chapter 82. Resection of Abdominal Aortic Aneurysm 888
ELECTIVE ANEURYSM REPAIR 888
STEP 1: SURGICAL ANATOMY 888
STEP 2: PREOPERATIVE CONSIDERATIONS 889
STEP 3: OPERATIVE STEPS 890
STEP 4: POSTOPERATIVE CARE 898
STEP 5: PEARLS AND PITFALLS 898
SELECTED REFERENCES 899
Chapter 83. Aortofemoral Bypass Graft for Occlusive Disease 900
STEP 1: SURGICAL ANATOMY 900
STEP 2: PREOPERATIVE CONSIDERATIONS 902
STEP 3: OPERATIVE STEPS 904
STEP 4: POSTOPERATIVE CARE 912
STEP 5: PEARLS AND PITFALLS 912
SELECTED REFERENCES 913
Chapter 84. Carotid Endarterectomy 914
STEP 1: SURGICAL ANATOMY 914
STEP 2: PREOPERATIVE CONSIDERATIONS 916
STEP 3: OPERATIVE STEPS 916
STEP 4: POSTOPERATIVE CARE 925
STEP 5: PEARLS AND PITFALLS 926
SELECTED REFERENCES 926
Chapter 85. Femoropopliteal Bypass (In Situ) 927
STEP 1: SURGICAL ANATOMY 927
STEP 2: PREOPERATIVE CONSIDERATIONS 930
STEP 3: OPERATIVE STEPS 930
STEP 4: POSTOPERATIVE CARE 934
STEP 5: PEARLS AND PITFALLS 936
SELECTED REFERENCES 936
Chapter 86. Femorotibial and Peroneal Bypass 937
STEP 1: SURGICAL ANATOMY 937
STEP 2: PREOPERATIVE CONSIDERATIONS 937
STEP 3: OPERATIVE STEPS 938
STEP 4: POSTOPERATIVE CARE 944
STEP 5: PEARLS AND PITFALLS 944
SELECTED REFERENCES 945
Chapter 87. Fasciotomy\u2014Forearm and Leg 946
STEP 1: SURGICAL ANATOMY FOR FOREARM 946
STEP 2: PREOPERATIVE CONSIDERATIONS FOR FOREARM 948
STEP 3: OPERATIVE STEPS FOR FOREARM 948
STEP 1: SURGICAL ANATOMY FOR LEG 950
STEP 2: PREOPERATIVE CONSIDERATIONS FOR LEG 950
STEP 3: OPERATIVE STEPS FOR LEG 950
STEP 4: POSTOPERATIVE CARE 952
STEP 5: PEARLS AND PITFALLS 952
SELECTED REFERENCES 952
Chapter 88. Renal Revascularization 953
STEP 1: SURGICAL ANATOMY 953
STEP 2: PREOPERATIVE CONSIDERATIONS 953
STEP 3: OPERATIVE STEPS\u2014AORTORENAL BYPASS 954
STEP 3: OPERATIVE STEPS\u2014AORTORENAL ENDARTERECTOMY 960
STEP 3: OPERATIVE STEPS\u2014SPLENORENAL BYPASS 962
STEP 3: OPERATIVE STEPS\u2014HEPATORENAL BYPASS 966
STEP 4: POSTOPERATIVE CARE 970
STEP 5: PEARLS AND PITFALLS 970
SELECTED REFERENCES 971
Chapter 89. Mesenteric Ischemia 972
INTRODUCTION 972
STEP 1: SURGICAL ANATOMY 972
STEP 2: PREOPERATIVE CONSIDERATIONS 973
STEP 3: OPERATIVE STEPS 974
STEP 4: POSTOPERATIVE CARE 988
STEP 5: PEARLS AND PITFALLS 988
SELECTED REFERENCES 989
Chapter 90. Hemodialysis Access Procedures 990
STEP 1: SURGICAL ANATOMY 990
STEP 2: PREOPERATIVE CONSIDERATIONS 990
STEP 3: OPERATIVE STEPS\u2014RADIOCEPHALIC ARTERIOVENOUS FISTULA 994
STEP 3: OPERATIVE STEPS\u2014ANTECUBITAL ARTERIOVENOUS FISTULA 997
STEP 3: OPERATIVE STEPS\u2014BRACHIOBASILIC UPPER ARM TRANSPOSITION 1001
STEP 3: OPERATIVE STEPS\u2014ARTERIOVENOUS GRAFTS 1006
STEP 3: OPERATIVE STEPS\u2014GRAFT REVISION: THROMBECTOMY 1012
STEP 4: POSTOPERATIVE CARE 1014
STEP 5: PEARLS AND PITFALLS 1014
SELECTED REFERENCES 1016
Chapter 91. Insertion of Tenckhoff Catheter 1017
STEP 1: SURGICAL ANATOMY 1017
STEP 2: PREOPERATIVE CONSIDERATIONS 1018
STEP 3: OPERATIVE STEPS\u2014OPEN PROCEDURE 1018
STEP 3: OPERATIVE STEPS\u2014LAPAROSCOPIC OPTION 1022
STEP 4: POSTOPERATIVE CARE 1025
STEP 5: PEARLS AND PITFALLS 1025
SELECTED REFERENCE 1025
Chapter 92. Insertion of Peritoneal Venous Shunts 1026
STEP 1: SURGICAL ANATOMY 1026
STEP 2: PREOPERATIVE CONSIDERATIONS 1028
STEP 3: OPERATIVE STEPS 1028
STEP 4: POSTOPERATIVE CARE 1036
STEP 5: PEARLS AND PITFALLS 1036
SELECTED REFERENCES 1036
Chapter 93. Below-Knee Amputation 1038
STEP 1: SURGICAL ANATOMY 1038
STEP 2: PREOPERATIVE CONSIDERATIONS 1038
STEP 3: OPERATIVE STEPS 1038
STEP 4: POSTOPERATIVE CARE 1048
STEP 5: PEARLS AND PITFALLS 1049
SELECTED REFERENCE 1049
Chapter 94. Supracondylar Amputation 1050
STEP 1: SURGICAL ANATOMY 1050
STEP 2: PREOPERATIVE CONSIDERATIONS 1050
STEP 3: OPERATIVE STEPS 1052
STEP 4: POSTOPERATIVE CARE 1058
STEP 5: PEARLS AND PITFALLS 1058
SELECTED REFERENCES 1058
Chapter 95. Transmetatarsal Amputation 1059
INTRODUCTION 1059
STEP 1: SURGICAL ANATOMY 1059
STEP 2: PREOPERATIVE CONSIDERATIONS 1060
STEP 3: OPERATIVE STEPS 1060
STEP 4: POSTOPERATIVE CARE 1064
STEP 5: PEARLS AND PITFALLS 1064
SELECTED REFERENCES 1064
Chapter 96. Hip Disarticulation 1065
INDICATION 1065
STEP 1: SURGICAL ANATOMY 1065
STEP 2: PREOPERATIVE CONSIDERATIONS 1065
STEP 3: OPERATIVE STEPS 1066
STEP 4: POSTOPERATIVE CARE 1073
STEP 5: PEARLS AND PITFALLS 1073
SELECTED REFERENCES 1073
Chapter 97. Abdominal Hysterectomy 1076
STEP 1: SURGICAL ANATOMY 1076
STEP 2: PREOPERATIVE CONSIDERATIONS 1078
STEP 3: OPERATIVE STEPS 1080
STEP 4: POSTOPERATIVE CARE 1092
STEP 5: PEARLS AND PITFALLS 1092
SELECTED REFERENCES 1073
Chapter 98. Bilateral Salpingo- Oophorectomy 1093
STEP 1: SURGICAL ANATOMY 1093
STEP 2: PREOPERATIVE CONSIDERATIONS 1094
STEP 3: OPERATIVE STEPS 1094
STEP 4: POSTOPERATIVE CARE 1099
STEP 5: PEARLS AND PITFALLS 1099
SELECTED REFERENCE 1099
Chapter 99. Repair of Rectovaginal Fistulae 1100
STEP 1: SURGICAL ANATOMY 1100
STEP 2: PREOPERATIVE CONSIDERATIONS 1101
STEP 3: OPERATIVE STEPS 1102
STEP 4: POSTOPERATIVE CARE 1114
STEP 5: PEARLS AND PITFALLS 1114
Chapter 100. Axillary Node Dissection 1118
STEP 1: SURGICAL ANATOMY 1118
STEP 2: PREOPERATIVE CONSIDERATIONS 1120
STEP 3: OPERATIVE STEPS 1120
STEP 4: POSTOPERATIVE CARE 1127
STEP 5: PEARLS AND PITFALLS 1128
SELECTED REFERENCES 1129
Chapter 101. Super. cial Inguinal Node Dissection 1130
STEP 1: SURGICAL ANATOMY 1130
STEP 2: PREOPERATIVE CONSIDERATIONS 1130
STEP 3: OPERATIVE STEPS 1132
STEP 4: POSTOPERATIVE CARE 1136
STEP 5: PEARLS AND PITFALLS 1136
SELECTED REFERENCES 1136
Chapter 102. Donor Nephrectomy 1137
STEP 1: SURGICAL ANATOMY 1137
STEP 2: PREOPERATIVE CONSIDERATIONS 1138
STEP 3: OPERATIVE STEPS 1140
STEP 4: POSTOPERATIVE CARE 1149
STEP 5: PEARLS AND PITFALLS 1150
SELECTED REFERENCES 1150
Chapter 103. Skin Graft\u2014Split Thickness and Full Thickness 1151
STEP 1: SURGICAL ANATOMY 1151
STEP 2: PREOPERATIVE CONSIDERATIONS 1154
STEP 3: OPERATIVE STEPS 1155
STEP 4: POSTOPERATIVE CARE 1158
STEP 5: PEARLS AND PITFALLS 1158
SELECTED REFERENCES 1163
Chapter 104. Neck Exploration for Trauma 1166
STEP 1: SURGICAL ANATOMY 1166
STEP 2: PREOPERATIVE CONSIDERATIONS 1169
STEP 3: OPERATIVE STEPS 1169
STEP 4: POSTOPERATIVE CARE 1173
STEP 5: PEARLS AND PITFALLS 1173
SELECTED REFERENCE 1173
Chapter 105. Subclavian Artery Stab 1174
STEP 1: SURGICAL ANATOMY 1174
STEP 2: PREOPERATIVE CONSIDERATIONS 1176
STEP 3: OPERATIVE STEPS 1176
STEP 4: POSTOPERATIVE CARE 1181
STEP 5: PEARLS AND PITFALLS 1181
SELECTED REFERENCE 1181
Chapter 106. Thoracotomy for Trauma 1182
STEP 1: SURGICAL ANATOMY 1182
STEP 2: PREOPERATIVE CONSIDERATIONS 1183
STEP 3: OPERATIVE STEPS 1183
STEP 4: POSTOPERATIVE CARE 1184
STEP 5: PEARLS AND PITFALLS 1184
SELECTED REFERENCES 1186
Chapter 107. Retroperitoneal Exposure 1187
STEP 1: SURGICAL ANATOMY 1187
STEP 2: PREOPERATIVE CONSIDERATIONS 1187
STEP 3: OPERATIVE STEPS 1188
STEP 4: POSTOPERATIVE CARE 1192
STEP 5: PEARLS AND PITFALLS 1192
SELECTED REFERENCE 1192
Index 1193
Copyright Page 2
Contributors 3
Preface 7
Acknowledgments 9
Chapter 1. Thyroidectomy (Lobectomy, Subtotal Resection, Total Thyroidectomy) 10
STEP 1: SURGICAL ANATOMY 10
STEP 2: PREOPERATIVE CONSIDERATIONS 10
STEP 3: OPERATIVE STEPS 12
STEP 4: POSTOPERATIVE CARE 24
STEP 5: PEARLS AND PITFALLS 26
SELECTED REFERENCES 26
Chapter 2. Modified Radical Neck Dissection Preserving Spinal Accessory Nerve 27
STEP 1: SURGICAL ANATOMY 27
STEP 2: PREOPERATIVE CONSIDERATIONS 28
STEP 3: OPERATIVE STEPS 30
STEP 4: POSTOPERATIVE CARE 46
STEP 5: PEARLS AND PITFALLS 47
SELECTED REFERENCES 49
Chapter 3. Parathyroidectomy 50
STEP 1: SURGICAL ANATOMY 50
STEP 2: PREOPERATIVE CONSIDERATIONS 51
STEP 3: OPERATIVE STEPS 51
STEP 4: POSTOPERATIVE CARE 56
STEP 5: PEARLS AND PITFALLS 56
SELECTED REFERENCES 58
Chapter 4. Parotidectomy 59
STEP 1: SURGICAL ANATOMY 59
STEP 2: PREOPERATIVE CONSIDERATIONS 59
STEP 3: OPERATIVE STEPS 62
STEP 4: POSTOPERATIVE CARE 71
STEP 5: PEARLS AND PITFALLS 71
SELECTED REFERENCES 72
Chapter 5. Tracheotomy 73
STEP 1: SURGICAL ANATOMY 73
STEP 2: PREOPERATIVE CONSIDERATIONS 74
STEP 3: OPERATIVE STEPS 75
STEP 4: POSTOPERATIVE CARE 82
STEP 5: PEARLS AND PITFALLS 82
SELECTED REFERENCES 83
Chapter 6. Cricothyroidotomy 84
STEP 1: SURGICAL ANATOMY 84
STEP 2: PREOPERATIVE CONSIDERATIONS 84
STEP 3: OPERATIVE STEPS 86
STEP 4: POSTOPERATIVE CARE 89
STEP 5: PEARLS AND PITFALLS 90
SELECTED REFERENCES 90
Chapter 7. Thyroglossal Duct Cyst 91
STEP 1: SURGICAL ANATOMY 91
STEP 2: PREOPERATIVE CONSIDERATIONS 91
STEP 3: OPERATIVE STEPS 91
STEP 4: POSTOPERATIVE CARE 95
STEP 5: PEARLS AND PITFALLS 95
SELECTED REFERENCES 95
Chapter 8. Adrenals\u2014Anterior, Posterior (Open and Laparoscopic) 96
STEP 1: SURGICAL ANATOMY 96
STEP 2: PREOPERATIVE CONSIDERATIONS 96
STEP 3: OPERATIVE STEPS 98
STEP 4: POSTOPERATIVE CARE 112
STEP 5: PEARLS AND PITFALLS 113
SELECTED REFERENCES 113
Chapter 9. Wide Local Excision 115
STEP 1: SURGICAL ANATOMY 115
STEP 2: PREOPERATIVE CONSIDERATIONS 116
STEP 3: OPERATIVE STEPS 117
STEP 4: POSTOPERATIVE CARE 122
STEP 5: PEARLS AND PITFALLS 123
SELECTED REFERENCES 123
Chapter 10. Modi. ed Radical Mastectomy 125
STEP 1: SURGICAL ANATOMY 125
STEP 2: PREOPERATIVE CONSIDERATIONS 126
STEP 3: OPERATIVE STEPS 128
STEP 4: POSTOPERATIVE CARE 137
STEP 5: PEARLS AND PITFALLS 138
SELECTED REFERENCES 139
Chapter 11. Sentinel Lymph Node Biopsy 140
INTRODUCTION 140
STEP 1: SURGICAL ANATOMY 140
STEP 2: PREOPERATIVE CONSIDERATIONS 140
STEP 3: OPERATIVE STEPS 142
STEP 4: POSTOPERATIVE CARE 149
STEP 5: PEARLS AND PITFALLS 149
STEP 6. CONCLUSION 150
SELECTED REFERENCES 151
Chapter 12. Excision of Benign Breast Lesion 152
STEP 1: SURGICAL ANATOMY 152
STEP 2: PREOPERATIVE CONSIDERATIONS 152
STEP 3: OPERATIVE STEPS 154
STEP 4: POSTOPERATIVE CARE 156
STEP 5: PEARLS AND PITFALLS 156
Chapter 13. Major Duct Excision 158
STEP 1: SURGICAL ANATOMY 158
STEP 2: PREOPERATIVE CONSIDERATIONS 158
STEP 3: OPERATIVE STEPS 158
STEP 4: POSTOPERATIVE CARE 162
STEP 5: PEARLS AND PITFALLS 162
Chapter 14. Intraductal Papilloma 163
STEP 1: SURGICAL ANATOMY 163
STEP 2: PREOPERATIVE CONSIDERATIONS 164
STEP 3: OPERATIVE STEPS 164
STEP 4: POSTOPERATIVE CARE 168
STEP 5: PEARLS AND PITFALLS 168
Chapter 15. Zenker\u2019s Diverticula 170
STEP 1: SURGICAL ANATOMY 170
STEP 2: PREOPERATIVE CONSIDERATIONS 170
STEP 3: OPERATIVE STEPS 172
STEP 4: POSTOPERATIVE CARE 179
STEP 5: PEARLS AND PITFALLS 179
SELECTED REFERENCES 179
Chapter 16. Esophagectomy\u2014Transhiatal 180
STEP 1: SURGICAL ANATOMY 180
STEP 2: PREOPERATIVE CONSIDERATIONS 180
STEP 3: OPERATIVE STEPS 182
STEP 4: POSTOPERATIVE CARE 201
STEP 5: PEARLS AND PITFALLS 201
SELECTED REFERENCES 201
Chapter 17. Esophagectomy\u2014Transthoracic (Ivor Lewis) 202
STEP 1: SURGICAL ANATOMY 202
STEP 2: PREOPERATIVE CONSIDERATIONS 202
STEP 3: OPERATIVE STEPS 204
STEP 4: POSTOPERATIVE CARE 210
STEP 5: PEARLS AND PITFALLS 210
SELECTED REFERENCES 210
Chapter 18. Esophagogastrectomy 211
STEP 1: SURGICAL ANATOMY 211
STEP 2: PREOPERATIVE CONSIDERATIONS 211
STEP 3: OPERATIVE STEPS 213
STEP 4: POSTOPERATIVE CARE 236
STEP 5: PEARLS AND PITFALLS 236
SELECTED REFERENCES 236
Chapter 19. Open Heller Myotomy 237
STEP 1: SURGICAL ANATOMY 237
STEP 2: PREOPERATIVE CONSIDERATIONS 238
STEP 3: OPERATIVE STEPS 239
STEP 4: POSTOPERATIVE CARE 245
STEP 5: PEARLS AND PITFALLS 246
Chapter 20. Stamm Gastrostomy 248
STEP 1: SURGICAL ANATOMY 248
STEP 2: PREOPERATIVE CONSIDERATIONS 248
STEP 3: OPERATIVE STEPS 248
STEP 4: POSTOPERATIVE CARE 253
STEP 5: PEARLS AND PITFALLS 253
SELECTED REFERENCES 253
Chapter 21. Witzel Jejunostomy 254
STEP 1: SURGICAL ANATOMY 254
STEP 2: PREOPERATIVE CONSIDERATIONS 254
STEP 3: OPERATIVE STEPS 254
STEP 4: POSTOPERATIVE CARE 260
STEP 5: PEARLS AND PITFALLS 260
SELECTED REFERENCES 260
Chapter 22. Percutaneous Gastrostomy Feeding Tube Placement (by surgeon or gastroenterologist) 261
STEP 1: SURGICAL ANATOMY 261
STEP 2: PREOPERATIVE CONSIDERATIONS 262
STEP 3: OPERATIVE STEPS 263
STEP 4: POSTOPERATIVE CARE 268
STEP 5: PEARLS AND PITFALLS 268
SELECTED REFERENCES 268
Chapter 23. Pyloroplasty 269
STEP 1: SURGICAL ANATOMY 269
STEP 2: PREOPERATIVE CONSIDERATIONS 269
STEP 3: OPERATIVE STEPS 270
STEP 4: POSTOPERATIVE CARE 274
STEP 5: PEARLS AND PITFALLS 274
SELECTED REFERENCES 274
Chapter 24. Finney Pyloroplasty 275
INTRODUCTION 275
STEP 1: SURGICAL ANATOMY 275
STEP 2: PREOPERATIVE CONSIDERATIONS 275
STEP 3: OPERATIVE STEPS 276
STEP 4: POSTOPERATIVE CARE 279
STEP 5: PEARLS AND PITFALLS 279
SELECTED REFERENCES 279
Chapter 25. Jaboulay Side-to-Side Gastroduodenostomy 280
INTRODUCTION 280
STEP 1: SURGICAL ANATOMY 280
STEP 2: PREOPERATIVE CONSIDERATIONS 280
STEP 3: OPERATIVE STEPS 281
STEP 4: POSTOPERATIVE CARE 281
STEP 5: PEARLS AND PITFALLS 285
SELECTED REFERENCES 285
Chapter 26. Gastric Resection: Billroth I 286
STEP 1: SURGICAL ANATOMY 286
STEP 2: PREOPERATIVE CONSIDERATIONS 286
STEP 3: OPERATIVE STEPS 286
STEP 4: POSTOPERATIVE CARE 299
STEP 5: PEARLS AND PITFALLS 299
SELECTED REFERENCES 299
Chapter 27. Gastric Resection: Billroth II 300
STEP 1: SURGICAL ANATOMY 300
STEP 2: PREOPERATIVE CONSIDERATIONS 300
STEP 3: OPERATIVE STEPS 300
STEP 4: POSTOPERATIVE CARE 311
STEP 5: PEARLS AND PITFALLS 311
SELECTED REFERENCES 311
Chapter 28. Total Gastrectomy 312
STEP 1: SURGICAL ANATOMY 312
STEP 2: PREOPERATIVE CONSIDERATIONS 312
STEP 3: OPERATIVE STEPS 312
STEP 4: POSTOPERATIVE CARE 322
STEP 5: PEARLS AND PITFALLS 322
SELECTED REFERENCES 322
Chapter 29. Open and Laparoscopic Closure of Perforated Peptic Ulcer 323
STEP 1: SURGICAL ANATOMY 323
STEP 2: PREOPERATIVE CONSIDERATIONS 324
STEP 3: OPERATIVE STEPS 324
STEP 4: POSTOPERATIVE CARE 330
STEP 5: PEARLS AND PITFALLS 331
SELECTED REFERENCES 331
Chapter 30. Bleeding Duodenal Ulcer 332
STEP 1: SURGICAL ANATOMY 332
STEP 2: PREOPERATIVE CONSIDERATIONS 332
STEP 3: OPERATIVE STEPS 332
STEP 4: POSTOPERATIVE CARE 335
STEP 5: PEARLS AND PITFALLS 335
SELECTED REFERENCES 335
Chapter 31. Truncal Vagotomy 336
STEP 1: SURGICAL ANATOMY 336
STEP 2: PREOPERATIVE CONSIDERATIONS 336
STEP 3: OPERATIVE STEPS 336
STEP 4: POSTOPERATIVE CARE 340
STEP 5: PEARLS AND PITFALLS 340
SELECTED REFERENCES 341
Chapter 32. Gastrojejunostomy 342
STEP 1: SURGICAL ANATOMY 342
STEP 2: PREOPERATIVE CONSIDERATIONS 342
STEP 3: OPERATIVE STEPS 342
STEP 4: POSTOPERATIVE CARE 352
STEP 5: PEARLS AND PITFALLS 352
SELECTED REFERENCES 352
Chapter 33. Pyloromyotomy 353
STEP 1: SURGICAL ANATOMY 353
STEP 2: PREOPERATIVE CONSIDERATIONS 353
STEP 3: OPERATIVE STEPS 354
STEP 4: POSTOPERATIVE CARE 360
STEP 5: PEARLS AND PITFALLS 361
SELECTED REFERENCES 361
Chapter 34. Roux-en-Y Gastric Bypass (Open and Laparoscopic) 362
STEP 1: SURGICAL ANATOMY 362
STEP 2: PREOPERATIVE CONSIDERATIONS 362
STEP 3: OPERATIVE STEPS 363
STEP 4: POSTOPERATIVE CONSIDERATIONS 392
STEP 5: PEARLS AND PITFALLS 392
SELECTED REFERENCE 393
Chapter 35. Laparoscopic Placement of Adjustable Gastric Band (Pars Flaccida Approach) 394
STEP 1: SURGICAL ANATOMY 394
STEP 2: PREOPERATIVE CONSIDERATIONS 394
STEP 3: OPERATIVE STEPS 395
STEP 4: POSTOPERATIVE CONSIDERATIONS 400
STEP 5: PEARLS AND PITFALLS 401
Chapter 36. Meckel\u2019s Diverticulectomy 402
STEP 1: SURGICAL ANATOMY 402
STEP 2: PREOPERATIVE CONSIDERATIONS 402
STEP 3: OPERATIVE STEPS 402
STEP 4: POSTOPERATIVE CARE 404
STEP 5: PEARLS AND PITFALLS 406
SELECTED REFERENCES 406
Chapter 37. Laparoscopic Appendectomy 407
STEP 1: SURGICAL ANATOMY 407
STEP 2: PREOPERATIVE CONSIDERATIONS 407
STEP 3: OPERATIVE STEPS 408
STEP 4: POSTOPERATIVE CARE 411
STEP 5: PEARLS AND PITFALLS 411
SELECTED REFERENCES 411
Chapter 38. Open Appendectomy 412
STEP 1: SURGICAL ANATOMY 412
STEP 2: PREOPERATIVE CONSIDERATIONS 412
STEP 3: OPERATIVE STEPS 413
STEP 4: POSTOPERATIVE CARE 418
STEP 5: PEARLS AND PITFALLS 418
SELECTED REFERENCES 418
Chapter 39. Intussusception 419
STEP 1: SURGICAL ANATOMY 419
STEP 2: PREOPERATIVE CONSIDERATIONS 419
STEP 3: OPERATIVE STEPS 420
STEP 4: POSTOPERATIVE CARE 423
STEP 5: PEARLS AND PITFALLS 423
SELECTED REFERENCES 423
Chapter 40. Correction of Malrotation with Midgut Volvulus 424
STEP 1: SURGICAL ANATOMY 424
STEP 2: PREOPERATIVE CONSIDERATIONS 424
STEP 3: OPERATIVE STEPS 426
STEP 4: POSTOPERATIVE CARE 428
STEP 5: PEARLS AND PITFALLS 428
SELECTED REFERENCES 428
Chapter 41. Laparoscopic and Open Cholecystectomy 430
STEP 1: SURGICAL ANATOMY 430
STEP 2: PREOPERATIVE CONSIDERATIONS 430
STEP 3: OPERATIVE STEPS 432
STEP 4: POSTOPERATIVE CARE (LAPAROSCOPIC AND OPEN CHOLECYSTECTOMY) 442
STEP 5: PEARLS AND PITFALLS 442
SELECTED REFERENCES 443
Chapter 42. Choledochoduodenostomy and Hepaticojejunostomy 444
STEP 1: SURGICAL ANATOMY 444
STEP 2: PREOPERATIVE CONSIDERATIONS 444
STEP 3: OPERATIVE STEPS 446
STEP 4: POSTOPERATIVE CARE (CHOLEDOCHODUODENOSTOMY AND HEPATICOJEJUNOSTOMY) 459
STEP 5: PEARLS AND PITFALLS 459
SELECTED REFERENCES 460
Chapter 43. Sphincteroplasty 461
STEP 1: SURGICAL ANATOMY 461
STEP 2: PREOPERATIVE CONSIDERATIONS 462
STEP 3: OPERATIVE STEPS 462
STEP 4: POSTOPERATIVE CARE 468
STEP 5: PEARLS AND PITFALLS 468
SELECTED REFERENCES 469
Chapter 44. Segmental Hepatic Resection\u2014Left Lateral Segmentectomy and Nonanatomic Resections 472
STEP 1: SURGICAL ANATOMY 472
STEP 3: OPERATIVE STEPS 475
STEP 4: POSTOPERATIVE CARE 482
STEP 5: PEARLS AND PITFALLS 483
SELECTED REFERENCES 483
Chapter 45. Right Hepatectomy 484
STEP 1: SURGICAL ANATOMY 484
STEP 2: PREOPERATIVE CONSIDERATIONS 486
STEP 3: OPERATIVE STEPS 486
STEP 4: POSTOPERATIVE CARE 498
STEP 5: PEARLS AND PITFALLS 499
Chapter 46. Left Hepatic Lobectomy 500
STEP 1: SURGICAL ANATOMY 500
STEP 2: PREOPERATIVE CONSIDERATIONS 502
STEP 3: OPERATIVE STEPS 503
STEP 4: POSTOPERATIVE CARE 512
STEP 5: PEARLS AND PITFALLS 513
SELECTED REFERENCES 513
Chapter 47. Distal Pancreatectomy and Splenectomy 516
STEP 1: SURGICAL ANATOMY 516
STEP 2: PREOPERATIVE CONSIDERATIONS 518
STEP 3: OPERATIVE STEPS 518
STEP 4: POSTOPERATIVE CARE 528
STEP 5: PEARLS AND PITFALLS 528
SELECTED REFERENCES 529
Chapter 48. Beger and Frey Procedures 530
STEP 1: SURGICAL ANATOMY 530
STEP 2: PREOPERATIVE CONSIDERATIONS 532
STEP 3: OPERATIVE STEPS 533
STEP 4: POSTOPERATIVE CARE 551
STEP 5: PEARLS AND PITFALLS 551
SELECTED REFERENCES 552
Chapter 49. Pylorus-Saving Pancreaticoduodenectomy 553
STEP 1: SURGICAL ANATOMY 553
STEP 2: PREOPERATIVE CONSIDERATIONS 555
STEP 3: OPERATIVE STEPS 556
STEP 4: POSTOPERATIVE CARE 570
STEP 5: PEARLS AND PITFALLS 571
SELECTED REFERENCES 571
Chapter 50. Pancreaticojejunostomy (Puestow) 572
STEP 1: SURGICAL ANATOMY 572
STEP 2: PREOPERATIVE CONSIDERATIONS 574
STEP 3: OPERATIVE STEPS 575
STEP 4: POSTOPERATIVE CARE 584
STEP 5: PEARLS AND PITFALLS 584
SELECTED REFERENCES 585
Chapter 51. Pseudocysts\u2014Cystogastrostomy, Cystoduodenostomy, and Cystojejunostomy 586
STEP 1: SURGICAL ANATOMY 586
STEP 2: PREOPERATIVE CONSIDERATIONS 589
STEP 3: OPERATIVE STEPS 589
STEP 4: POSTOPERATIVE CARE 606
STEP 5: PEARLS AND PITFALLS 608
SELECTED REFERENCES 608
Chapter 52. Splenectomy/Splenic Repair 610
STEP 1: SURGICAL ANATOMY 610
STEP 2: PREOPERATIVE CONSIDERATIONS 610
STEP 3: OPERATIVE STEPS 612
STEP 4: POSTOPERATIVE CARE 616
STEP 5: PEARLS AND PITFALLS 616
SELECTED REFERENCES 617
Chapter 53. Port Placement for Colon Operations 620
STEP 1: SURGICAL ANATOMY 620
STEP 2: PREOPERATIVE CONSIDERATIONS 620
STEP 3: OPERATIVE STEPS 622
STEP 4: POSTOPERATIVE CONSIDERATIONS 624
STEP 5: PEARLS AND PITFALLS 624
SELECTED REFERENCES 624
Chapter 54. Diverting End Colostomy with Mucous Fistula or Hartmann\u2019s Pouch 625
STEP 1: SURGICAL ANATOMY 625
STEP 2: PREOPERATIVE CONSIDERATIONS 625
STEP 3: OPERATIVE STEPS 626
STEP 4: POSTOPERATIVE CARE 634
STEP 5: PEARLS AND PITFALLS 634
Chapter 55. Brooke Ileostomy 635
STEP 1: SURGICAL ANATOMY 635
STEP 2: PREOPERATIVE CONSIDERATIONS 635
STEP 3: OPERATIVE STEPS 635
STEP 4: POSTOPERATIVE CARE 642
STEP 5: PEARLS AND PITFALLS 642
Chapter 56. Loop Colostomy 643
STEP 1: SURGICAL ANATOMY 643
STEP 2: PREOPERATIVE CONSIDERATIONS 643
STEP 3: OPERATIVE STEPS 643
STEP 4: POSTOPERATIVE CARE 648
STEP 5: PEARLS AND PITFALLS 648
Chapter 57. Stoma Takedown: Takedown of Loop Colostomy or Ileostomy 649
STEP 1: SURGICAL ANATOMY 649
STEP 2: PREOPERATIVE CONSIDERATIONS 649
STEP 3: OPERATIVE STEPS 650
STEP 4: POSTOPERATIVE CARE 658
STEP 5: PEARLS AND PITFALLS 659
SELECTED REFERENCES 659
Chapter 58. Right Hemicolectomy 660
STEP 1: SURGICAL ANATOMY 660
STEP 2: PREOPERATIVE CONSIDERATIONS 660
STEP 3: OPERATIVE STEPS 661
STEP 4: POSTOPERATIVE CARE 671
STEP 5: PEARLS AND PITFALLS 671
SELECTED REFERENCES 671
Chapter 59. Right Colectomy (Laparoscopic-Assisted) 672
STEP 1: SURGICAL ANATOMY 672
STEP 2: PREOPERATIVE CONSIDERATIONS 672
STEP 3: OPERATIVE STEPS 674
STEP 4: POSTOPERATIVE CARE 681
STEP 5: PEARLS AND PITFALLS 681
SELECTED REFERENCES 682
Chapter 60. Left and Sigmoid Colectomy 683
STEP 1: SURGICAL ANATOMY 683
STEP 2: PREOPERATIVE CONSIDERATIONS 683
STEP 3: OPERATIVE STEPS 684
STEP 4: POSTOPERATIVE CARE 692
STEP 5: PEARLS AND PITFALLS 692
SELECTED REFERENCES 693
Chapter 61. Left and Sigmoid Colectomy (Laparoscopic-Assisted) 694
STEP 1: SURGICAL ANATOMY 694
STEP 2: PREOPERATIVE CONSIDERATIONS 695
STEP 3: OPERATIVE STEPS 695
STEP 4: POSTOPERATIVE CARE 705
STEP 5: PEARLS AND PITFALLS 705
SELECTED REFERENCES 706
Chapter 62. Total Colectomy 707
STEP 1: SURGICAL ANATOMY 707
STEP 2: PREOPERATIVE CONSIDERATIONS 708
STEP 3: OPERATIVE STEPS 709
STEP 4: POSTOPERATIVE CARE 720
STEP 5: PEARLS AND PITFALLS 720
SELECTED REFERENCES 721
Chapter 63. Ileoanal Anastomosis (Straight and J Pouch) 722
STEP 1: SURGICAL ANATOMY 722
STEP 2: PREOPERATIVE CONSIDERATIONS 722
STEP 3: OPERATIVE STEPS 726
STEP 4: POSTOPERATIVE CARE 739
STEP 5: PEARLS AND PITFALLS 740
SELECTED REFERENCES 741
Chapter 64. Low Anterior Resection\u2014 Total Mesorectal Excision 742
STEP 1: SURGICAL ANATOMY 742
STEP 2: PREOPERATIVE CONSIDERATIONS 742
STEP 3: OPERATIVE STEPS 743
STEP 4: POSTOPERATIVE CARE 753
STEP 5: PEARLS AND PITFALLS 753
SELECTED REFERENCES 754
Chapter 65. Miles Abdominoperineal Resection with Total Mesorectal Excision 755
STEP 1: SURGICAL ANATOMY 755
STEP 2: PREOPERATIVE CONSIDERATIONS 755
STEP 3: OPERATIVE STEPS 756
STEP 4: POSTOPERATIVE CARE 766
STEP 5: PEARLS AND PITFALLS 766
SELECTED REFERENCES 766
Chapter 66. Hemorrhoidectomy 768
STEP 1: SURGICAL ANATOMY 768
STEP 2: PREOPERATIVE CONSIDERATIONS 768
STEP 3: OPERATIVE STEPS 768
STEP 4: POSTOPERATIVE CARE 772
STEP 5: PEARLS AND PITFALLS 772
SELECTED REFERENCE 772
Chapter 67. Drainage of Perirectal Abscess 773
STEP 1: SURGICAL ANATOMY 773
STEP 2: PREOPERATIVE CONSIDERATIONS 773
STEP 3: OPERATIVE STEPS 773
STEP 4: POSTOPERATIVE CARE 775
STEP 5: PEARLS AND PITFALLS 775
SELECTED REFERENCES 775
Chapter 68. Lateral Sphincterotomy 776
STEP 1: SURGICAL ANATOMY 776
STEP 2: PREOPERATIVE CONSIDERATIONS 776
STEP 3: OPERATIVE STEPS 776
STEP 4: POSTOPERATIVE CARE 779
STEP 5: PEARLS AND PITFALLS 779
SELECTED REFERENCE 779
Chapter 69. Pilonidal Cyst Curettage 780
STEP 1: SURGICAL ANATOMY 780
STEP 2: PREOPERATIVE CONSIDERATIONS 780
STEP 3: OPERATIVE STEPS 781
STEP 4: POSTOPERATIVE CARE 783
STEP 5: PEARLS AND PITFALLS 783
SELECTED REFERENCE 783
Chapter 70. Incision of Fistula-in-Ano 784
STEP 1: SURGICAL ANATOMY 784
STEP 2: PREOPERATIVE CONSIDERATIONS 784
STEP 3: OPERATIVE STEPS 786
STEP 4: POSTOPERATIVE CARE 788
STEP 5: PEARLS AND PITFALLS 788
SELECTED REFERENCE 788
Chapter 71. Hernia Repair: General Principles\u2014Tension-Free versus Tension 790
STEP 1: SURGICAL ANATOMY 790
STEP 2: PREOPERATIVE CONSIDERATIONS 794
STEP 3: OPERATIVE STEPS 795
STEP 4: POSTOPERATIVE CARE 798
STEP 5: PEARLS AND PITFALLS 800
SELECTED REFERENCES 800
Chapter 72. Mesh Repair 801
STEP 1: SURGICAL ANATOMY 801
STEP 2: PREOPERATIVE CONSIDERATIONS 801
STEP 3: OPERATIVE STEPS 801
STEP 4: POSTOPERATIVE CARE 809
STEP 5: PEARLS AND PITFALLS 809
SELECTED REFERENCES 809
Chapter 73. Inguinal Herniorrhaphy\u2014Bassini 810
STEP 1: SURGICAL ANATOMY 810
STEP 2: PREOPERATIVE CONSIDERATIONS 810
STEP 3: OPERATIVE STEPS 810
STEP 4: POSTOPERATIVE CARE 818
STEP 5: PEARLS AND PITFALLS 818
SELECTED REFERENCES 818
Chapter 74. Inguinal Herniorrhaphy (McVay; Cooper\u2019s Ligament Repair) 819
STEP 1: SURGICAL ANATOMY 819
STEP 2: PREOPERATIVE CONSIDERATIONS 820
STEP 3: OPERATIVE STEPS 820
STEP 4: POSTOPERATIVE CARE 827
STEP 5: PEARLS AND PITFALLS 827
SELECTED REFERENCE 827
Chapter 75. Inguinal Herniorrhaphy\u2014 Shouldice 828
STEP 1: SURGICAL ANATOMY 828
STEP 2: PREOPERATIVE CONSIDERATIONS 830
STEP 3: OPERATIVE STEPS 832
STEP 4: POSTOPERATIVE CARE 840
STEP 5: PEARLS AND PITFALLS 840
SELECTED REFERENCES 840
Chapter 76. Sliding Inguinal Hernia 841
STEP 1: SURGICAL ANATOMY 841
STEP 2: PREOPERATIVE CONSIDERATIONS 841
STEP 3: OPERATIVE STEPS 841
STEP 4: POSTOPERATIVE CARE 844
STEP 5: PEARLS AND PITFALLS 844
SELECTED REFERENCE 844
Chapter 77. Inguinal Hernias in Infants and Small Children 845
INTRODUCTION 845
STEP 1: SURGICAL ANATOMY 845
STEP 2: PREOPERATIVE CONSIDERATIONS 846
STEP 3: OPERATIVE STEPS 846
STEP 4: POSTOPERATIVE CARE 851
STEP 5: PEARLS AND PITFALLS 851
SELECTED REFERENCES 851
Chapter 78. Laparoscopic Inguinal Hernia Repair 852
STEP 1: SURGICAL ANATOMY 852
STEP 2: PREOPERATIVE CONSIDERATIONS 852
STEP 3: OPERATIVE STEPS 854
STEP 4: POSTOPERATIVE CARE 864
STEP 5: PEARLS AND PITFALLS 864
SELECTED REFERENCES 864
Chapter 79. Femoral Hernia 865
STEP 1: SURGICAL ANATOMY 865
STEP 2: PREOPERATIVE CONSIDERATIONS 866
STEP 3: OPERATIVE STEPS 867
STEP 4: POSTOPERATIVE CARE 870
STEP 5: PEARLS AND PITFALLS 870
SELECTED REFERENCE 870
Chapter 80. Umbilical Hernia (Child and Adult) 871
STEP 1: SURGICAL ANATOMY 871
STEP 2: PREOPERATIVE CONSIDERATIONS FOR A CHILD 871
STEP 2: PREOPERATIVE CONSIDERATIONS FOR AN ADULT 871
STEP 3: OPERATIVE STEPS FOR A CHILD 872
STEP 3: OPERATIVE STEPS FOR AN ADULT 874
STEP 4: POSTOPERATIVE CONSIDERATIONS 880
STEP 5: PEARLS AND PITFALLS 880
SELECTED REFERENCES 880
Chapter 81. Incisional/Ventral Hernia\u2014 Mesh and Tissue Flap 881
STEP 1: SURGICAL ANATOMY 881
STEP 2: PREOPERATIVE CONSIDERATIONS 882
STEP 3: OPERATIVE STEPS 882
STEP 4: POSTOPERATIVE CARE 885
SELECTED REFERENCE 885
Chapter 82. Resection of Abdominal Aortic Aneurysm 888
ELECTIVE ANEURYSM REPAIR 888
STEP 1: SURGICAL ANATOMY 888
STEP 2: PREOPERATIVE CONSIDERATIONS 889
STEP 3: OPERATIVE STEPS 890
STEP 4: POSTOPERATIVE CARE 898
STEP 5: PEARLS AND PITFALLS 898
SELECTED REFERENCES 899
Chapter 83. Aortofemoral Bypass Graft for Occlusive Disease 900
STEP 1: SURGICAL ANATOMY 900
STEP 2: PREOPERATIVE CONSIDERATIONS 902
STEP 3: OPERATIVE STEPS 904
STEP 4: POSTOPERATIVE CARE 912
STEP 5: PEARLS AND PITFALLS 912
SELECTED REFERENCES 913
Chapter 84. Carotid Endarterectomy 914
STEP 1: SURGICAL ANATOMY 914
STEP 2: PREOPERATIVE CONSIDERATIONS 916
STEP 3: OPERATIVE STEPS 916
STEP 4: POSTOPERATIVE CARE 925
STEP 5: PEARLS AND PITFALLS 926
SELECTED REFERENCES 926
Chapter 85. Femoropopliteal Bypass (In Situ) 927
STEP 1: SURGICAL ANATOMY 927
STEP 2: PREOPERATIVE CONSIDERATIONS 930
STEP 3: OPERATIVE STEPS 930
STEP 4: POSTOPERATIVE CARE 934
STEP 5: PEARLS AND PITFALLS 936
SELECTED REFERENCES 936
Chapter 86. Femorotibial and Peroneal Bypass 937
STEP 1: SURGICAL ANATOMY 937
STEP 2: PREOPERATIVE CONSIDERATIONS 937
STEP 3: OPERATIVE STEPS 938
STEP 4: POSTOPERATIVE CARE 944
STEP 5: PEARLS AND PITFALLS 944
SELECTED REFERENCES 945
Chapter 87. Fasciotomy\u2014Forearm and Leg 946
STEP 1: SURGICAL ANATOMY FOR FOREARM 946
STEP 2: PREOPERATIVE CONSIDERATIONS FOR FOREARM 948
STEP 3: OPERATIVE STEPS FOR FOREARM 948
STEP 1: SURGICAL ANATOMY FOR LEG 950
STEP 2: PREOPERATIVE CONSIDERATIONS FOR LEG 950
STEP 3: OPERATIVE STEPS FOR LEG 950
STEP 4: POSTOPERATIVE CARE 952
STEP 5: PEARLS AND PITFALLS 952
SELECTED REFERENCES 952
Chapter 88. Renal Revascularization 953
STEP 1: SURGICAL ANATOMY 953
STEP 2: PREOPERATIVE CONSIDERATIONS 953
STEP 3: OPERATIVE STEPS\u2014AORTORENAL BYPASS 954
STEP 3: OPERATIVE STEPS\u2014AORTORENAL ENDARTERECTOMY 960
STEP 3: OPERATIVE STEPS\u2014SPLENORENAL BYPASS 962
STEP 3: OPERATIVE STEPS\u2014HEPATORENAL BYPASS 966
STEP 4: POSTOPERATIVE CARE 970
STEP 5: PEARLS AND PITFALLS 970
SELECTED REFERENCES 971
Chapter 89. Mesenteric Ischemia 972
INTRODUCTION 972
STEP 1: SURGICAL ANATOMY 972
STEP 2: PREOPERATIVE CONSIDERATIONS 973
STEP 3: OPERATIVE STEPS 974
STEP 4: POSTOPERATIVE CARE 988
STEP 5: PEARLS AND PITFALLS 988
SELECTED REFERENCES 989
Chapter 90. Hemodialysis Access Procedures 990
STEP 1: SURGICAL ANATOMY 990
STEP 2: PREOPERATIVE CONSIDERATIONS 990
STEP 3: OPERATIVE STEPS\u2014RADIOCEPHALIC ARTERIOVENOUS FISTULA 994
STEP 3: OPERATIVE STEPS\u2014ANTECUBITAL ARTERIOVENOUS FISTULA 997
STEP 3: OPERATIVE STEPS\u2014BRACHIOBASILIC UPPER ARM TRANSPOSITION 1001
STEP 3: OPERATIVE STEPS\u2014ARTERIOVENOUS GRAFTS 1006
STEP 3: OPERATIVE STEPS\u2014GRAFT REVISION: THROMBECTOMY 1012
STEP 4: POSTOPERATIVE CARE 1014
STEP 5: PEARLS AND PITFALLS 1014
SELECTED REFERENCES 1016
Chapter 91. Insertion of Tenckhoff Catheter 1017
STEP 1: SURGICAL ANATOMY 1017
STEP 2: PREOPERATIVE CONSIDERATIONS 1018
STEP 3: OPERATIVE STEPS\u2014OPEN PROCEDURE 1018
STEP 3: OPERATIVE STEPS\u2014LAPAROSCOPIC OPTION 1022
STEP 4: POSTOPERATIVE CARE 1025
STEP 5: PEARLS AND PITFALLS 1025
SELECTED REFERENCE 1025
Chapter 92. Insertion of Peritoneal Venous Shunts 1026
STEP 1: SURGICAL ANATOMY 1026
STEP 2: PREOPERATIVE CONSIDERATIONS 1028
STEP 3: OPERATIVE STEPS 1028
STEP 4: POSTOPERATIVE CARE 1036
STEP 5: PEARLS AND PITFALLS 1036
SELECTED REFERENCES 1036
Chapter 93. Below-Knee Amputation 1038
STEP 1: SURGICAL ANATOMY 1038
STEP 2: PREOPERATIVE CONSIDERATIONS 1038
STEP 3: OPERATIVE STEPS 1038
STEP 4: POSTOPERATIVE CARE 1048
STEP 5: PEARLS AND PITFALLS 1049
SELECTED REFERENCE 1049
Chapter 94. Supracondylar Amputation 1050
STEP 1: SURGICAL ANATOMY 1050
STEP 2: PREOPERATIVE CONSIDERATIONS 1050
STEP 3: OPERATIVE STEPS 1052
STEP 4: POSTOPERATIVE CARE 1058
STEP 5: PEARLS AND PITFALLS 1058
SELECTED REFERENCES 1058
Chapter 95. Transmetatarsal Amputation 1059
INTRODUCTION 1059
STEP 1: SURGICAL ANATOMY 1059
STEP 2: PREOPERATIVE CONSIDERATIONS 1060
STEP 3: OPERATIVE STEPS 1060
STEP 4: POSTOPERATIVE CARE 1064
STEP 5: PEARLS AND PITFALLS 1064
SELECTED REFERENCES 1064
Chapter 96. Hip Disarticulation 1065
INDICATION 1065
STEP 1: SURGICAL ANATOMY 1065
STEP 2: PREOPERATIVE CONSIDERATIONS 1065
STEP 3: OPERATIVE STEPS 1066
STEP 4: POSTOPERATIVE CARE 1073
STEP 5: PEARLS AND PITFALLS 1073
SELECTED REFERENCES 1073
Chapter 97. Abdominal Hysterectomy 1076
STEP 1: SURGICAL ANATOMY 1076
STEP 2: PREOPERATIVE CONSIDERATIONS 1078
STEP 3: OPERATIVE STEPS 1080
STEP 4: POSTOPERATIVE CARE 1092
STEP 5: PEARLS AND PITFALLS 1092
SELECTED REFERENCES 1073
Chapter 98. Bilateral Salpingo- Oophorectomy 1093
STEP 1: SURGICAL ANATOMY 1093
STEP 2: PREOPERATIVE CONSIDERATIONS 1094
STEP 3: OPERATIVE STEPS 1094
STEP 4: POSTOPERATIVE CARE 1099
STEP 5: PEARLS AND PITFALLS 1099
SELECTED REFERENCE 1099
Chapter 99. Repair of Rectovaginal Fistulae 1100
STEP 1: SURGICAL ANATOMY 1100
STEP 2: PREOPERATIVE CONSIDERATIONS 1101
STEP 3: OPERATIVE STEPS 1102
STEP 4: POSTOPERATIVE CARE 1114
STEP 5: PEARLS AND PITFALLS 1114
Chapter 100. Axillary Node Dissection 1118
STEP 1: SURGICAL ANATOMY 1118
STEP 2: PREOPERATIVE CONSIDERATIONS 1120
STEP 3: OPERATIVE STEPS 1120
STEP 4: POSTOPERATIVE CARE 1127
STEP 5: PEARLS AND PITFALLS 1128
SELECTED REFERENCES 1129
Chapter 101. Super. cial Inguinal Node Dissection 1130
STEP 1: SURGICAL ANATOMY 1130
STEP 2: PREOPERATIVE CONSIDERATIONS 1130
STEP 3: OPERATIVE STEPS 1132
STEP 4: POSTOPERATIVE CARE 1136
STEP 5: PEARLS AND PITFALLS 1136
SELECTED REFERENCES 1136
Chapter 102. Donor Nephrectomy 1137
STEP 1: SURGICAL ANATOMY 1137
STEP 2: PREOPERATIVE CONSIDERATIONS 1138
STEP 3: OPERATIVE STEPS 1140
STEP 4: POSTOPERATIVE CARE 1149
STEP 5: PEARLS AND PITFALLS 1150
SELECTED REFERENCES 1150
Chapter 103. Skin Graft\u2014Split Thickness and Full Thickness 1151
STEP 1: SURGICAL ANATOMY 1151
STEP 2: PREOPERATIVE CONSIDERATIONS 1154
STEP 3: OPERATIVE STEPS 1155
STEP 4: POSTOPERATIVE CARE 1158
STEP 5: PEARLS AND PITFALLS 1158
SELECTED REFERENCES 1163
Chapter 104. Neck Exploration for Trauma 1166
STEP 1: SURGICAL ANATOMY 1166
STEP 2: PREOPERATIVE CONSIDERATIONS 1169
STEP 3: OPERATIVE STEPS 1169
STEP 4: POSTOPERATIVE CARE 1173
STEP 5: PEARLS AND PITFALLS 1173
SELECTED REFERENCE 1173
Chapter 105. Subclavian Artery Stab 1174
STEP 1: SURGICAL ANATOMY 1174
STEP 2: PREOPERATIVE CONSIDERATIONS 1176
STEP 3: OPERATIVE STEPS 1176
STEP 4: POSTOPERATIVE CARE 1181
STEP 5: PEARLS AND PITFALLS 1181
SELECTED REFERENCE 1181
Chapter 106. Thoracotomy for Trauma 1182
STEP 1: SURGICAL ANATOMY 1182
STEP 2: PREOPERATIVE CONSIDERATIONS 1183
STEP 3: OPERATIVE STEPS 1183
STEP 4: POSTOPERATIVE CARE 1184
STEP 5: PEARLS AND PITFALLS 1184
SELECTED REFERENCES 1186
Chapter 107. Retroperitoneal Exposure 1187
STEP 1: SURGICAL ANATOMY 1187
STEP 2: PREOPERATIVE CONSIDERATIONS 1187
STEP 3: OPERATIVE STEPS 1188
STEP 4: POSTOPERATIVE CARE 1192
STEP 5: PEARLS AND PITFALLS 1192
SELECTED REFERENCE 1192
Index 1193
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