By Courtney M. Townsend Jr. JR. MD, B. Mark Evers MD
Atlas of common Surgical concepts covers the entire spectrum and breadth of normal surgical procedure via approximately 1200 easy-to-follow anatomic drawings. Drs. Courtney M. Townsend, Jr. and B. Mark Evers current step by step information for universal and intricate tactics, together with open and minimally invasive recommendations. The hugely constant method and outsized layout permit for giant academic illustrations with pearls and pitfalls on the finish of every bankruptcy. accomplished insurance comprises scorching themes resembling Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy,Hernia fix, Exploration of Neck for Trauma, and Subclavian Artery Stab. you should have an entire array of surgeries at your fingertips-in print and on-line at expertconsult.com! 2009 PROSE Awards (awarded by means of organization of yank Publishers for pro and scholarly excellence)Finalist/Honorable point out, medical medication contains entry to the absolutely searchable textual content on-line at expertconsult.com, besides downloadable pictures. good points 1200 easy-to-follow, step by step anatomic drawings that in actual fact depict the entire spectrum and breadth of surgical techniques-both open and minimally invasive. Covers sizzling subject matters equivalent to Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy,Hernia fix, Exploration of Neck for Trauma, and Subclavian Artery Stab. presents step by step directions for every technique in a hugely constant structure that makes utilizing suggestions effortless. Highlights pearls and pitfalls on the finish of every bankruptcy so that you recognize what to anticipate earlier than coming into the working room. offers the designated assistance of specialists on what you want to learn about universal and demanding systems.
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Extra resources for Atlas of General Surgical Techniques
This is a warning and allows the surgeon time to assess the carotid artery system via arteriogram. ◆ Persistent/recurrent tumor CHAPTER 2 • Modiﬁed Radical Neck Dissection Preserving Spinal Accessory Nerve 41 SELECTED REFERENCES 1. Eibling DE: Neck dissections. In Myers EN (ed): Operative Otolaryngology Head and Neck Surgery. Philadelphia, Saunders, 1997, pp 676-718. 2. Peters GE, Price JC, Johns ME: Cervical lymphadenectomy. In Johns ME, Price JC, Mattox DE (eds): Atlas of Head and Neck Surgery.
POSTOPERATIVE COMPLICATIONS ◆ Hematoma ◆ Seroma ◆ Visible scar on neck ◆ Blood loss anemia ◆ Wound infection ◆ Chyle ﬁstula: Milky drainage in the suction bulb or high output drainage is indicative of a chyle leak. Drain ﬂuid can be sent for triglyceride level if necessary to conﬁrm the diagnosis. This is treated with a pressure dressing and a medium-chain triglyceride diet. Intravenous hyperalimentation may be necessary. If high output continues, neck exploration is indicated. ” A pectoralis major myocutaneous ﬂap is typically used.
I prefer the latter. 2. DISSECTION ◆ The superﬁcial layer of the deep cervical fascia overlying the submandibular gland is incised 1 cm anterior and 1 cm inferior to the angle of the mandible. The marginal mandibular nerve will be found in this location. It lies lateral to the facial vessels. The nerve is sharply dissected from the underlying tissue and elevated superiorly together with the fascia (Figure 2-3). This is necessary in order to dissect the prevascular facial nodes. ◆ An Allis clamp is placed on the ﬁbro-fatty tissue in the midline submental area lying between the anterior bellies of the digastric muscle.