By Courtney M. Townsend Jr. JR. MD, B. Mark Evers MD
Atlas of basic Surgical strategies covers the entire spectrum and breadth of basic 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 complicated systems, together with open and minimally invasive suggestions. The hugely constant strategy and outsized structure permit for giant academic illustrations with pearls and pitfalls on the finish of every bankruptcy. complete insurance contains scorching subject matters equivalent to Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy,Hernia fix, Exploration of Neck for Trauma, and Subclavian Artery Stab. you should have a whole 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 drugs contains entry to the totally searchable textual content on-line at expertconsult.com, in addition to downloadable pictures. positive factors 1200 easy-to-follow, step by step anatomic drawings that basically depict the entire spectrum and breadth of surgical techniques-both open and minimally invasive. Covers sizzling subject matters comparable 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 making use of ideas effortless. Highlights pearls and pitfalls on the finish of every bankruptcy so that you understand what to anticipate sooner than getting into the working room. offers the distinctive assistance of gurus on what you want to find out about universal and tough methods.
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Additional info for Atlas of General Surgical Techniques: Expert Consult - Online and Print
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. ◆ Carotid blowout: This occurs when the carotid artery becomes exposed because of skin necrosis or if it is bathed with saliva from a ﬁstula that develops following resection of the primary tumor.
This allows for more directed operation and a smaller incision. Figure 3-1 illustrates an abnormally enlarged right inferior parathyroid gland. Normal superior right parathyroid gland Abnormally enlarged inferior right parathyroid gland FIGURE 3–1 42 Normal superior left parathyroid gland Normal inferior left parathyroid gland CHAPTER 3 • Parathyroidectomy 43 STEP 2: PREOPERATIVE CONSIDERATIONS ◆ Criteria for surgical referral, as noted by the National Institutes of Health workshop in 2002, include: serum calcium concentration greater than 1 mg/dL above the upper limits of normal, 24-hour urinary calcium greater than 400 mg, creatinine clearance reduced by greater than 30% in comparison with age-matched subjects, bone density greater than 2 standard deviations below peak bone mass, all individuals with hyperparathyroidism and age younger than 50 years, and patients for whom medical surveillance is either undesirable or impossible.
The relationship of the SAN to the IJV is noted during this dissection. ◆ The nerve is sharply dissected from the underlying tissue. The branch to the SCM muscle must be divided to mobilize the nerve. A nerve hook or vein retractor can be used to retract the nerve as it is being skeletonized to minimize trauma. Accessory nerve FIGURE 2–10 Accessory nerve Trapezius muscle FIGURE 2–11 30 Section I • Head and Neck and Endocrine Procedures ◆ The IJV at the skull base is isolated circumferentially from the surrounding tissue so that it can be ligated at a later time.