By Courtney M. Townsend Jr. JR. MD, B. Mark Evers MD
Atlas of basic Surgical strategies covers the total 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 suggestions for universal and complicated systems, together with open and minimally invasive options. The hugely constant strategy and outsized structure enable for big academic illustrations with pearls and pitfalls on the finish of every bankruptcy. complete insurance comprises sizzling issues reminiscent of 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 way 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 photographs. gains 1200 easy-to-follow, step by step anatomic drawings that essentially depict the whole spectrum and breadth of surgical techniques-both open and minimally invasive. Covers scorching subject matters akin to Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy,Hernia fix, Exploration of Neck for Trauma, and Subclavian Artery Stab. offers step by step directions for every method in a hugely constant structure that makes making use of concepts 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. provides the targeted tips of experts on what you want to find out about universal and not easy approaches.
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Additional info for Atlas of General Surgical Techniques
In addition, all patients who are symptomatic from their hypercalcemia should be referred for surgical management. ◆ Preoperative localization is imperative before primary exploration if unilateral exploration is desired. As noted previously, this can be accomplished by one of several noninvasive techniques. STEP 3: OPERATIVE STEPS 1. INCISION ◆ Proper positioning of the patient is critical for adequate exposure. This is normally accomplished by hyperextension of the neck using a rolled sheet between the shoulder blades.
Once a nerve branch is completely exposed, the surgeon again returns to the major division where he or she was working and the next nerve branch in sequence is exposed. This is done until all the branches are exposed and the gland is removed. The parotid tissue is retracted forward using Allis clamps and other retractors during this dissection (see Figure 4-6). ◆ In this example, the benign tumor is located in the tail of the parotid. The branches of the lower division are dissected and the tumor is removed with a large cuff of parotid tissue.
In Greene FL, Page DL, Fleming ID, et al (eds): AJCC Cancer Staging Manual, 6th ed. New York, Springer, 2002, pp 17-22. 5. Martin H, Del VB, Ehrlich H, Cahan WG: Neck dissection. Cancer 1951; 4:441. C H A P T E R 3 Parathyroidectomy B. Mark Evers STEP 1: SURGICAL ANATOMY ◆ A comprehensive understanding of the anatomy of the neck is critical (see Figure 1-1). In addition, a thorough knowledge of the embryology and development of the parathyroid glands is important to understand where in the neck or mediastinum the parathyroid gland may lie, based on normal embryologic descent of the superior and inferior glands.