Carotid Endarterectomy

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Carotid Endarterectomy

Operation 34 Carotid Endarterectomy Carotid bifurcation exposed after transection of facial vein and retraction of internal jugular vein Passing tapes above and below disease-bearing carotid segment Indications • Symptomatic carotid…

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Insertion of Portacath

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Insertion of Portacath

Operation 37 Insertion of Portacath Vascular access port placed through right subclavian vein Indications • Need for ongoing frequent venous access • Poor peripheral venous access Medical Knowledge—You Need to…

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Common Bile Duct Exploration

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Common Bile Duct Exploration

Operation 28 Common Bile Duct Exploration Removal of a common duct stone using choledochoscope and basket Indications • Common duct stones • Undiagnosed common duct obstruction Medical Knowledge—You Need to…

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Laparoscopic Cholecystectomy

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Laparoscopic Cholecystectomy

Operation 27 Laparoscopic Cholecystectomy Complete dissection of triangle of Calot Transection of cystic duct between clips Indications • Biliary colic • Acute and chronic cholecystitis Medical Knowledge—You Need to Know…

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Splenectomy

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Splenectomy

Operation 12 Splenectomy Vasculature of the spleen Indications • Splenic injury • Hematologic indications • Spherocytosis • Idiopathic thrombocytopenic purpura (ITP) • Symptomatic splenomegaly Medical Knowledge—You Need to Know •…

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Open Appendectomy

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Open Appendectomy

Operation 24 Open Appendectomy Ligation of appendiceal artery Division and inversion of appendiceal base Indications • Clinical history or CT scan compatible with acute appendicitis Medical Knowledge—You Need to Know…

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Right Colectomy

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Right Colectomy

Operation 20 Right Colectomy Vascular supply of right colon Resection for right colectomy Indications • Cancer of right colon • Crohn’s disease • Sessile polyps • Bleeding AVMs Medical Knowledge—You…

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Vascular Tools

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Vascular Tools

Chapter 32 Vascular Tools Lino F. Miele, MD, MS, Alexander Uribe, MD Section Editor’s Note There is more to understanding a diagnostic study than simply reading the interpretation. The physician…

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Gastric Bypass (Case 39)

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Gastric Bypass (Case 39)

Chapter 57 Gastric Bypass (Case 39) Lisa R. Weisfelner, MD, Andres E. Castellanos, MD Case: A 37-year-old female presents for consideration of gastric bypass. Obesity Comorbidities The following are among…

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Blunt Chest Trauma (Case 35)

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Blunt Chest Trauma (Case 35)

Chapter 52 Blunt Chest Trauma (Case 35) Jeffry L. Kashuk, MD, Benjamin J. Rogoway, MD Case: A 67-year-old male appeared to sustain blunt trauma to the chest in a head-on…

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