Distal Pancreatectomy
Operation 31 Distal Pancreatectomy Vasculature of the spleen Indications • Distal pancreatic tumor—benign or malignant Medical Knowledge—You Need to Know • Anatomy and blood supply of pancreas and spleen •…
Pulmonary Lobectomy
Operation 32 Pulmonary Lobectomy Posterolateral thoracotomy Indications • Primary lung cancer involving one lobe with adequate pulmonary reserve • Persistent lobar infection refractory to medical therapy Medical Knowledge—You Need to…
Femoral-Popliteal Bypass Grafting
Operation 35 Femoral-Popliteal Bypass Grafting Creation of vascular anastomosis and completed femoral-popliteal bypass Indications • Peripheral vascular occlusive disease (PVOD) with gangrene, ischemic ulceration, rest pain • Claudication with significant…
Leg Swelling (Case 23)
Chapter 37 Leg Swelling (Case 23) Jason M. Johanning, MD Patient 1 33-year-old woman with a 2-day hx of left calf pain and swelling Patient 2 54-year-old man with a…
Low Urine Output (Case 30)
Chapter 45 Low Urine Output (Case 30) Gregory Peck, DO, Umber Burhan, MD, Robert L. Benz, MD Postoperative context: A 58-year-old male with a past medical hx of coronary artery…
Graham Patch for Perforated Ulcer
Operation 17 Graham Patch for Perforated Ulcer Graham patch: omentum over closure of perforated ulcer Indications • Perforated duodenal ulcer Medical Knowledge—You Need to Know • Risk factors for peptic…
Open Inguinal Hernia Repair
Operation 9 Open Inguinal Hernia Repair Note the indirect sac in the anteromedial portion of the cord lateral to deep epigastrics (not seen in figure). A direct hernia is a…
Tracheostomy
Operation 8 Tracheostomy Steps in a tracheostomy Indications • Persistent ventilatory insufficiency • Acute airway obstruction Medical Knowledge—You Need to Know • Relationship of thyroid and cricoid cartilage to trachea…
Solitary Pulmonary Nodule in a 58-Year-Old Male (Case 42)
Chapter 61 Solitary Pulmonary Nodule in a 58-Year-Old Male (Case 42) Dennis F. Zagrodnik, II, MD Differential Diagnosis Speaking Intelligently When I’m asked to see a 58-year-old male who presents…
Introduction to Surgical Critical Care
Chapter 73 Introduction to Surgical Critical Care Thomas A. Santora, MD The ICU is an intimidating place, especially for the uninitiated. Patients in the ICU have potentially life-threatening multisystem illnesses,…
