Hepatic Lobectomy
Operations 29 Hepatic Lobectomy Anatomic segments of the liver Right hepatic lobectomy (segments V–VIII) Left hepatic lobectomy (segments II–IV) Indications • Colorectal metastasis with three or fewer lesions • Primary…
Dialysis Access Procedures
Operation 36 Dialysis Access Procedures Common sites for arteriovenous fistulae Loop graft in upper arm Indications • Need for hemodialysis Medical Knowledge—You Need to Know • Indications for dialysis •…
Teaching Visual: The Roux-en-Y Limb
Chapter 56 Teaching Visual: The Roux-en-Y Limb Barry D. Mann, MD Objectives • Draw a Roux-en-Y limb and discuss its applications in abdominal surgery. • Draw a Roux-en-Y limb for…
Oversew of Bleeding Duodenal Ulcer (Vagotomy and Pyloroplasty)
Operation 18 Oversew of Bleeding Duodenal Ulcer (Vagotomy and Pyloroplasty) Oversewing a posterior duodenal ulcer Transverse closure of duodenum truncal vagotomy Indications • Bleeding duodenal ulcer Medical Knowledge—You Need to…
Gastrectomy
Operation 13 Gastrectomy Partial gastrectomy with Billroth I (gastroduodenostomy) Partial gastrectomy with Billroth II (gastrojejunostomy) Indications • Gastric cancer • Peptic ulcer disease—bleeding, perforation, obstruction, intractability • Intractable bleeding stress…
Total (Simple) Mastectomy
Operation 5 Total (Simple) Mastectomy Skin incision Removal of breast, medial to lateral Indications • Breast carcinoma—invasive or DCIS • Prophylactic (in high-risk patients) Medical Knowledge—You Need to Know •…
Small Bowel Resection
Operation 19 Small Bowel Resection Ileocecal resection Small bowel resection Indications • Crohn’s disease • Ischemic bowel • Small bowel tumor • Damaged bowel during lysis of adhesions Medical Knowledge—You…
Laparoscopic Gastric Bypass
Operation 14 Laparoscopic Gastric Bypass Creation of 30-mL gastric pouch Completed Roux-en-Y gastric bypass Indications • Morbid obesity • BMI > 40 • BMI > 35 with obesity-related comorbidities (diabetes,…
Sentinel Lymph Node Biopsy (SLNB)
Operation 3 Sentinel Lymph Node Biopsy (SLNB) Breast and axillary contents Sentinel lymph node biopsy; “blue node” identified Indications • Invasive breast cancer with clinically negative axilla • Planned mastectomy…
Postoperative Wound Complications (Case 31)
Chapter 46 Postoperative Wound Complications (Case 31) Gabriel Del Corral, MD, Larry Jonas, MD, Leo A. Gordon, MD Postoperative context: A 32-year-old man 5 days after exploratory laparotomy for a…
