Postoperative Fever (Case 29)
Chapter 44 Postoperative Fever (Case 29) Charles Shieh, MD, Julia Bulatova, MD, Mary Ann Hopkins, MPhil, MD Postoperative context: A 52-year-old female presents with fever on postoperative day 3 after…
Teaching Visual: Coronary Bypass
Chapter 59 Teaching Visual: Coronary Bypass Sharon Ben-Or, MD, Francis P. Sutter, DO Objectives • Draw the essential coronary anatomy. • Explain the internal mammary artery (IMA) and aortocoronary conduits…
Endovascular Aneurysm Repair (EVAR)
Operation 33 Endovascular Aneurysm Repair (EVAR) CT-angiogram showing aorta, kidneys, aneurysm CT-angiogram showing endograft in neck of AAA and iliacs Indications • Infrarenal abdominal aortic aneurysm (AAA) greater than 5.5…
Whipple Procedure (Pancreaticoduodenectomy)
Operation 30 Whipple Procedure (Pancreaticoduodenectomy) Resection of Whipple procedure Completion of procedure showing pancreaticojejunostomy, choledochojejunostomy, and gastrojejunostomy Indications • Confirmed carcinoma of pancreatic head, duodenum, or ampulla • High suspicion…
Axillary Node Dissection
Operation 4 Axillary Node Dissection Breast and axillary contents Triangle marks borders of axillary dissection with levels of axillary nodes Indications Breast cancer with positive sentinel node or clinically positive…
Splenomegaly in a 40-Year-Old Female (Case 19)
Chapter 31 Splenomegaly in a 40-Year-Old Female (Case 19) Matthew I. Goldblatt, MD, Clifford H. Pemberton, MD Differential Diagnosis Portal hypertension Lymphoproliferative disorders: Leukemia Lymphoma Myeloproliferative disorders: Myelofibrosis Polycythemia vera…
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…
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…
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…
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…
