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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Distal Pancreatectomy

Mar 20, 2017 by in GENERAL SURGERY Comments Off on 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 •…

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Pulmonary Lobectomy

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

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Femoral-Popliteal Bypass Grafting

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

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Leg Swelling (Case 23)

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

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