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…
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…
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…
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…
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…
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…
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…
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…
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…
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…
