GENERAL SURGERY

Aortoiliac Disease

May 5, 2017 by in GENERAL SURGERY Comments Off on Aortoiliac Disease

Figure 92-1. A,B: Major visceral and parietal collateral networks that may become prominent with aortoiliac occlusive disease. Figure 92-2. CTA with 3D reconstruction demonstrating severe aortoiliac occlusive disease with juxtarenal…

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Calculous Biliary Disease

May 5, 2017 by in GENERAL SURGERY Comments Off on Calculous Biliary Disease

Enterohepatic Circulation Bile acids travel in the bile through the liver, biliary tree, intestines, and the portal venous circulation to return to the liver, thereby recovering 95% of bile acids,…

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Wound Healing

May 5, 2017 by in GENERAL SURGERY Comments Off on Wound Healing

Figure 5-1. Four phases of wound healing: plotted against “Time” on the X axis, the four phases shown in different colors occur sequentially, and overlap. Overall the total time period…

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Thoracoabdominal Aortic Aneurysms

May 5, 2017 by in GENERAL SURGERY Comments Off on Thoracoabdominal Aortic Aneurysms

Figure 95-1. Thoracoabdominal aortic aneurysm: comparison of survival rates in untreated patients versus surgically treated patients. Many TAAAs result from chronic ascending and descending aortic dissections. Familial clustering of aortic…

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Biliary Neoplasms

May 5, 2017 by in GENERAL SURGERY Comments Off on Biliary Neoplasms

Figure 63-1. Unresectable gallbladder cancer demonstrating palliative transhepatic percutaneous stent placed to relieve jaundice. Porcelain gallbladder is present (arrows). Pathology and Staging More than 80% of gallbladder cancers are adenocarcinomas;…

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Peripheral Arterial Disease

May 5, 2017 by in GENERAL SURGERY Comments Off on Peripheral Arterial Disease

Figure 93-1. A–C: Examples of digital ischemic ulcerations resulting from progressive arterial insufficiency. Figure 93-2. Long-segment total occlusion of superficial femoral artery in a patient with a long history of…

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Valvular Heart Disease and Cardiac Tumors

May 5, 2017 by in GENERAL SURGERY Comments Off on Valvular Heart Disease and Cardiac Tumors

Figure 82-1. Schematic diagram of the fibrous cardiac skeleton. Two papillary muscles arise directly from the ventricular wall: the anterolateral and posteromedial papillary muscles. Importantly, the anterolateral papillary muscle usually…

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Pituitary Surgery

May 5, 2017 by in GENERAL SURGERY Comments Off on Pituitary Surgery

Figure 78-1. A: Sagittal view. B: Coronal view. ICA, internal carotid artery; CN, cranial nerve. PATHOLOGY OF SELLAR LESIONS Pituitary Adenomas 2, 3 Pituitary adenomas are the most common tumors…

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Congenital Heart Disease

May 5, 2017 by in GENERAL SURGERY Comments Off on Congenital Heart Disease

Figure 81-1. The anatomy of atrial septal defects. In the sinus venosus type (A), the right upper and middle pulmonary veins frequently drain to the superior vena cava or right…

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