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 •…
GENERAL SURGERY
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 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…
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…
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…
