Chapter 26 Abdominal Perineal Resection with Colostomy Charles M. Friel, MD INTRODUCTION An abdominal perineal resection (APR) is the complete removal of the rectum and anus. The most common indication…

Chapter 82 Pectus Excavatum Brian J. Duffy, MD, David M. Powell, MD, Martin R. Eichelberger, MD INTRODUCTION Pectus excavatum is the most common congenital anterior chest wall deformity, occurring in…

Chapter 59 Aortic Surgery John Byrne, MB, R. Clement Darling III, MD INTRODUCTION Aortic reconstruction is an index operation, one whose outcome is used to compare surgeons and centers. With…

Chapter 4 Preoperative Pitfalls Aimee M. Crago, MD, PhD, Stephen R.T. Evans, MD INTRODUCTION Although the hospital course of a patient is affected profoundly by what happens inside the operating…

Chapter 25 Low Anterior Resection Charles M. Friel, MD INTRODUCTION Surgical resection of all or part of the rectum with a primary anastomosis is referred to as a low anterior…

Chapter 67 Pneumonectomy James E. Davies, MD, Mark S. Allen, MD INTRODUCTION The first successful pneumonectomy was performed by Rudolph Nissen in 1931 in Berlin, Germany. His patient was a…

Chapter 43 Image-Guided Breast Biopsy Richard E. Fine, MD, Kenneth J. Bloom, MD INTRODUCTION Increased utilization of mammography screening is believed to have resulted in a relative increase in breast…

Chapter 71 Cervical Tracheal Resection and Reconstruction Joseph B. Shrager, MD INTRODUCTION A wide variety of conditions cause anatomic or functional narrowing of the trachea. The most efficient and effective…

Chapter 22 Ileostomy James FitzGerald, MD INTRODUCTION Proper construction of an ileostomy is a fundamental and essential skill for all surgeons operating in the abdomen. It can be performed either…

Chapter 64 Bronchoscopy: Flexible and Rigid; Esophagoscopy: Flexible and Rigid; Mediastinoscopy; and Anterior Mediastinotomy John C. Kucharczuk, MD Bronchoscopy: Flexible and Rigid INTRODUCTION In the late 1890s, Gustav Killian used…