Fasciotomy
Fasciotomy Kenneth B. Simon Strong fascial envelopes surround major muscle groups, dividing them into compartments. Hemorrhage or edema within a compartment causes the pressure within this closed space to rise…
Femoropopliteal Bypass
Femoropopliteal Bypass Kenneth B. Simon A variety of conduits have been used to bypass obstructed segments of the femoropopliteal system. Autogenous saphenous vein is the graft preferred by most surgeons….
Venous Access: Saphenous Vein Cutdown
Venous Access: Saphenous Vein Cutdown The greater saphenous vein is an anatomically constant vein that is easily cannulated for emergency venous access. The saphenous vein at the ankle is constant,…
Ligation, Stripping, and Harvesting of the Saphenous Vein
Ligation, Stripping, and Harvesting of the Saphenous Vein Jamal J. Hoballah This chapter covers excision of the greater and lesser saphenous veins first for management of varicosities and second for…
Above-knee Amputation
Above-knee Amputation Above-knee amputation is performed when it is not possible to save the knee joint because of the extent of injury or ischemic damage. Generally, the longer the stump,…
Below-knee Amputation
Below-knee Amputation Most amputations are performed for ischemia. The choice of the level of amputation requires mature judgment. Although it is important to salvage as much length as possible, a…
Transmetatarsal and Ray Amputations
Transmetatarsal and Ray Amputations Transmetatarsal and ray amputations require meticulous patient selection and attention to surgical technique when performed in patients with peripheral vascular disease. Transmetatarsal amputation is performed for…
Introduction
Introduction The final section of the book is devoted to the anatomy of the lower extremity as encountered by the general surgeon. First, a series of chapters on amputations introduce…
Sigmoidoscopy
Sigmoidoscopy This chapter deals with the performance of rigid sigmoidoscopy. Flexible fiberoptic sigmoidoscopy is performed essentially as detailed in Chapter 78, except that the distance to be traversed is not…
Transsacral Approach to Rectal Lesions
Transsacral Approach to Rectal Lesions The transsacral approach is most commonly used for resection of benign retrorectal tumors or for removal of sessile polyps that cannot be reached by other…
