Incisional Hernia Repair: Abdominal Wall Reconstruction Options
■ The blood supply of the anterior abdominal wall is slightly more complex (FIG 2). The rectus muscle receives its blood supply both laterally from the intercostal vessels and from a…
Vagotomy: Truncal and Highly Selective
Ashley Augspurger Davis DEFINITION ■ Truncal vagotomy is defined as the division of the anterior and posterior vagus nerves, which innervate the stomach and remainder of the gastrointestinal (GI) tract, at…
Inguinal Hernia: Laparoscopic Approaches
Rebeccah B. Baucom DEFINITION ■ Inguinal hernias can be divided into indirect, direct, and femoral based on location. ■ Inguinal hernia repair is one of the most common procedures performed by general…
Laparoscopic Gastric Bypass
■ The left arm is left out at a 75-degree angle and secured to the arm board with a gauze wrap. If the patient’s body habitus allows, the right arm is…
Open Cholecystectomy
■ The other common imaging study used to diagnose gallbladder pathology is a nuclear medicine test called either hepatobiliary scintigraphy or a hepatobiliary iminodiacetic acid (HIDA) scan (commonly referred to as…
Paraesophageal Hernia Repair: Laparoscopic Technique
■ This chapter, in concert with other procedures such as fundoplication and esophageal lengthening (Collis gastroplasty), will deal with the surgical management of PEH types II to IV, which anatomically may…
Subtotal Gastrectomy for Cancer
Waddah B. Al-Refaie DEFINITION ■ Subtotal gastrectomy is removal of 70% to 80% of distal stomach. This is performed when the necessary 5- to 6-cm proximal margin can be obtained while…
Laparoscopic Sleeve Gastrectomy
Matthew M. Hutter DEFINITION ■ Sleeve gastrectomy or partial vertical gastrectomy is defined as the creation of tubular, sleeve-shaped, lesser curve–based stomach by resection of the greater curvature of the gastric…
Laparoscopic Nissen Fundoplication
■ Upper endoscopy evaluates for esophageal injury and Barrett’s esophagus secondary to GERD while excluding malignant pathology with biopsies as necessary. Endoscopy allows the surgeon to evaluate for the presence of…
Endoscopic Mucosal Resection for Barrett Neoplasia
Klaus Mönkemüller DEFINITION ■ Barrett esophagus (BE) is a strong risk factor for esophageal adenocarcinoma.1 ■ The annual risk of BE progression to adenocarcinoma ranges from 01.12% to 0.61%.1,2 ■ The traditional treatment…
