Dialysis Access Procedures

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Dialysis Access Procedures

Operation 36 Dialysis Access Procedures Common sites for arteriovenous fistulae Loop graft in upper arm Indications • Need for hemodialysis Medical Knowledge—You Need to Know • Indications for dialysis •…

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Gastrectomy

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Gastrectomy

Operation 13 Gastrectomy Partial gastrectomy with Billroth I (gastroduodenostomy) Partial gastrectomy with Billroth II (gastrojejunostomy) Indications • Gastric cancer • Peptic ulcer disease—bleeding, perforation, obstruction, intractability • Intractable bleeding stress…

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Total (Simple) Mastectomy

Mar 20, 2017 by in GENERAL SURGERY Comments Off on 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 •…

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Small Bowel Resection

Mar 20, 2017 by in GENERAL SURGERY Comments Off on Small Bowel Resection

Operation 19 Small Bowel Resection Ileocecal resection Small bowel resection Indications • Crohn’s disease • Ischemic bowel • Small bowel tumor • Damaged bowel during lysis of adhesions Medical Knowledge—You…

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Laparoscopic Gastric Bypass

Mar 20, 2017 by in GENERAL SURGERY Comments Off on 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,…

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Sentinel Lymph Node Biopsy (SLNB)

Mar 20, 2017 by in GENERAL SURGERY Comments Off on 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…

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Postoperative Fever (Case 29)

Mar 20, 2017 by in GENERAL SURGERY Comments Off on 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…

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Teaching Visual: Coronary Bypass

Mar 20, 2017 by in GENERAL SURGERY Comments Off on 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…

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