Sigmoid Colectomy

Jun 3, 2017 by in Uncategorized Comments Off on Sigmoid Colectomy

Figure 23.1 Mobilization of the sigmoid colon can be performed in a lateral to medial fashion by incising the white line of Toldt and separating the sigmoid mesentery from the…

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Pancreaticoduodenectomy (Whipple Procedure)

Jun 3, 2017 by in Uncategorized Comments Off on Pancreaticoduodenectomy (Whipple Procedure)

Figure 38.1 Initial dissection for pancreaticoduodenectomy. A curvilinear, subcostal incision is first carried out over the right upper quadrant and is subsequently extended across the midline as far as is…

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Right Hemicolectomy

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Figure 22.1 The right colon is retracted medial while dividing the lateral peritoneal attachments, taking care to identify and preserve the right ureter. As the dissection is carried superiorly, the…

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Biopsy of Skin Lesions

Jun 3, 2017 by in Uncategorized Comments Off on Biopsy of Skin Lesions

Figure 43.1 Inject anesthetic (Courtesy of Andrew M. Swanson MD) Use 1 or 2 % lidocaine with epinephrine. An allergy to procaine (Novacain) is not a contraindication to the use…

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Laparoscopic Splenectomy

Jun 3, 2017 by in Uncategorized Comments Off on Laparoscopic Splenectomy

Figure 20.1 Patient positioning during a laparoscopic splenectomy. The patient is placed on the operating room table in the right “lazy” decubitus position using a bean bag with the right…

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Laparoscopic Ventral Hernia Repair

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Figure 34.1 Veress needle placement. A Veress needle is placed into the left upper quadrant. After a negative saline drop test, the abdomen is insufflated to a pressure of 15…

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Appendectomy

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Figure 21.1 Patient positioning during a laparoscopic appendectomy. The patient is placed on the operating room table in the supine position with the right arm abducted to facilitate intravenous axis…

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Surgical Treatment of Chronic Pancreatitis

Jun 3, 2017 by in Uncategorized Comments Off on Surgical Treatment of Chronic Pancreatitis

Pain refractory to medical therapy Recurrent pancreatitis secondary to pancreatic duct stenosis Bile duct stenosis Gastric outlet obstruction/duodenal obstruction/colonic obstruction Pancreatic fistula Pseudocyst Pancreatic carcinoma Preoperative Preparation Preoperative Workup Just…

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