Open Umbilical Hernia Repair

Jun 3, 2017 by in Uncategorized Comments Off on Open Umbilical Hernia Repair

Figure 33.1 An infraumbilical, semicircular incision is made Figure 33.2 A clamp around the isolated umbilical stalk. Division of the stalk allows access to the hernia defect below Figure 33.3…

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Cryptoglandular Disease

Jun 3, 2017 by in Uncategorized Comments Off on Cryptoglandular Disease

Figure 26.1 Normal anorectal anatomy Figure 26.2 Location of anorectal abscesses Perioperative Care Preoperative Preparation Preoperative imaging is not routinely recommended. CT, MRI, or endoanal ultrasound studies may be used…

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Drainage of Abscess

Jun 3, 2017 by in Uncategorized Comments Off on Drainage of Abscess

Figure 42.1 Ultrasound of abscess demonstrating fluid present (Courtesy of Sarah Smith) Contraindications to bedside or in-office drainage of an abscess would include the following and require specialization or additional…

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Stomas (Colostomy and Ileostomy)

Jun 3, 2017 by in Uncategorized Comments Off on Stomas (Colostomy and Ileostomy)

Figure 25.1 Excision of the circular skin disk while applying pressure beneath the abdominal wall protects the underlying bowel Figure 25.2 Exposure of the anterior rectus sheath using blunt dissection…

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Vascular Access for Hemodialysis

Jun 3, 2017 by in Uncategorized Comments Off on Vascular Access for Hemodialysis

Figure 41.1 (a, b) Ultrasound mapping of veins, performed in the office (Courtesy of David Melnick, MD) In most cases, a vein 2.5–3 mm or larger would be appropriate to…

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Small Bowel Resection

Jun 3, 2017 by in Uncategorized Comments Off on Small Bowel Resection

Figure 19.1 Metal clamps are placed across the distal mesentery in opposite directions with their tips pointing inwards. A Metzenbaum scissors is then used to divide the mesentery sharply. Silk…

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Hemorrhoids

Jun 3, 2017 by in Uncategorized Comments Off on Hemorrhoids

  First degree Second degree Third degree Fourth degree Findings Bulge into the lumen of the anal canal ± painless bleeding Protrude at the time of a bowel movement and reduce spontaneously…

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