Anesthesia Key

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…

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…

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…

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…

Fig. 44.1 Inflamed cyst (Courtesy of Jennifer Wilson) Fig. 44.2 Lobulated lipoma pre-excision (Courtesy of Jennifer Wilson) Imaging, such as ultrasound and magnetic resonance imaging (MRI), can be used when…

Figure 31.1 Right indirect inguinal hernia Figure 31.2 Peritoneal incision We begin our dissection in the indirect space where the testicular vessels and vas deferens are identified and bluntly dissected…

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…

Figure 35.1 Beginning dissection of the posterior sheath. The posterior sheath is incised 1 cm lateral to the linea alba and grasped with an Aliss clamp to aid in retraction…

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…

Figure 32.1 View through dissecting balloon. Note pubis and Cooper’s ligament bilaterally Figure 32.2 View through dissecting balloon showing left inferior epigastric vessels and direct hernia Direct inguinal hernias are…