Lichtenstein Tension-Free Open Inguinal Hernia Repair
Figure 30.1 Exposure for open repair of left inguinal hernia Figure 30.2 Exposure of conjoint tendon Dissect around the spermatic cord, and secure the cord with a penrose drain. Palpate…
Meckel’s Diverticulum
Figure 18.1 Ultrasound image of a thickened tubular structure with gut signature in the right mid-abdomen, distant from the cecum, representing an inflamed Meckel’s diverticulum (Image credit: Kara Gill, MD)…
Mastectomy
Figure 10.1 Simple mastectomy without reconstruction The skin flaps for all mastectomies should be created between the breast capsule and the skin. A bloodless tissue plane is often identified with…
Axillary Procedures for Breast Cancer
Sentinel lymph node biopsy Axillary lymph node dissection Infection 1–11 % [3–5] 8–15 % [3, 5] Seroma 6–7.1 % [4, 5] 14 % [5] Hematoma 1.4 % [4] NA…
Laparoscopic Adrenalectomy: Retroperitoneal Approach
Figure 7.1 Operating table modified to facilitate retroperitoneal approach Required Equipment Ports: 5 mm bladeless trocar × 2 10 mm disposable Balloon trocar (Autosuture) 5 mm bladeless trocar × 1…
Breast Conservation Surgery (Surgical Biopsy, Lumpectomy, Nipple Exploration, Partial Mastectomy)
Figure 9.1 (a) Left breast wire localization prior to lumpectomy. (b) Radioactive seed localization of inferior breast lesion Surgical Procedure Anesthesia for a breast surgery can involve the use of…
Breast Biopsy
Figure 8.1 (a) Ultrasound of a breast mass. (b) Core biopsy of the mass Punch Biopsy While there are several different methods that may be used to biopsy skin, punch…
Oxygenation and Acid–Base Balance Monitoring
Figure 6-1 Relationship of alveoli and pulmonary capillaries. (From Patton KT, Thibodeau GA: Anatomy & physiology, ed 7, St. Louis, 2010, Mosby.) Blood Flow All of the blood ejected from…
Hemodynamic and Intracranial Dynamic Monitoring in Neurocritical Care
Figure 21-1 Hyperemia. Small volume increases in one or two of the intracranial contents can be tolerated with a reciprocal decrease in the other one or two volumes. This compensation…
Ultrasonography-Based Hemodynamic Monitoring
Patient Education Patients and families appreciate the hands-on approach that is needed for point-of-care ultrasonographic evaluations, and the interactions provide an opportunity for the understanding of the patient’s condition…
