Laparoscopic Ventral Hernia Repair
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…
Appendectomy
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…
Excisional Biopsy of Dermal and Subcutaneous Lesions
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…
Laparoscopic Inguinal Hernia Repair: Transabdominal Preperitoneal (TAPP) Approach
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…
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…
Open Retromuscular Ventral Hernia Repair
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…
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…
Laparoscopic Inguinal Hernia Repair Total Extraperitoneal (TEP) Approach
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…
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…
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…
