Vasectomy

Apr 6, 2017 by in CRITICAL CARE Comments Off on Vasectomy

Fig. 33.1 Vasectomy clamp Operative Technique With the patient in a comfortable reclined or supine position undressed from the waist down. A gauze 4 × 4 will be wrapped loosely around the…

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Ovarian Torsion

Apr 6, 2017 by in CRITICAL CARE Comments Off on Ovarian Torsion

Fig. 29.1 Initial view of a right adnexa demonstrating torsion In preparation for surgical exploration patients should receive broad spectrum systemic antibiotics. Patients should be positioned in the dorsal lithotomy…

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Oncoplastic Techniques for Breast Conservation

Apr 6, 2017 by in CRITICAL CARE Comments Off on Oncoplastic Techniques for Breast Conservation

Fig. 14.1 (a) Standard markings for oncoplastic surgery. (b) Standard wise pattern markings. (c) Isolating the inferior pedicle. (d) Creating the breast mound. (e) Relocation of the nipple-areolar complex. (f)…

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Laparoscopic Repair of Abdominal Wall Hernias

Apr 6, 2017 by in CRITICAL CARE Comments Off on Laparoscopic Repair of Abdominal Wall Hernias

Fig. 7.1 Wound over hernia defect The ability to repair multiple defects with a single prosthetic through small laparoscopy incisions. Cosmetic advantage of laparoscopic surgery. Less pain and faster recovery:…

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The Vein Stripping Ablation and Phlebectomy

Apr 6, 2017 by in CRITICAL CARE Comments Off on The Vein Stripping Ablation and Phlebectomy

Fig. 21.1 Normal superficial venous anatomy Vein surgery is appropriate for patients manifesting classic venous symptoms of aching leg pain with edema, visible varicose veins, and duplex ultrasound proven superficial…

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Percutaneous Cholecystostomy

Apr 6, 2017 by in CRITICAL CARE Comments Off on Percutaneous Cholecystostomy

Fig. 6.1 Difference in approach for transhepatic versus transperitoneal approaches Under real-time ultrasound guidance, the 21-gauge needle is advanced through the hepatic parenchyma into the gallbladder. Aspiration of either bile…

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Skin-Sparing Mastectomy

Apr 6, 2017 by in CRITICAL CARE Comments Off on Skin-Sparing Mastectomy

Fig. 15.1 (a) Periareolar incision. Note the separate axillary incision for SLNB or dissection. (b) Tennis-racquet incision. Note the separate axillary incision for SLNB or dissection. (c) Modified elliptical incision,…

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Preoperative Ureteral Catheter Placement to Prevent Ureteral Injuries

Apr 6, 2017 by in CRITICAL CARE Comments Off on Preoperative Ureteral Catheter Placement to Prevent Ureteral Injuries

© Springer Science+Business Media New York 2015Amy L. Halverson and David C. Borgstrom (eds.)Advanced Surgical Techniques for Rural Surgeons10.1007/978-1-4939-1495-1_31 31. Preoperative Ureteral Catheter Placement to Prevent Ureteral Injuries Jennifer J. Lucas1   and Carlos E. Bermejo1 (1) Department of Surgery,…

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