By Courtney M. Townsend Jr. JR. MD, B. Mark Evers MD
Atlas of basic Surgical thoughts covers the entire spectrum and breadth of normal surgical procedure via approximately 1200 easy-to-follow anatomic drawings. Drs. Courtney M. Townsend, Jr. and B. Mark Evers current step by step tips for universal and complicated approaches, together with open and minimally invasive suggestions. The hugely constant procedure and outsized structure enable for big academic illustrations with pearls and pitfalls on the finish of every bankruptcy. complete insurance contains sizzling themes corresponding to Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy,Hernia fix, Exploration of Neck for Trauma, and Subclavian Artery Stab. you will have an entire array of surgeries at your fingertips-in print and on-line at expertconsult.com! 2009 PROSE Awards (awarded by means of organization of yankee Publishers for pro and scholarly excellence)Finalist/Honorable point out, scientific drugs comprises entry to the absolutely searchable textual content on-line at expertconsult.com, besides downloadable photographs. gains 1200 easy-to-follow, step by step anatomic drawings that truly depict the total spectrum and breadth of surgical techniques-both open and minimally invasive. Covers scorching themes resembling Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy,Hernia fix, Exploration of Neck for Trauma, and Subclavian Artery Stab. offers step by step directions for every process in a hugely constant layout that makes using innovations effortless. Highlights pearls and pitfalls on the finish of every bankruptcy so that you be aware of what to anticipate prior to coming into the working room. offers the precise information of experts on what you want to find out about universal and tough methods.
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Additional resources for Atlas of General Surgical Techniques: Expert Consult - Online and Print
2. Wong CKM, Wheeler MH: Thyroid nodules: Rational management. World J Surg 2000;24:934-941. 3. Schlumberger MJ: Papillary and follicular thyroid carcinoma. N Engl J Med 1998;338:297-306. 4. Clark OH: Surgical anatomy. In Braverman LE, Utiger RE (eds): Werner and Ingbar’s The Thyroid, 7th ed. Philadelphia, Lippincott-Raven, 1996, pp 462-468. C H A P T E R 2 Modiﬁed Radical Neck Dissection Preserving Spinal Accessory Nerve Anna M. Pou STEP 1: SURGICAL ANATOMY ◆ Modiﬁed radical neck dissection (MRND) is a modiﬁcation of the radical neck dissection described by Crile in 1906.
It is not always necessary to divide these vessels. Sternocleidomastoid muscle Omohyoid muscle FIGURE 2–14 Phrenic nerve Anterior scalene muscle Brachial plexus FIGURE 2–15 External jugular vein Cut edge of fascia 32 Section I • Head and Neck and Endocrine Procedures ◆ The ﬁbro-fatty tissue between the brachial plexus and the anterior border of the trapezius muscle (supraclavicular fat pad) is clamped and ligated. The brachial plexus must be directly visualized while the clamps are being placed.
Once the parathyroid adenoma is mobilized, care is taken to ensure that the vascular supply is isolated and secured with either clips or ties, and the gland is then completely excised (Figure 3-10). If a unilateral exploration had been undertaken with preoperative localization, then many endocrine surgeons will obtain a rapid parathyroid hormone (PTH) assay to conﬁrm the adequacy of resection. Right recurrent laryngeal nerve Right inferior thyroid gland FIGURE 3–8 FIGURE 3–9 FIGURE 3–10 CHAPTER 3 • ◆ Parathyroidectomy 47 If the operation being performed was for parathyroid gland hyperplasia, then a total parathyroidectomy would be performed with autotransplantation of a portion of one of the glands into, most commonly, the forearm or the sternocleidomastoid muscle.