By Courtney M. Townsend Jr. JR. MD, B. Mark Evers MD
Atlas of basic Surgical thoughts covers the total 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 information for universal and intricate strategies, together with open and minimally invasive thoughts. The hugely constant process and outsized layout let for giant academic illustrations with pearls and pitfalls on the finish of every bankruptcy. finished insurance comprises scorching themes reminiscent of Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy,Hernia fix, Exploration of Neck for Trauma, and Subclavian Artery Stab. you should have an entire array of surgeries at your fingertips-in print and on-line at expertconsult.com! 2009 PROSE Awards (awarded via organization of yankee Publishers for pro and scholarly excellence)Finalist/Honorable point out, scientific drugs contains entry to the absolutely searchable textual content on-line at expertconsult.com, in addition to downloadable pictures. positive factors 1200 easy-to-follow, step by step anatomic drawings that truly depict the entire spectrum and breadth of surgical techniques-both open and minimally invasive. Covers sizzling subject matters resembling Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy,Hernia fix, Exploration of Neck for Trauma, and Subclavian Artery Stab. presents step by step directions for every process in a hugely constant layout that makes making use of recommendations effortless. Highlights pearls and pitfalls on the finish of every bankruptcy so that you understand what to anticipate sooner than getting into the working room. provides the special counsel of experts on what you want to find out about universal and tough approaches.
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Extra resources for Atlas of General Surgical Techniques
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.
Philadelphia, BC Decker, 1990, pp 378-411. 3. Crile G: Excision of cancer of the head and neck with special reference to the plan of dissection based on 132 operations. JAMA 1906; 47:1780. 4. Head and neck sites. In Greene FL, Page DL, Fleming ID, et al (eds): AJCC Cancer Staging Manual, 6th ed. New York, Springer, 2002, pp 17-22. 5. Martin H, Del VB, Ehrlich H, Cahan WG: Neck dissection. Cancer 1951; 4:441. C H A P T E R 3 Parathyroidectomy B. Mark Evers STEP 1: SURGICAL ANATOMY ◆ A comprehensive understanding of the anatomy of the neck is critical (see Figure 1-1).
An Allis clamp is placed on the ﬁbro-fatty tissue in the midline submental area lying between the anterior bellies of the digastric muscle. This tissue is dissected in an inferior and posterior direction, exposing both anterior muscle bellies and the central portion of the mylohyoid muscle. The nerve and vessels to the mylohyoid are ligated. This tissue is left attached to the hyoid bone (Figure 2-4). CHAPTER 2 • Modiﬁed Radical Neck Dissection Preserving Spinal Accessory Nerve Marginal mandibular nerve Facial vessels FIGURE 2–3 Submental fibro-fatty tissue Anterior belly of digastric muscle Incision is over the hyoid bone FIGURE 2–4 25 26 Section I • Head and Neck and Endocrine Procedures ◆ The periosteum overlying the inferior border of the mandibular body is incised with electrocautery, and the tissue in the submandibular triangle is retracted inferiorly.
Atlas of General Surgical Techniques by Courtney M. Townsend Jr. JR. MD, B. Mark Evers MD