Surgical Anatomy and Technique - A Pocket Manual

Preface to the Third Edition

Acknowledgments

Contents

Contributors

Skin, Scalp, and Nail

Anatomy

SKIN AND SUBCUTANEOUS TISSUE (Fig. 1.1)

SCALP

NAIL

Technique

BENIGN SKIN LESIONS (Figs. 1.7–1.9)

MALIGNANT SKIN LESIONS (Figs. 1.10 and 1.11)

SENTINEL LYMPH NODE BIOPSY

SKIN GRAFTS

SCALP SURGERY

INGROWN TOENAIL

Neck

Anatomy

ANTERIOR CERVICAL TRIANGLE (Fig. 2.1)

POSTERIOR CERVICAL TRIANGLE (Fig. 2.7)

FASCIAE OF THE NECK

SPACES OF THE NECK

LYMPHATICS OF THE NECK/RIGHT AND LEFT THORACIC DUCTS

ANATOMY OF THE THYROID GLAND

ANATOMY OF THE PARATHYROID GLANDS

ANATOMY OF THE TRACHEA

PAROTID GLAND (FIG. 2.21)

IDENTIFICATION OF THE FACIAL NERVE

BRANCHIAL CLEFT SINUSES AND CYSTS

Technique

MASSES OF THE NECK

PAROTIDECTOMY

RESECTION OF SUBMAXILLARY GLAND ( Figs. 2.1 Ò 2.6 )

EXCISION OF STONE FROM WHARTONÌS DUCT

THYROIDECTOMY AND PARATHYROIDECTOMY

THYROID REOPERATION

PARATHYROID REOPERATION

THYROGLOSSAL DUCT CYSTECTOMY (Fig. 2.53)

EXCISION OF BRANCHIAL CLEFT CYST OR FISTULA

RADICAL NECK DISSECTION

TRACHEOSTOMY

Breast

Anatomy

GENERAL DESCRIPTION OF THE BREAST

DEEP FASCIA

AXILLA

MUSCLES AND NERVES

MORPHOLOGY OF THE BREAST

VASCULAR SYSTEM OF THE BREAST

SURGICAL ANATOMY OF MASTECTOMY

Technique

BREAST BIOPSY

MODIFIED RADICAL MASTECTOMY

LUMPECTOMY WITH SENTINEL LYMPH NODE BIOPSY AND AXILLARY DISSECTION

Abdominal Wall and Hernias

Anatomy

GENERAL DESCRIPTION OF THE ANTERIOR ABDOMINAL WALL

UMBILICAL REGION

LAYERS OF THE LOWER ANTERIOR BODY WALL

FOSSAE OF THE LOWER ANTERIOR ABDOMINAL WALL ( Fig. 4.5 )

ANATOMICAL ENTITIES OF THE GROIN

BLOOD SUPPLY OF THE ANTERIOR ABDOMINAL WALL

NERVE SUPPLY OF THE ANTERIOR ABDOMINAL WALL

PANORAMA OF LAPAROSCOPIC CADAVERIC ANATOMY OF THE INGUINAL AREA ( Figs. 4.21 – 4.36 )

GENERAL DESCRIPTION OF THE POSTERIOR ( LUMBAR) BODY WALL

Technique

INCISIONS OF THE ANTERIOR ABDOMINAL WALL

INCISIONAL HERNIAS

EPIGASTRIC HERNIA (HERNIA THROUGH THE LINEA ALBA)

UMBILICAL HERNIA

SPIGELIAN (LATERAL VENTRAL) HERNIA

Groin Hernias

Non-Mesh Groin Hernia Repairs

INDIRECT INGUINAL HERNIA

SLIDING INDIRECT INGUINAL HERNIA

DIRECT INGUINAL HERNIA

CONDON PROCEDURE (ANTERIOR ILIOPUBIC TRACT REPAIR)

SHOULDICE TECHNIQUE

RELAXING INCISION (FIG. 4.71)

EXTERNAL SUPRAVESICAL HERNIA

FEMORAL HERNIA

Mesh Groin Hernia Repairs: Posterior Approach

NYHUS PROCEDURE (PREPERITONEAL APPROACH)

RECURRENT HERNIAS: INGUINAL AND FEMORAL

KUGEL HERNIA REPAIR (PREPERITONEAL PATCH)

STOPPA PROCEDURE

LAPAROSCOPIC INGUINAL HERNIA REPAIR

Mesh Groin Hernia Repairs: Anterior Approach

LICHTENSTEIN TENSION-FREE HERNIORRHAPHY

GILBERT SUTURELESS MESH-PLUG REPAIR

BARD PLUG AND PATCH REPAIR

Other Repairs

HYDROCELE

LUMBAR HERNIA REPAIR (DOWD-PONKA)

Diaphragm

ANATOMY

CRURA

OPENINGS OF THE DIAPHRAGM

DIAPHRAGMATIC-MEDIASTINAL RELATIONS

VASCULAR SYSTEM OF THE DIAPHRAGM

NERVE SUPPLY OF THE DIAPHRAGM

STRUCTURES AT OR NEAR THE ESOPHAGEAL HIATUS ( FIG. 5.15 )

Technique

DIAPHRAGMATIC HERNIA

LAPAROSCOPIC NISSEN FUNDOPLICATION

Esophagus

Anatomy

GENERAL DESCRIPTION OF THE ESOPHAGUS

TOPOGRAPHY AND RELATIONS OF THE ESOPHAGUS

GASTROPHRENIC LIGAMENT (SEE CHAPTER 7, STOMACH)

Technique

PHARYNGOESOPHAGEAL DIVERTICULUM

ACHALASIA OR CARDIOSPASM

TRANSHIATAL ESOPHAGECTOMY

IVOR LEWIS APPROACH

OTHER APPROACHES (SUMMARIZED)

COLON INTERPOSITION

Stomach

Anatomy

TWO GASTRIC UNITS

GASTRIC WALL

LIGAMENTS

VASCULAR SYSTEM OF THE STOMACH (FIG. 7.3)

PARASYMPATHETIC NERVES (VAGUS NERVES)

SYMPATHETIC NERVES

Technique

GASTROSTOMY

GASTROJEJUNOSTOMY

PERFORATED ULCERS

PYLORIC STENOSIS (FIG. 7.19)

PYLOROPLASTY

GASTRECTOMIES

VAGOTOMIES

Duodenum

Anatomy

GENERAL DESCRIPTION OF THE DUODENUM

VASCULAR SYSTEM OF THE DUODENUM

NERVE SUPPLY OF THE DUODENUM

Technique

SURGICAL APPLICATIONS

EXPOSURE AND MOBILIZATION OF THE DUODENUM ( FIGS. 8.9 – 8.11)

REPAIR OF VASCULAR COMPRESSION

OF DUODENUM (FIGS. 8.2 AND 8.12–8.16)

Pancreas

Anatomy

GENERAL DESCRIPTION OF THE PANCREAS

PARTS OF THE PANCREAS

PANCREATIC DUCTS

VASCULAR SYSTEM OF THE PANCREAS

NERVE SUPPLY OF THE PANCREAS

ECTOPIC AND ACCESSORY PANCREAS

Technique

EVALUATION OF RESECTABILITY OF THE PANCREAS

EXPLORATION OF THE PANCREAS

PUESTOW PROCEDURE

PANCREATECTOMIES

TRANSDUODENAL PANCREATIC BIOPSY

DRAINAGE OF PANCREATIC PSEUDOCYST

PANCREATIC TRAUMA

Small Intestine

Anatomy

GENERAL DESCRIPTION OF THE SMALL INTESTINE

VASCULAR SYSTEM OF THE SMALL INTESTINE

ABNORMAL DEVELOPMENT OF THE SMALL INTESTINE

SURGICAL ANATOMY OF INTUSSUSCEPTION

ANATOMIC GUIDELINES FOR SURGERY

Technique

RESECTION OF SMALL BOWEL FOR TUMOR

MECKEL’S DIVERTICULUM ( ORIENTATION FIG. 10.5 )

INTUSSUSCEPTION (ORIENTATION FIG. 10.7)

WITZEL JEJUNOSTOMY

FEEDING JEJUNOSTOMY

Appendix

Anatomy

RELATIONS AND POSITIONS OF THE APPENDIX

MESENTERY

VASCULAR SYSTEM OF THE APPENDIX

Technique

APPENDECTOMY

LAPAROSCOPIC APPENDECTOMY

Colon and Anorectum

Anatomy

GENERAL DESCRIPTION OF COLON AND ANORECTUM

LAYERS OF WALL OF LARGE INTESTINE

PERITONEAL REFLECTIONS

FASCIAL RELATIONS AND TISSUE SPACES

PELVIC DIAPHRAGM AND CONTINENCE

VASCULAR SYSTEM OF THE COLON AND RECTUM

NERVE SUPPLY OF THE RECTUM AND ANUS

Technique

DECALOGUE OF GOOD COLON SURGERY

CECOPEXY

CECOSTOMY

COLON RESECTION

GENERAL PRINCIPLES OF LAPAROSCOPIC HAND- ASSISTED COLECTOMY

LAPAROSCOPIC COLECTOMIES

PROCEDURES OF THE SURGICAL ANAL CANAL AND PERIANAL REGIONS

Liver

Anatomy

TOPOGRAPHIC ANATOMY OF THE LIVER

PERITONEAL REFLECTIONS AND LIGAMENTS OF THE LIVER

MORPHOLOGY OF THE LIVER

ANOMALIES

VASCULAR SYSTEM OF THE LIVER

PERIHEPATIC SPACES

Technique

NEEDLE BIOPSY

EXCISIONAL BIOPSY

HEPATIC RESECTIONS

Extrahepatic Biliary Tract

Anatomy

RIGHT, LEFT, AND COMMON HEPATIC DUCTS

ANOMALOUS HEPATIC DUCTS: SURGICALLY SIGNIFICANT SOURCES OF BILE LEAKAGE ( FIG. 14.3)

CYSTIC DUCT

GALLBLADDER

COMMON BILE DUCT

HEPATOCYSTIC TRIANGLE AND TRIANGLE OF CALOT

VASCULAR SYSTEM OF THE EXTRAHEPATIC BILIARY TRACT

Technique

CHOLECYSTECTOMY

OPERATING ROOM CHOLANGIOGRAM

COMMON BILE DUCT EXPLORATION

SPHINCTEROPLASTY

CHOLEDOCHODUODENOSTOMY

CHOLEDOCHAL CYSTECTOMY

LAPAROSCOPIC CHOLECYSTECTOMY

Spleen

Anatomy

GENERAL DESCRIPTION OF THE SPLEEN

CHIEF SPLENIC LIGAMENTS

MINOR SPLENIC LIGAMENTS

VASCULAR SYSTEM OF THE SPLEEN

SEGMENTAL ANATOMY

ACCESSORY SPLEENS

Technique

SPLENECTOMY

OCCLUSION OF THE SPLENIC ARTERY

LAPAROSCOPIC SPLENECTOMY

Adrenal Glands

Anatomy

GENERAL DESCRIPTION OF THE ADRENAL GLANDS

RELATIONS OF THE ADRENAL GLANDS

VASCULAR SYSTEM OF THE ADRENAL GLANDS

Technique

ADRENALECTOMIES

LAPAROSCOPIC ADRENALECTOMY

Vascular System

Anatomy

ANATOMY FOR CAROTID ENDARTERECTOMY

ANATOMY FOR ABDOMINAL AORTIC ANEURYSM REPAIR

ANATOMY FOR LOWER EXTREMITY BYPASS

Technique

CAROTID ENDARTERECTOMY

ELECTIVE INFRARENAL ABDOMINAL AORTIC ANEURYSM REPAIR

FEMOROPOPLITEAL BYPASS, BELOW KNEE, WITH SAPHENOUS VEIN

Uterus, Tubes, and Ovaries

Anatomy

RELATIONS AND POSITIONS OF THE UTERUS, TUBES, AND OVARIES

VASCULAR SYSTEM OF THE UTERUS, TUBES, AND OVARIES

Technique

ABDOMINAL HYSTERECTOMY AND BILATERAL SALPINGO- OOPHORECTOMY

Carpal Tunnel

Anatomy

Technique

SURGICAL TREATMENT OF CARPAL TUNNEL SYNDROME

Microsurgical Procedures

Anatomy

INTRODUCTION

MICROSURGICAL INSTRUMENTATION

METHODS OF MAGNIFICATION

PSYCHOMOTOR SKILLS TRAINING

SURGICAL SETUP

SUTURE MATERIALS

PROCEDURE FOR VASCULAR REPAIR

PROCEDURE FOR NERVE REPAIR

PROCEDURE FOR NEUROENTUBULATION

SUMMARY

Index