Zollinger's Atlas of Surgical Operations, Tenth Edition
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The classic surgical atlas, more comprehensive than ever!
For more than half-a-century, Zollinger’s Atlas of Surgical Operations has been the gold-standard reference for learning howto perform the most common surgical procedures using safe, well-established techniques. The tenth edition continues this tradition of excellence. The atlas covers gastrointestinal, hepatobiliary, pancreatic, vascular, gynecologic, and additional procedures, including hernia repair, vascular access, breast procedures, sentinel lymph node biopsy,thyroidectomy, and many more. The illustrations in this atlas have withstood the test of time. They allow you to visualize both the anatomy and the operation, making the book useful as a refresher or for learning the steps of a particular procedure.
The tenth edition of Zollinger’s Atlas of Surgical Operations expands the content to include 19 new operations. Each chapter contains beautifully rendered line drawings with color highlights that depict every important action you must consider while performing the operation. Each chapter also includes consistently formatted coverage of indications,preoperative preparation, anesthesia, position, operative preparation, incision and exposure, procedure, closure, and postoperative care.
lifesaving procedure. Today cholecystostomy is usually placed under image guidance by a percutaneous technique. Surgical cholecystostomy may be needed in some situations. It is the operation of choice in some elderly patients with acute cholecystitis, in poor surgical risks who present a well-defined mass, in seriously ill patients in whom minimum surgery is desirable when a large abscess surrounds the gallbladder, and when technical difficulties make cholecystectomy hazardous. If there is
(FIGURE 44) to prevent prolapse of small bowel up through this opening. The opening about the region of the ligament of Treitz should be closed with 000 silk. A gastrostomy tube and feeding jejunostomy may be indicated in the malnourished patient. Closed-suction drains are placed adjacent to the choledochojejunostomy and pancreaticojejunostomy. CLOSURE The abdominal wall is closed in the routine manner. In the presence of emaciation or in the older age group, it may be advisable to close
mouth should be on their sides with the face dependent to protect against aspiration of mucus, blood, or vomitus. Major shifts in position after long operations are to be avoided until the patient has regained consciousness; experience has shown that such changes are badly tolerated. In some instances, the patient is transferred from the operating table directly to a permanent bed which may be transported to the patient’s room. After the recovery of consciousness, most patients who have had
patulous gastroduodenotomy may be found (FIGURE 1). The extent of the previous resection must be determined to be certain that the antrum has been resected. A complete vagotomy as well as antrectomy is mandatory as a safeguard against recurrent ulceration. DETAILS OF PROCEDURE When a Billroth I procedure is to be converted, it is essential to carefully isolate the anastomosis both anteriorly and posteriorly before applying straight Kocher clamps to either side of the anastomosis (FIGURE
The latter studies may be extended over a 24-hour period of observation. Barium studies of the entire gastrointestinal tract may demonstrate a duodenal ulcer or other disorders. A gastric analysis, as well as serum gastrin determinations, should be made. Antacid therapy, elevation of the head of the bed, and effective weight reduction in obese patients may decrease the severity of symptoms. Surgical procedures are designed to prevent acid peptic reflux and to restore normal sphincteric function.