Evans: Surgical Pitfalls: Prevention and Management

As a profession, surgeons are exceedingly reluctant to publicize their errors. Whether they are errors in judgment or intraoperative technical errors, they are usually kept to theirselves or become semi-public when presented formally at the usual Morbidity and Mortality conferences held weekly at all hospitals by surgeons throughout the country. It is quite clear, however, that the Morbidity and Mortality conference proves to be the most educationally productive conference for all surgeons because of how much they learn from their own errors as well as the errors of others.
Surgical Pitfalls has been a work in progress for many years and is targeted not just at surgeons in training but at surgeons of all levels of expertise. The hope is that this will lead to significant error prevention and improve and enhance error training through surgical residencies. This book have constructed to include all of the major specialties in surgery.
Surgical Pitfalls - Prevention and Management by Stephen R. T. Evans is unique in its intent to identify intraoperative errors that occur at specific steps during both simple and complex operations, but more importantly identifying how to prevent the error, the consequences of the error if they occur, and lastly, how to repair or correct the error once it has happened. The book covers over 80 major operative procedures in addition to discussing common errors, especially errors in preoperative decision making based upon individual organ systems and risk stratifi cation that should be considered in preoperative assessment and evaluation of all patients. Additionally, errors made in teaching technical skills are reviewed, errors in communication that lead to medical legal issues, and lastly an overview in the introductory section on the process of surgical maturation.
During this first edition this book have attempted to be as comprehensive as possible in describing all major published intraoperative complications and intraoperative errors that are made in decision making. As previously stated, however, surgeons are reluctant not just to talk about their mistakes, but certainly loathe publishing them. In preparation for the second edition there are actively soliciting cases with substantial intraoperative or radiographic confirmation and documentation of the specific errors and complications that have occurred with the intent of making the second edition even more comprehensive and truly an “Encyclopedia of Error” or the “Textbook of Morbidity and Mortality.”

Contents
Section I GENERAL CONSIDERATIONS
1 From Error to Perfection: The Process of Surgical Maturation
2 Teaching Technical Skills—Errors in the Process
3 Legal Considerations
4 Preoperative Pitfalls
5 Anesthesia for the Surgeon
6 General Laparotomy
7 Laparoscopic Surgery
Section II BEDSIDE PROCEDURES
8 Central Vein Catheterization
9 Pulmonary Artery Catheterization
10 Arterial Catheterization
11 Chest Tube Insertion
12 Paracentesis
Section III GASTROINTESTINAL SURGERY
13 Open Gastrostomy Feeding Tube Placement and Percutaneous Endoscopic Gastrostomy Tube Placement
14 Open Jejunostomy Tube Placement
15 Graham Patch Repair
16 Vagotomy and Pyloroplasty
17 Laparoscopic Nissen Fundoplication
18 Laparoscopic Esophagomyotomy with Dor Fundoplication
19 Laparoscopic Gastric Bypass
20 Gastrectomy with Reconstruction
21 Enterectomy
22 Ileostomy
COLON, RECTUM AND ANUS
23 Right Colectomy: Open and Laparoscopic
24 Left Colectomy: Open and Laparoscopic
25 Low Anterior Resection
26 Abdominal Perineal Resection with Colostomy
27 Laparoscopic Appendectomy
28 Hemorrhoidectomy
29 Anal Fistulotomy
Section IV HEPATOBILIARY SURGERY
30 Gallbladder: Cholecystectomy (Laparoscopic vs. Open)
31 Right Hepatectomy
32 Left Hepatectomy
33 Trisectionectomy
34 Laparoscopic Liver Resection
35 Pancreaticoduodenectomy
36 Distal Pancreatectomy
37 Lateral Pancreaticojejunostomy (Puestow) Procedure
38 Pancreatic Cyst/Debridement
39 Resection and Reconstruction of the Biliary Tract
Section V ENDOCRINE SURGERY
40 Thyroid Surgery
41 Parathyroid Surgery
42 Adrenal Surgery
Section VI BREAST SURGERY
43 Image-Guided Breast Biopsy
44 Breast Biopsy and Breast-Conserving Surgical Techniques
45 Axillary Surgery
46 Mastectomy
Section VII SOFT TISSUE AND SKIN
47 Management of Soft Tissue Sarcoma
48 Isolated Limb Perfusions and Extremity Amputations
Section VIII HERNIA
49 Open Inguinal Hernia Repair with Plug and Patch Technique
50 Prolene Hernia System—Hernia Repair
51 Laparoscopic Inguinal Hernia Repair
52 Umbilical and Epigastric Hernias
53 Open Primary and Mesh Repairs
54 Laparoscopic Incisional Hernia Repair
55 Component Separation for Complex Abdominal Wall Reconstruction and Recurrent Ventral Hernia Repair
Section IX HEMATOPOIETIC
56 Laparoscopic Splenectomy
57 Supraclavicular Lymph Node Biopsy
Section X VASCULAR SURGERY
58 Carotid Endarterectomy
59 Aortic Surgery
60 Infrainguinal Revascularization
61 Arteriovenous Hemodialysis Access
62 Venous Surgical Pitfalls
63 Endovascular Interventions
Section XI THORACIC SURGERY
64 Bronchoscopy: Flexible and Rigid; Esophagoscopy: Flexible and Rigid; Mediastinoscopy; and Anterior Mediastinotomy
65 Lobar Resections
66 Bronchial and Vascular Sleeve Lobectomy
67 Pneumonectomy
68 Chest Wall Resections
69 Thymectomy and Resection of Mediastinal Masses
70 Esophageal Surgery
71 Cervical Tracheal Resection and Reconstruction
Section XII TRAUMA SURGERY
72 Evaluating Trauma Literature
73 Evaluation and Acute Resuscitation of the Trauma Patient
74 Management of Thoracic Trauma
75 Management of Pancreatic and Duodenal Injuries
76 Traumatic Brain Injury
77 Managing Injuries to the Spleen
78 Damage Control: Abdominal Closures
79 Management of Penetrating Neck Injury
Section XIII PEDIATRIC SURGERY
80 Malrotation, Volvulus, and Bowel Obstruction
81 Imperforate Anus and Hirschsprung’s Disease
82 Pectus Excavatum
83 Tracheoesophageal Fistula and Esophageal Atresia Repair
84 Congenital Diaphragmatic Hernia
85 Wilms’ Tumor and Neuroblastoma
86 Inguinal and Umbilical Hernias
87 Pyloromyotomy
Index
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