Some 70 years ago, this Atlas was created to document proven and safe operative techniques in common use by general surgeons. Many improvements and changes have occurred in the previous eight editions, but two revolutionary ones were the refinement and popularization of stapling devices about 30 years ago and the creation of laparoscopic minimally invasive procedures around 1990. The first offered a quick, uniform solution to hand-sewn anastomoses of varying quality, whereas the latter, fueled by successful laparoscopic cholecystectomy, resulted in significantly faster and less painful recovery by patients. These two techniques are now joined in full flower in this edition wherein what was considered advanced laparoscopic technique just a decade ago is now in common use and taught in most surgical residency training programs.
For more than half-a-century, Zollinger’s Atlas of Surgical Operations has been the gold-standard reference for learning how to perform the most common surgical procedures using safe, well-established techniques. The ninth edition continues this tradition of excellence with the addition of color illustrations and coverage of more than 230 procedures, including many of the most important laparoscopic operations.
Following the proven effective design of previous editions, each procedure is fully explained on two pages. The right page contains beautifully rendered line drawings with color highlights that depict every important action a surgeon must consider while performing the operation. The facing page includes consistently formatted coverage of indications, preoperative preparation, anesthesia, position, operative preparation, incision and exposure, procedure, closure, and postoperative care.
Book Features
Contents
Chapter I Surgical Technique 1
Chapter II Anesthesia 5
Chapter III Preoperative Preparation and Postoperative Care 9
Chapter IV Ambulatory Surgery 15
SURGICAL ANATOMY
1 Arterial Blood Supply to the Upper Abdominal Viscera 18
2 Venous and Lymphatic Supply to the Upper Abdominal Viscera 20
3 Anatomy of the Large Intestine 22
4 Anatomy of the Abdominal Aorta and Inferior Vena Cava 24
GASTROINTESTINAL PROCEDURES
5 Laparotomy, the Opening 28
6 Laparotomy, the Closure 30
7 Laparotomy, the Closure 32
8 Laparotomy, the Closure 34
9 Gastrostomy 36
10 Percutaneous Endoscopic Gastrostomy—PEG 38
11 Closure of Perforation—Subphrenic Abscess 40
12 Gastrojejunostomy 42
13 Gastrojejunostomy 44
14 Pyloroplasty—Gastroduodenostomy 46
15 Pyloroplasty, Stapled 48
16 Vagotomy 50
17 Vagotomy, Subdiaphragmatic Approach 52
18 Vagotomy, Subdiaphragmatic Approach 54
19 Hemigastrectomy, Billroth I Method 56
20 Hemigastrectomy, Billroth I Method 58
21 Hemigastrectomy, Billroth I Stapled 60
22 Hemigastrectomy, Billroth I Stapled 62
23 Gastrectomy, Subtotal 64
24 Gastrectomy, Subtotal 66
25 Gastrectomy, Subtotal 68
26 Gastrectomy, Subtotal 70
27 Gastrectomy, Subtotal—Omentectomy 72
28 Gastrectomy, Polya Method 74
29 Gastrectomy, Hofmeister Method 76
30 Hemigastrectomy, Billroth II, Stapled 78
31 Total Gastrectomy 80
32 Total Gastrectomy 82
33 Total Gastrectomy 84
34 Total Gastrectomy 86
35 Total Gastrectomy 88
36 Total Gastrectomy 90
37 Total Gastrectomy, Stapled 92
38 Total Gastrectomy, Stapled 94
39 Roux-en-Y Gastrojejunostomy 96
40 Roux-en-Y Gastrojejunostomy 98
41 Fundoplication 100
42 Fundoplication 102
43 Fundoplication, Laparoscopic 104
44 Fundoplication, Laparoscopic 106
45 Roux-en-Y Gastric Bypass, Laparoscopic 108
46 The Adjustable Gastric Band, Laparoscopic 110
47 Resection of Small Intestine 112
48 Resection of Small Intestine, Stapled 114
49 Resection of Small Intestine, Stapled 116
50 Enteroenterostomy, Stapled 118
51 Enterostomy 120
52 Pyloromyotomy—Intussusception 122
53 Meckel’s Diverticulectomy 124
54 Appendectomy 126
55 Appendectomy 128
56 Appendectomy, Laparoscopic 130
57 Surgical Anatomy of Large Intestine 132
58 Loop Ileostomy 134
59 Transverse Colostomy 136
60 Closure of Colostomy 138
61 Colon Anastomosis, Stapled 140
62 Colectomy, Right 142
63 Colectomy, Right 144
64 Colectomy, Right Laparoscopic 146
65 Colectomy, Left End-to-End Anastomosis 148
66 Colectomy, Left End-to-End Anastomosis 150
67 Colectomy, Left Laparoscopic 152
68 Colectomy, Left Laparoscopic 154
69 Abdominoperineal Resection 156
70 Abdominoperineal Resection, Total Mesorectal Excision 158
71 Abdominoperineal Resection, Total Mesorectal Excision 160
72 Abdominoperineal Resection 162
73 Abdominoperineal Resection—Perineal Resection 164
74 Abdominoperineal Resection—Perineal Resection 166
75 Total Colectomy and Total Proctocolectomy 168
76 Total Colectomy and Total Proctocolectomy 170
77 Total Colectomy and Total Proctocolectomy 172
78 Total Colectomy and Total Proctocolectomy 174
79 Total Colectomy and Total Proctocolectomy 176
80 Anterior Resection of Rectosigmoid: End-to-End Anastomosis 178
81 Anterior Resection, Stapled 180
82 Anterior Resection, Stapled 182
83 Anterior Resection of Rectosigmoid: Side-to-End Anastomosis (Baker) 184
84 Anterior Resection of Rectosigmoid: Side-to-End Anastomosis (Baker) 186
85 Anterior Resection of Rectosigmoid: Side-to-End Anastomosis (Baker) 188
86 Anterior Resection of Rectosigmoid: Side-to-End Anastomosis (Baker) 190
87 Ileoanal Anastomosis 192
88 Ileoanal Anastomosis 194
89 Ileoanal Anastomosis 196
90 Cholecystectomy, Laparoscopic 198
91 Hasson Open Technique, Laparoscopic 200
92 Cholecystectomy, Laparoscopic 202
93 Cholecystectomy, Laparoscopic 204
94 Cholecystectomy, Laparoscopic 206
95 Cholecystectomy, Retrograde Method 208
96 Cholecystectomy, Retrograde Method 210
97 Cholecystectomy, Retrograde Method 212
98 Choledochostomy 214
99 Choledochostomy, Transduodenal Approach 216
100 Choledochoduodenostomy 218
101 Cholecystectomy—Partial Cholecystectomy 220
102 Cholecystostomy—Choledochoplasty 222
103 Choledochojejunostomy—End-to-End Anastomosis 224
104 Resection of Hepatic Duct Bifurcation Tumor (Klatskin) 226
105 Resection of Hepatic Duct Bifurcation Tumor (Klatskin) 228
106 Resection of Hepatic Duct Bifurcation Tumor (Klatskin) 230
107 Cholecystogastrostomy—Biopsy of Liver 232
108 Anatomy and Resections of the Liver 234
109 Local Excision of Hepatic Tumor (Nonanatomic Resection) 236
110 Right Hepatectomy (Segments 5, 6, 7, 8 ± Segment 1) 238
111 Right Hepatectomy (Segments 5, 6, 7, 8 ± Segment 1) 240
112 Left Hepatectomy (Segments 2, 3, 4 ± Segment 1) 242
113 Left Hepatectomy (Segments 2, 3, 4 ± Segment 1) 244
114 Extended Right Hepatectomy (Segments 4, 5, 6, 7, 8 ± Segment 1) 246
115 Extended Right Hepatectomy (Segments 4, 5, 6, 7, 8 ± Segment 1) 248
116 Drainage of Cyst or Pseudocyst of the Pancreas 250
117 Drainage of Cyst or Pseudocyst of the Pancreas 252
118 Drainage of Cyst or Pseudocyst of the Pancreas 254
119 Pancreaticojejunostomy (Puestow-Gillesby Procedure) 256
120 Pancreaticojejunostomy (Puestow-Gillesby Procedure) 258
121 Pancreaticojejunostomy (Puestow-Gillesby Procedure) 260
122 Pancreaticojejunostomy (Puestow-Gillesby Procedure) 262
123 Pancreaticojejunostomy (Puestow-Gillesby Procedure) 264
124 Pancreaticojejunostomy (Puestow-Gillesby Procedure) 266
125 Resection of the Tail of the Pancreas 268
126 Resection of the Tail of the Pancreas 270
127 Resection of the Tail of the Pancreas 272
128 Resection of the Tail of the Pancreas with Splenic Preservation, Laparoscopic 274
129 Pancreaticoduodenectomy (Whipple Procedure) 276
130 Pancreaticoduodenectomy (Whipple Procedure) 278
131 Pancreaticoduodenectomy (Whipple Procedure) 280
132 Pancreaticoduodenectomy (Whipple Procedure) 282
133 Pancreaticoduodenectomy (Whipple Procedure) 284
134 Pancreaticoduodenectomy (Whipple Procedure) 286
135 Pancreaticoduodenectomy (Whipple Procedure) 288
136 Pancreaticoduodenectomy (Whipple Procedure) 290
137 Pancreaticoduodenectomy (Whipple Procedure) 292
138 Total Pancreatectomy 294
139 Total Pancreatectomy 296
140 Total Pancreatectomy 298
MISCELLANEOUS ABDOMINAL PROCEDURES
141 Splenectomy 302
142 Splenectomy 304
143 Splenectomy, Laparoscopic 306
144 Splenectomy, Laparoscopic 308
145 Splenic Conservation 310
146 Bilateral Adrenalectomy 312
147 Bilateral Adrenalectomy 314
148 Adrenalectomy, Left Laparoscopic 316
149 Adrenalectomy, Right Laparoscopic 318
VASCULAR PROCEDURES
150 Vascular Access, Arteriovenous Fistula 322
151 Venous Access, Port Placement, Internal Jugular Vein 324
152 Venous Access, Central Venous Catheter, Subclavian Vein 326
153 Resection of Abdominal Aortic Aneurysm 328
154 Resection of Abdominal Aortic Aneurysm 330
155 Resection of Abdominal Aortic Aneurysm 332
156 Resection of Abdominal Aortic Aneurysm 334
157 Aortofemoral Bypass 336
158 Aortofemoral Bypass 338
159 Carotid Endarterectomy 340
160 Carotid Endarterectomy 342
161 Carotid Endarterectomy 344
162 Femoropopliteal Reconstruction 346
163 Femoropopliteal Reconstruction 348
164 Femoropopliteal Reconstruction 350
165 Femoropopliteal Reconstruction 352
166 Femoropopliteal Reconstruction 354
167 Saphenous Vein in Situ Arterial Bypass 356
168 Saphenous Vein in Situ Arterial Bypass 358
169 High Ligation and Stripping of the Saphenous Veins 360
170 High Ligation and Stripping of the Saphenous Veins—Vena Caval Interruption 362
171 Shunting Procedures for Portal Hypertension 364
172 Portacaval Shunt 366
173 Portacaval Shunt 368
174 Portacaval Shunt 370
175 Splenorenal Shunt (Warren) 372
176 Splenorenal Shunt (Warren) 374
GYNECOLOGIC PROCEDURES
Gynecologic System—Routine for Abdominal Procedures 379
177 Total Abdominal Hysterectomy 380
178 Total Abdominal Hysterectomy 382
179 Salpingectomy—Oophorectomy 384
Gynecologic System—Routine for Vaginal Procedures 387
180 Diagnostic Techniques for Cervical Lesions—Dilatation and Curettage 388
ADDITIONAL PROCEDURES
181 Th yroidectomy, Subtotal 392
182 Th yroidectomy, Subtotal 394
183 Th yroidectomy, Subtotal 396
184 Th yroidectomy, Subtotal 398
185 Parathyroidectomy 400
186 Tracheotomy 402
187 Tracheotomy, Percutaneous Dilational 404
188 Tracheotomy, Percutaneous Dilational 406
189 Radical Neck Dissection 408
190 Radical Neck Dissection 410
191 Radical Neck Dissection 412
192 Radical Neck Dissection 414
193 Zenker’s Diverticulectomy 416
194 Parotidectomy, Lateral Lobectomy 418
195 Posterolateral Th oracotomy Incision 420
196 Posterolateral Th oracotomy Incision 422
197 Sentinel Lymph Node Dissection, Melanoma 424
198 Sentinel Lymph Node Dissection, Melanoma 426
199 Breast Anatomy and Incisions 428
200 Modifi ed Radical Mastectomy 430
201 Modifi ed Radical Mastectomy 432
202 Sentinel Lymph Node Dissection, Breast 434
203 Sentinel Lymph Node Dissection, Breast 436
204 Repair of Ventral Hernia, Laparoscopic 438
205 Repair of Ventral Hernia, Laparoscopic 440
206 Repair of Umbilical Hernia 442
207 Repair of Indirect Inguinal Hernia 444
208 Repair of Indirect Inguinal Hernia 446
209 Repair of Indirect Inguinal Hernia 448
210 Repair of Indirect Inguinal Hernia 450
211 Repair of Indirect Inguinal Hernia (Shouldice) 452
212 Repair of Direct Inguinal Hernia (McVay) 454
213 Repair of Inguinal Hernia with Mesh (Lichtenstein) 456
214 Repair of Inguinal Hernia with Mesh (Lichtenstein) 458
215 Repair of Inguinal Hernia with Mesh (Rutkow and Robbins) 460
216 Repair of Inguinal Hernia with Mesh (Rutkow and Robbins) 462
217 Repair of Femoral Hernia 464
218 Repair of Femoral Hernia with Mesh 466
219 Laparoscopic Anatomy of the Inguinal Region 468
220 Repair of Inguinal Hernia, Laparoscopic Transabdominal Preperitoneal (TAPP) 470
221 Repair of Inguinal Hernia, Laparoscopic, Totally Extraperitoneal (TEP) 472
222 Hydrocele Repair 474
223 Rectal Prolapse, Perineal Repair 476
224 Rectal Prolapse, Perineal Repair 478
225 Rectal Prolapse, Perineal Repair 480
226 Rubber Banding and Excision of Hemorrhoids 482
227 Drainage of Perianal and Ischiorectal Abscess—Treatment of Fistula in Ano 484
228 Drainage of Fistula in Ano—Lateral Internal Sphincterotomy for Fissure in Ano 486
229 Excision of Pilonidal Sinus 488
230 Principles of Amputation 490
231 Amputation, Supracondylar 492
232 Amputation, Supracondylar 494
233 Incision and Drainage of Infections of the Hand 496
234 Suture of Tendon 498
235 Skin Graft 500
Index 502
For more than half-a-century, Zollinger’s Atlas of Surgical Operations has been the gold-standard reference for learning how to perform the most common surgical procedures using safe, well-established techniques. The ninth edition continues this tradition of excellence with the addition of color illustrations and coverage of more than 230 procedures, including many of the most important laparoscopic operations.
Following the proven effective design of previous editions, each procedure is fully explained on two pages. The right page contains beautifully rendered line drawings with color highlights that depict every important action a surgeon must consider while performing the operation. The facing page includes consistently formatted coverage of indications, preoperative preparation, anesthesia, position, operative preparation, incision and exposure, procedure, closure, and postoperative care.
Book Features
- Coverage of gastrointestinal, hepatobiliary, pancreatic, vascular, gynecologic, and additional procedures, including hernia repair, vascular access, breast procedures, sentinel lymph node biopsy, thyroidectomy, and many more
- New: coverage of the latest laparoscopic procedures, including right and left colectomy, distal pancreatectomy with splenic preservation, right and left adrenalectomy, bariatric roux-en-Y gastric bypass and adjustable gastric banding, and more
Chapter I Surgical Technique 1
Chapter II Anesthesia 5
Chapter III Preoperative Preparation and Postoperative Care 9
Chapter IV Ambulatory Surgery 15
SURGICAL ANATOMY
1 Arterial Blood Supply to the Upper Abdominal Viscera 18
2 Venous and Lymphatic Supply to the Upper Abdominal Viscera 20
3 Anatomy of the Large Intestine 22
4 Anatomy of the Abdominal Aorta and Inferior Vena Cava 24
GASTROINTESTINAL PROCEDURES
5 Laparotomy, the Opening 28
6 Laparotomy, the Closure 30
7 Laparotomy, the Closure 32
8 Laparotomy, the Closure 34
9 Gastrostomy 36
10 Percutaneous Endoscopic Gastrostomy—PEG 38
11 Closure of Perforation—Subphrenic Abscess 40
12 Gastrojejunostomy 42
13 Gastrojejunostomy 44
14 Pyloroplasty—Gastroduodenostomy 46
15 Pyloroplasty, Stapled 48
16 Vagotomy 50
17 Vagotomy, Subdiaphragmatic Approach 52
18 Vagotomy, Subdiaphragmatic Approach 54
19 Hemigastrectomy, Billroth I Method 56
20 Hemigastrectomy, Billroth I Method 58
21 Hemigastrectomy, Billroth I Stapled 60
22 Hemigastrectomy, Billroth I Stapled 62
23 Gastrectomy, Subtotal 64
24 Gastrectomy, Subtotal 66
25 Gastrectomy, Subtotal 68
26 Gastrectomy, Subtotal 70
27 Gastrectomy, Subtotal—Omentectomy 72
28 Gastrectomy, Polya Method 74
29 Gastrectomy, Hofmeister Method 76
30 Hemigastrectomy, Billroth II, Stapled 78
31 Total Gastrectomy 80
32 Total Gastrectomy 82
33 Total Gastrectomy 84
34 Total Gastrectomy 86
35 Total Gastrectomy 88
36 Total Gastrectomy 90
37 Total Gastrectomy, Stapled 92
38 Total Gastrectomy, Stapled 94
39 Roux-en-Y Gastrojejunostomy 96
40 Roux-en-Y Gastrojejunostomy 98
41 Fundoplication 100
42 Fundoplication 102
43 Fundoplication, Laparoscopic 104
44 Fundoplication, Laparoscopic 106
45 Roux-en-Y Gastric Bypass, Laparoscopic 108
46 The Adjustable Gastric Band, Laparoscopic 110
47 Resection of Small Intestine 112
48 Resection of Small Intestine, Stapled 114
49 Resection of Small Intestine, Stapled 116
50 Enteroenterostomy, Stapled 118
51 Enterostomy 120
52 Pyloromyotomy—Intussusception 122
53 Meckel’s Diverticulectomy 124
54 Appendectomy 126
55 Appendectomy 128
56 Appendectomy, Laparoscopic 130
57 Surgical Anatomy of Large Intestine 132
58 Loop Ileostomy 134
59 Transverse Colostomy 136
60 Closure of Colostomy 138
61 Colon Anastomosis, Stapled 140
62 Colectomy, Right 142
63 Colectomy, Right 144
64 Colectomy, Right Laparoscopic 146
65 Colectomy, Left End-to-End Anastomosis 148
66 Colectomy, Left End-to-End Anastomosis 150
67 Colectomy, Left Laparoscopic 152
68 Colectomy, Left Laparoscopic 154
69 Abdominoperineal Resection 156
70 Abdominoperineal Resection, Total Mesorectal Excision 158
71 Abdominoperineal Resection, Total Mesorectal Excision 160
72 Abdominoperineal Resection 162
73 Abdominoperineal Resection—Perineal Resection 164
74 Abdominoperineal Resection—Perineal Resection 166
75 Total Colectomy and Total Proctocolectomy 168
76 Total Colectomy and Total Proctocolectomy 170
77 Total Colectomy and Total Proctocolectomy 172
78 Total Colectomy and Total Proctocolectomy 174
79 Total Colectomy and Total Proctocolectomy 176
80 Anterior Resection of Rectosigmoid: End-to-End Anastomosis 178
81 Anterior Resection, Stapled 180
82 Anterior Resection, Stapled 182
83 Anterior Resection of Rectosigmoid: Side-to-End Anastomosis (Baker) 184
84 Anterior Resection of Rectosigmoid: Side-to-End Anastomosis (Baker) 186
85 Anterior Resection of Rectosigmoid: Side-to-End Anastomosis (Baker) 188
86 Anterior Resection of Rectosigmoid: Side-to-End Anastomosis (Baker) 190
87 Ileoanal Anastomosis 192
88 Ileoanal Anastomosis 194
89 Ileoanal Anastomosis 196
90 Cholecystectomy, Laparoscopic 198
91 Hasson Open Technique, Laparoscopic 200
92 Cholecystectomy, Laparoscopic 202
93 Cholecystectomy, Laparoscopic 204
94 Cholecystectomy, Laparoscopic 206
95 Cholecystectomy, Retrograde Method 208
96 Cholecystectomy, Retrograde Method 210
97 Cholecystectomy, Retrograde Method 212
98 Choledochostomy 214
99 Choledochostomy, Transduodenal Approach 216
100 Choledochoduodenostomy 218
101 Cholecystectomy—Partial Cholecystectomy 220
102 Cholecystostomy—Choledochoplasty 222
103 Choledochojejunostomy—End-to-End Anastomosis 224
104 Resection of Hepatic Duct Bifurcation Tumor (Klatskin) 226
105 Resection of Hepatic Duct Bifurcation Tumor (Klatskin) 228
106 Resection of Hepatic Duct Bifurcation Tumor (Klatskin) 230
107 Cholecystogastrostomy—Biopsy of Liver 232
108 Anatomy and Resections of the Liver 234
109 Local Excision of Hepatic Tumor (Nonanatomic Resection) 236
110 Right Hepatectomy (Segments 5, 6, 7, 8 ± Segment 1) 238
111 Right Hepatectomy (Segments 5, 6, 7, 8 ± Segment 1) 240
112 Left Hepatectomy (Segments 2, 3, 4 ± Segment 1) 242
113 Left Hepatectomy (Segments 2, 3, 4 ± Segment 1) 244
114 Extended Right Hepatectomy (Segments 4, 5, 6, 7, 8 ± Segment 1) 246
115 Extended Right Hepatectomy (Segments 4, 5, 6, 7, 8 ± Segment 1) 248
116 Drainage of Cyst or Pseudocyst of the Pancreas 250
117 Drainage of Cyst or Pseudocyst of the Pancreas 252
118 Drainage of Cyst or Pseudocyst of the Pancreas 254
119 Pancreaticojejunostomy (Puestow-Gillesby Procedure) 256
120 Pancreaticojejunostomy (Puestow-Gillesby Procedure) 258
121 Pancreaticojejunostomy (Puestow-Gillesby Procedure) 260
122 Pancreaticojejunostomy (Puestow-Gillesby Procedure) 262
123 Pancreaticojejunostomy (Puestow-Gillesby Procedure) 264
124 Pancreaticojejunostomy (Puestow-Gillesby Procedure) 266
125 Resection of the Tail of the Pancreas 268
126 Resection of the Tail of the Pancreas 270
127 Resection of the Tail of the Pancreas 272
128 Resection of the Tail of the Pancreas with Splenic Preservation, Laparoscopic 274
129 Pancreaticoduodenectomy (Whipple Procedure) 276
130 Pancreaticoduodenectomy (Whipple Procedure) 278
131 Pancreaticoduodenectomy (Whipple Procedure) 280
132 Pancreaticoduodenectomy (Whipple Procedure) 282
133 Pancreaticoduodenectomy (Whipple Procedure) 284
134 Pancreaticoduodenectomy (Whipple Procedure) 286
135 Pancreaticoduodenectomy (Whipple Procedure) 288
136 Pancreaticoduodenectomy (Whipple Procedure) 290
137 Pancreaticoduodenectomy (Whipple Procedure) 292
138 Total Pancreatectomy 294
139 Total Pancreatectomy 296
140 Total Pancreatectomy 298
MISCELLANEOUS ABDOMINAL PROCEDURES
141 Splenectomy 302
142 Splenectomy 304
143 Splenectomy, Laparoscopic 306
144 Splenectomy, Laparoscopic 308
145 Splenic Conservation 310
146 Bilateral Adrenalectomy 312
147 Bilateral Adrenalectomy 314
148 Adrenalectomy, Left Laparoscopic 316
149 Adrenalectomy, Right Laparoscopic 318
VASCULAR PROCEDURES
150 Vascular Access, Arteriovenous Fistula 322
151 Venous Access, Port Placement, Internal Jugular Vein 324
152 Venous Access, Central Venous Catheter, Subclavian Vein 326
153 Resection of Abdominal Aortic Aneurysm 328
154 Resection of Abdominal Aortic Aneurysm 330
155 Resection of Abdominal Aortic Aneurysm 332
156 Resection of Abdominal Aortic Aneurysm 334
157 Aortofemoral Bypass 336
158 Aortofemoral Bypass 338
159 Carotid Endarterectomy 340
160 Carotid Endarterectomy 342
161 Carotid Endarterectomy 344
162 Femoropopliteal Reconstruction 346
163 Femoropopliteal Reconstruction 348
164 Femoropopliteal Reconstruction 350
165 Femoropopliteal Reconstruction 352
166 Femoropopliteal Reconstruction 354
167 Saphenous Vein in Situ Arterial Bypass 356
168 Saphenous Vein in Situ Arterial Bypass 358
169 High Ligation and Stripping of the Saphenous Veins 360
170 High Ligation and Stripping of the Saphenous Veins—Vena Caval Interruption 362
171 Shunting Procedures for Portal Hypertension 364
172 Portacaval Shunt 366
173 Portacaval Shunt 368
174 Portacaval Shunt 370
175 Splenorenal Shunt (Warren) 372
176 Splenorenal Shunt (Warren) 374
GYNECOLOGIC PROCEDURES
Gynecologic System—Routine for Abdominal Procedures 379
177 Total Abdominal Hysterectomy 380
178 Total Abdominal Hysterectomy 382
179 Salpingectomy—Oophorectomy 384
Gynecologic System—Routine for Vaginal Procedures 387
180 Diagnostic Techniques for Cervical Lesions—Dilatation and Curettage 388
ADDITIONAL PROCEDURES
181 Th yroidectomy, Subtotal 392
182 Th yroidectomy, Subtotal 394
183 Th yroidectomy, Subtotal 396
184 Th yroidectomy, Subtotal 398
185 Parathyroidectomy 400
186 Tracheotomy 402
187 Tracheotomy, Percutaneous Dilational 404
188 Tracheotomy, Percutaneous Dilational 406
189 Radical Neck Dissection 408
190 Radical Neck Dissection 410
191 Radical Neck Dissection 412
192 Radical Neck Dissection 414
193 Zenker’s Diverticulectomy 416
194 Parotidectomy, Lateral Lobectomy 418
195 Posterolateral Th oracotomy Incision 420
196 Posterolateral Th oracotomy Incision 422
197 Sentinel Lymph Node Dissection, Melanoma 424
198 Sentinel Lymph Node Dissection, Melanoma 426
199 Breast Anatomy and Incisions 428
200 Modifi ed Radical Mastectomy 430
201 Modifi ed Radical Mastectomy 432
202 Sentinel Lymph Node Dissection, Breast 434
203 Sentinel Lymph Node Dissection, Breast 436
204 Repair of Ventral Hernia, Laparoscopic 438
205 Repair of Ventral Hernia, Laparoscopic 440
206 Repair of Umbilical Hernia 442
207 Repair of Indirect Inguinal Hernia 444
208 Repair of Indirect Inguinal Hernia 446
209 Repair of Indirect Inguinal Hernia 448
210 Repair of Indirect Inguinal Hernia 450
211 Repair of Indirect Inguinal Hernia (Shouldice) 452
212 Repair of Direct Inguinal Hernia (McVay) 454
213 Repair of Inguinal Hernia with Mesh (Lichtenstein) 456
214 Repair of Inguinal Hernia with Mesh (Lichtenstein) 458
215 Repair of Inguinal Hernia with Mesh (Rutkow and Robbins) 460
216 Repair of Inguinal Hernia with Mesh (Rutkow and Robbins) 462
217 Repair of Femoral Hernia 464
218 Repair of Femoral Hernia with Mesh 466
219 Laparoscopic Anatomy of the Inguinal Region 468
220 Repair of Inguinal Hernia, Laparoscopic Transabdominal Preperitoneal (TAPP) 470
221 Repair of Inguinal Hernia, Laparoscopic, Totally Extraperitoneal (TEP) 472
222 Hydrocele Repair 474
223 Rectal Prolapse, Perineal Repair 476
224 Rectal Prolapse, Perineal Repair 478
225 Rectal Prolapse, Perineal Repair 480
226 Rubber Banding and Excision of Hemorrhoids 482
227 Drainage of Perianal and Ischiorectal Abscess—Treatment of Fistula in Ano 484
228 Drainage of Fistula in Ano—Lateral Internal Sphincterotomy for Fissure in Ano 486
229 Excision of Pilonidal Sinus 488
230 Principles of Amputation 490
231 Amputation, Supracondylar 492
232 Amputation, Supracondylar 494
233 Incision and Drainage of Infections of the Hand 496
234 Suture of Tendon 498
235 Skin Graft 500
Index 502
Product Details
- Hardcover: 532 pages
- Publisher: McGraw-Hill Professional; 9 edition (September 21, 2010)
- Language: English
- ISBN-10: 0071602267
- ISBN-13: 978-0071602266
- Product Dimensions: 14.1 x 10.3 x 1.2 inches
- Author: Robert Zollinger Jr, E. Ellison