By Courtney M. Townsend Jr. JR. MD, B. Mark Evers MD
Atlas of normal Surgical strategies covers the entire spectrum and breadth of basic 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 complicated tactics, together with open and minimally invasive ideas. The hugely constant process and outsized structure permit for big academic illustrations with pearls and pitfalls on the finish of every bankruptcy. entire insurance contains sizzling subject matters similar to Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy,Hernia fix, Exploration of Neck for Trauma, and Subclavian Artery Stab. you will 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 comprises entry to the absolutely searchable textual content on-line at expertconsult.com, besides downloadable pictures. positive aspects 1200 easy-to-follow, step by step anatomic drawings that in actual fact depict the complete spectrum and breadth of surgical techniques-both open and minimally invasive. Covers sizzling issues akin to Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy,Hernia fix, Exploration of Neck for Trauma, and Subclavian Artery Stab. presents step by step directions for every approach in a hugely constant layout that makes employing innovations effortless. Highlights pearls and pitfalls on the finish of every bankruptcy so that you be aware of what to anticipate earlier than getting into the working room. provides the particular advice of experts on what you want to find out about universal and not easy tactics.
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Additional resources for Atlas of General Surgical Techniques: Expert Consult - Online and Print
Peters GE, Price JC, Johns ME: Cervical lymphadenectomy. In Johns ME, Price JC, Mattox DE (eds): Atlas of Head and Neck Surgery. 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.
Figure 3-1 illustrates an abnormally enlarged right inferior parathyroid gland. Normal superior right parathyroid gland Abnormally enlarged inferior right parathyroid gland FIGURE 3–1 42 Normal superior left parathyroid gland Normal inferior left parathyroid gland CHAPTER 3 • Parathyroidectomy 43 STEP 2: PREOPERATIVE CONSIDERATIONS ◆ Criteria for surgical referral, as noted by the National Institutes of Health workshop in 2002, include: serum calcium concentration greater than 1 mg/dL above the upper limits of normal, 24-hour urinary calcium greater than 400 mg, creatinine clearance reduced by greater than 30% in comparison with age-matched subjects, bone density greater than 2 standard deviations below peak bone mass, all individuals with hyperparathyroidism and age younger than 50 years, and patients for whom medical surveillance is either undesirable or impossible.
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). In addition, a thorough knowledge of the embryology and development of the parathyroid glands is important to understand where in the neck or mediastinum the parathyroid gland may lie, based on normal embryologic descent of the superior and inferior glands.