By David Sugarbaker, Raphael Bueno, Yolanda Colson, Michael Jaklitsch, Mark Krasna, Steven Mentzer
The so much authoritative, accomplished, and clinicallyfocused consultant to operative thoracic surgery--updatedwith the most recent options and technologies
A Doody's center identify for 2015!
Adult Chest Surgery is a radical, hands-on advisor to the trendy perform of basic thoracic surgical procedure. large in scope and simple widespread and presentation, this vintage is a phenomenal reference for any clinician short of a finished description ofthe medical nature of common thoracic surgery.
Like its award-winning predecessor, the second one variation of Adult Chest Surgery specializes in supplying concise descriptions of present ideas and surgical rules for the commonest thoracic surgical difficulties encountered within the health center and the working room. This version is more advantageous via forty new chapters dedicated to quite a number issues together with new endoscopic suggestions for antireflux surgical procedure; percutaneous thoracic tumor ablation; peroral esophageal myotomy; robot suggestions for lobectomy, esophagectomy, and thymectomy; and different new minimally invasive ways to plain thoracic resections. it's also enriched by way of greater than 250 new specific illustrations of strategies, bringing the complete quantity to 850.
Adult Chest Surgery contains a logical association according to anatomy, and every part has an outline bankruptcy, which summarizes the proper anatomy, pathophysiology, and diagnostic and procedural ideas. all through, operations and diagnostic systems are highlighted in succinct, illustrated procedure chapters.
Read Online or Download Adult Chest Surgery, 2nd edition (Medical/Denistry) PDF
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Additional info for Adult Chest Surgery, 2nd edition (Medical/Denistry)
Disadvantages Although the incision provides good visualization of the anterior hemithorax, visualization of the posterior hemithorax and inferior portions of the chest are impaired. These disadvantages can be offset by the use of thoracoscopy, hence the frequent use of this incision in VATS procedures. Quick extension of the incision is hampered by the potential of injury to the long thoracic nerve posteriorly and the bulk of the pectoralis major muscle anteriorly. 27/08/14 7:27 PM 8 Part 1 Overall Care Figure 2-5.
View of the right hilum from an axillary thoracotomy. Figure 2-7. Extrathoracic structures at risk for injury with an axillary thoracotomy and proper placement of the incision. particularly useful for mobilizing a scarred apical segment from the parietal pleura during thoracoscopic procedures,2 visualization of the posterior portion of the apex of the lung during bullectomy, and mobilization of the thymus when using a thoracoscopic approach. Because the apex of the lung lacks the bulk of the lower portion, it is easily displaced, and the anterior, middle, and posterior upper mediastinum can be visualized easily.
The serratus anterior muscle is divided along the course of its fibers and not rotated. The intercostal muscle is lifted from the top of the inferior rib. The intercostal muscle can be further undercut beneath the more superficial soft tissues by bluntly developing a plane just superficial to the intercostal muscle and then dividing it while not dividing the more superficial soft tissues. It is important to remove the intercostal muscle from the top portion of the lower rib to avoid injury to the neurovascular bundle of the upper rib.