Atlas of Advanced Operative Surgery: Expert Consult - Online by Vijay P. Khatri MD FACS

By Vijay P. Khatri MD FACS

Advance your surgical services with Atlas of complicated Operative Surgery! This new source choices up the place different surgical references depart off, offering highly visible, step by step advice on greater than a hundred complex and complicated procedures in either normal and subspecialty parts.

  • Visualize each procedure
  • due to greater than 1,000 illustrations, so much in complete colour - together with intraoperative images, fantastically illustrated colour drawings that spotlight the correct anatomy and strategies in particular surgical procedures, and radiologic pictures that assist you determine diversifications in anatomy ahead of surgery.

  • Grasp every one process and assessment key steps quickly with a constant, hugely concentrated, bulleted format.
  • See the benefits and downsides of diversifications in technique with a Pro/Con part written through professional surgeons.
  • Focus at the complex perform skills which are of specific price to these poised to start perform, in addition to surgeons who're already in practice.
  • Benefit from the masterful assistance of Dr. Vijay Khatri, a revered specialist and skilled mentor of trainees, junior college, and group surgeons.
  • Learn new techniques or refresh your reminiscence on operative details prior to surgery with an easy-to-follow, step by step layout: pre-operative instruction, operative strategy, place, incision, major dissection, closure, replacement technical techniques (with pros/cons), and post-operative care.
  • Access the full contents of Atlas of complicated Operative Surgery online, absolutely searchable, at

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Extra resources for Atlas of Advanced Operative Surgery: Expert Consult - Online and Print, 1e

Sample text

Medina, MD, FACS I. SPECIAL PREOPERATIVE PREPARATION Indications This operation is indicated in the following situations: u Chronic submandibular sialadenitis, most commonly due to sialolithiasis. When the stone or stones are lodged in the duct, close to the “hilum” of the gland, it is usually not possible to remove the stones through the mouth, making it necessary to remove the gland. u A mass in the submandibular gland. In this case we prefer to perform a dissection of the submandibular triangle, including the various lymph node groups in the area.

Vagus n. Common corotid artery Phrenic n. Internal jugular vein (cut) Omohyoid m. (cut) Figure 1-6. SCM, Sternocleidomastoid. Brachial plexus External jugular vein (cut) 8 Section I • Head and Neck The dissection is then carried forward as the specimen is dissected off of the scalenus medius, the brachial plexus, and the scalenus anticus. At this point, the cutaneous branches of the cervical plexus are exposed and divided. Once this is done, care must be taken as the dissection is continued medially because there is only a relatively thin layer of tissue that needs to be incised to expose the vagus nerve, the common carotid artery, and the internal jugular vein.

Medina, MD, FACS Background and History The first description of a systematic en bloc removal of the lymphatics of the neck was published by Crile in 1906. The operation he described has come to be known as the radical neck dissection. Even though the radical neck dissection, as it is conceptualized today, removes the lymph node–bearing tissues of one side of the neck in conjunction with the sternocleidomastoid muscle, the internal jugular vein, and the spinal accessory nerve, the drawings that illustrate Crile’s publication depict the spinal accessory nerve and the ansa hypoglossi being preserved.

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