By Vijay P. Khatri MD FACS
Enhance your surgical services with Atlas of complicated Operative surgical procedure! This new source alternatives up the place different surgical references depart off, supplying hugely visible, step by step suggestions on greater than a hundred complicated and complicated approaches in either common and subspecialty components.
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Written by means of leaders of their fields, this can be the second one variation of a vintage, must-have paintings for surgeons and residence employees. It presents surgical practitioners with a present, concise and algorithmic method of usually encountered difficulties. greater than a hundred chapters aspect each universal surgical illness within the kind of a succinct textual content coupled with a step by step set of rules.
Radiologists, orthopedic and neurological surgeons current the several minimally invasive tools. Peripheral nerve difficulties and difficulties touching on differential prognosis in specific occasions resembling among radicular and peripheral nerve trunk lesions are mentioned, pinpointing the importance of alternative diagnostic instruments.
One of the maximum demanding situations in cardiovascular surgical procedure this day stay operations on aortic arch pathology, supraaortic vessels, and the safety of the mind from hypoxic or ischemic harm in the course of those gentle operations. considering that DeBakey's first profitable fix of an aortic arch aneurysm in 1957, figuring out of the aortic arch pathology, neuroprotective options, neuromonitoring and surgical method have markedly more advantageous.
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Extra resources for Atlas of Advanced Operative Surgery
Imaging is helpful for the patient presenting with an aggressive parotid tumor, such as facial nerve palsy or a long-standing deep-lobe parotid tumor. Tumors in the tail of the parotid are usually Warthin tumors, and a preoperative fine-needle aspiration biopsy (FNA) is quite helpful. Even though there continues to be considerable controversy about the role of FNA, in select circumstances it is quite helpful. FNA will distinguish between salivary and nonsalivary pathology. FNA is also quite helpful in identifying suspected lymphoma or cystic lesions of the parotid, such as a benign parotid cyst or lymphoepithelial lesions of the parotid.
U The dissection continues superiorly in the pretragal area (see Fig. 3-2). The external auditory canal is exposed, and the dissection is done very close to cartilage to avoid any bleeding from the substance of the parotid gland. Any dissection in the parotid gland leads to a considerable amount of bleeding; therefore bipolar electrocautery will be helpful in this situation. u The dissection continues on the anterior surface of the external auditory canal until the fingertip feels the junction of the external auditory canal and bony canal.
A Harmonic scalpel may be used in this area to cut through the parotid tissue. However, it is important to recognize that the anterior blade of the Harmonic scalpel may cause surrounding tissue injury. u As the dissection is done anteriorly, the surface of the masseter muscle is exposed. The parotid duct may be noted in this region and should be clamped and ligated. Approximately 20% of the parotid tissue deep to the facial nerve is generally left in situ unless the tumor involves the deep lobe of the parotid gland.
Atlas of Advanced Operative Surgery by Vijay P. Khatri MD FACS