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AuthorChassin, Jameson L. author
TitleOperative Strategy in General Surgery [electronic resource] : An Expositive Atlas Volume 1 / by Jameson L. Chassin
ImprintNew York, NY : Springer New York, 1980
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Descript XXIII, 558 p. online resource


This surgical atlas should be of great value to all clinical surgeons, both those in training and those in surgical practice, and Dr. Chassin is suยญ perbly qualified to author this work. During more than three decades as a member of the faculty of the New York University School of Medicine, he has taught countless residents many aspects of the art of surgical technique. One measure of Dr. Chassin's unusual teaching ability is that he is both Professor of Clinical Surgery at New Y or k University and Director of Surgery at Booth Memorial Hospital, where our fourth-year surgical residents have rotated regularly for the past 12 years. Booth Memorial is the only hospital outside the New York University Medical Center to which New York University residents rotate. This simple fact well underlines Dr. Chassin's remarkable capability for teaching. When a surgical complication develops after an operation, two or three possibilities should be considered. First, of course, was the diagยญ nosis correct? If it was, then the cause of the complication is usually either an inadequate operative technique or a flawed concept underlying the selection of the operative procedure. When the surgical technique seems faultless, a postoperative complication would strongly indicate that the concept was erroneous, albeit cherished perhaps for decades. Unlike any other atlas on operative technique, this book specifically discusses the conceptual basis of the operation as well as the strategy that will help the surgeon avoid common pitfalls


1 Concept and Strategy in Surgery -- 2 Management of the Contaminated Operation -- 3 Rational Use of Drains -- 4 Surgical Stapling: Principles and Precautions -- 5 Incision, Exposure, and Closure -- Esophagus -- 6 Operations to Resect, Replace, or Bypass the Esophagus -- 7 Esophagectomy: Right Thoracotomy and Laparotomy -- 8 Esophagogastrectomy: Left Thoracoabdominal -- Stomach -- 9 Operations for Peptic Ulcer -- 10 Truncal Vagotomy -- 11 Proximal Gastric Vagotomy -- 12 Pyloroplasty, Heineke-Mikulicz -- 13 Pyloroplasty, Finney -- 14 Gastrojejunostomy -- 15 Gastrectomy for Peptic Ulcer -- 16 Perforated Peptic Ulcer -- 17 Gastrostomy -- 18 Gastrectomy for Cancer -- 19 Total Gastrectomy -- Small Intestine -- 20 Exposure of the Third and Fourth Portions of the Duodenum -- 21 Small Bowel Resection and Anastomosis -- 22 Enterolysis for Intestinal Obstruction -- 23 Baker Tube Stitchless Plication -- Colon and Rectum -- 24 Appendectomy -- 25 Colon Resection -- 26 Colon Resection for Cancer -- 27 Right Colectomy for Cancer -- 28 Left Colectomy for Cancer -- 29 Operations for Rectal Cancer -- 30 Low Anterior Resection for Rectal Cancer -- 31 Abdominoperineal Proctosigmoidectomy for Cancer -- 32 Subtotal Colectomy with Ileoproctostomy or Ileostomy and Sigmoid Mucous Fistula -- 33 Subtotal Colectomy for Massive Colonic Hemorrhage -- 34 Ileostomy, End -- 35 Ileostomy, Loop -- 36 Abdominoperineal Proctectomy for Benign Disease -- 37 Operations for Colon Obstruction -- 38 Cecostomy -- 39 Transverse Colostomy -- 40 Closure of Temporary Colostomy -- 41 Operations for Colonic Diverticulitis -- 42 Operation for Rectal Prolapse (Ripstein) -- Appendixes -- A Some Mechanical Basics of Operative Technique -- Importance of Surgeonโ{128}{153}s Foot and Body Position -- Use of Instruments -- B Dissecting and Sewing -- Sewing Technique -- The Art of Dissecting Planes -- C Control of Bleeding -- Techniques of Achieving Hemostasis -- Control of Hemorrhage, Temporary -- Control of Hemorrhage, Definitive -- D Glossary

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