Clinical Scenarios in Surgery: Decision Making and Operative Technique

 

An ideal reference both for oral board preparation as well as ongoing study throughout residency, Clinical Scenarios in Surgery: Decision Making and Operative Technique, Third Edition, presents over 140 cases that take readers step by step through the principles of safe surgical care. Using a concise, highly readable format, this case-based text covers today’s standards of care in all areas of general surgery, including abdominal wall, upper GI, emergency general surgery, hepatobiliary, colorectal, breast, endocrine, thoracic, vascular, pediatric, skin and soft tissue, trauma, critical care, transplant, and head and neck surgeries. Edited by Drs. Justin B. Dimick, Gilbert R. Upchurch Jr., Christopher J. Sonnenday, and Lilian S. Kao, this indispensable study tool is a must-have resource for exam success!

 

Table of Contents:

 

Section 1: Abdominal Wall

1 Symptomatic Primary Inguinal Hernia

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Preoperative Care

Repair Types

Open Inguinal Hernia Repair

Total Extraperitoneal Laparoscopic Hernia Repair

Transabdominal Preperitoneal Hernia Repair

Special Intraoperative Considerations

Postoperative Management

2 Recurrent Inguinal Hernia (Transabdominal Preperitoneal Repair)

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

3 Incarcerated/Strangulated Inguinal Hernia

Differential Diagnosis

Workup

Discussion

Diagnosis and Treatment

Surgical Approach

Open Mesh Repair of Incarcerated Inguinal Hernia

Laparoscopic Repair of Incarcerated Inguinal Hernia

Special Intraoperative Considerations

Postoperative Management

4 Ventral Incisional Hernia

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

5 Complex Abdominal Wall Reconstruction

Differential Diagnosis

Discussion

Workup

Diagnosis and Treatment

Ventral Hernia Staging

Surgical Approach

Posterior Component Separation

Special Intraoperative Considerations

Postoperative Management

6 Enterocutaneous Fistula

Differential Diagnosis

Workup

Continued Treatment

Wound Care and Skin Protection

Nutrition

Prehabilitation

Surgical Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

7 Infected Ventral Hernia Mesh

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

8 Postoperative Dehiscence

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

SECTION 2: UPPER GASTROINTESTINAL

9 Paraesophageal Hernia

Differential Diagnosis

Workup

Discussion

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

10 Gastroesophageal Reflux Disease

Differential Diagnosis

Workup

Diagnosis and Treatment

Medical Therapy

Antireflux Procedures

Endoluminal Therapies

Magnetic Sphincter Augmentation

Laparoscopic Fundoplication

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

Side Effects

11 Gastric Cancer

Differential Diagnosis

Workup

Diagnosis and Treatment

Early-sectage Gastric Cancer

Middle-sectage Gastric Cancer

Late-sectage Gastric Cancer

Surgical Approach

Surgical Planning

Key Technical Steps

Potential Pitfalls

Special Intraoperative Considerations

Postoperative Management

12 Gastrointestinal Stromal Tumor

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

13 Splenectomy for Hematologic Disease

Differential Diagnosis

Workup

Diagnosis and Treatment

Preoperative Preparation

Surgical Approach

Postoperative Management

14 Morbid Obesity

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

15 Surgical Treatment of Gastroesophageal Reflux Disease in the Patient With Obesity

Differential Diagnosis

Workup

Diagnosis, Treatment

Surgical Approach

Key Technical Steps

Pitfalls

Special Intraoperative Considerations

Postoperative Management

16 Gastroesophageal Reflux Disease After Sleeve Gastrectomy

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

17 Leak After Bariatric Surgery

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Postoperative Management

18 Abdominal Pain After Gastric Bypass

Differential Diagnosis

Workup

Subacute

Acute

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

SECTION 3: EMERGENCY GENERAL SURGERY

19 Acute Appendicitis

Differential Diagnosis

Workup and Communication

Diagnostic Imaging

Treatment Approach

Shared Decision-Making

Surgical Approach

Laparoscopic Appendectomy

Special Intraoperative Considerations: Negative Appendectomy, Neoplasm, Pregnancy

Negative Appendectomy

Neoplasm

Pregnancy

Post Discharge and Postoperative Management

For Patients Treated With Surgery

For Patients Treated With Antibiotics

20 Perforated Appendicitis

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Laparoscopic Appendectomy

Open Appendectomy

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

21 Perforated Duodenal Ulcer

Differential Diagnosis

Workup

Imaging Studies

Laboratory Studies

Diagnosis and Treatment

Surgical Approach

Surgical Procedure(s) for the Management of Perforated Duodenal Ulcers

Special Intraoperative Considerations and Emerging Techniques

Giant Perforated Ulcers

Posterior Perforation

Perforated Gastric Cancer

Perforation at the Gastroesophageal Junction

Endoscopic Techniques

Postoperative Management

22 Gynecologic Causes of Lower Abdominal Pain

Differential Diagnosis

Workup

Diagnosis and Treatment

Further Discussion

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

23 Small Bowel Obstruction

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

24 Acute Cholecystitis

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Intraoperative Considerations

Postoperative Management

25 Cholangitis

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

26 Symptomatic Cholelithiasis in Pregnancy

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Laparoscopic Cholecystectomy

Open Cholecystectomy

Special Considerations

Postoperative Management

27 Surgery and Clostridioides difficile Colitis

Differential Diagnosis

Workup and Treatment

Surgical Approach

Postoperative Management

28 Complicated Diverticulitis

Differential Diagnosis

WorkUp

Diagnosis and Treatment

Surgical Approach

Interoperative Considerations

Other Scenarios

29 Colonic Volvulus

Presentation

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

30 Necrotizing Soft Tissue Infections

Differential Diagnosis

Discussion

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

31 Bleeding Gastric Ulcer

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Truncal Vagotomy + Drainage Procedure

Distal Gastrectomy (vs Wedge Resection)

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

32 Bleeding Duodenal Ulcer

Differential Diagnosis

Workup

Discussion

Surgical Approach

Complications

Postoperative Management

33 Lower Gastrointestinal Bleeding

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Total Abdominal Colectomy

Special Intraoperative Considerations

Postoperative Management

34 Leaking Umbilical Hernia (Risk Stratification for Cirrhotic Patients)

Differential Diagnosis

Initial Management

Workup

Preoperative Risk Stratification for Cirrhotic Patients

Preoperative Optimization for Cirrhotic Patients

Treatment

Surgical Approach

Open Primary Umbilical Hernia Repair Without Mesh

Special Intraoperative Considerations

Skin Breakdown

Bleeding

Open Versus Laparoscopic Approach

Mesh Placement

Intraperitoneal Drain Placement

Anesthesia Expertise

Postoperative Management

SECTION 4: HEPATOBILIARY

35 Bile Duct Injury

Differential Diagnosis

Workup

Role of HIDA Scan

Role of Axial Imaging

Role of Cholangiography

Classification of Biliary Injuries

Diagnosis and Treatment

Surgical Approach

Preoperative Preparation

Operative Approach

Special Intraoperative Considerations

Postoperative Management

36 Severe Acute Pancreatitis

Differential Diagnosis

Workup

Diagnosis and Treatment

Intervention for Infected Necrosis

Timing of Cholecystectomy

Surgical Approach to Pancreatic Debridement

Special Intraoperative Considerations

Postoperative Management

37 Incidental Liver Mass

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Laparoscopic Resection

Open Resection

Special Intraoperative Considerations

Postoperative Management

38 Liver Mass in Chronic Liver Disease

Differential Diagnosis

Workup and Diagnosis

Diagnosis and Treatment

Surgical Approach

Open Hepatic Resection: Operative Steps

Minimally Invasive Hepatic Resection

Liver Transplantation

39 Colon and Rectal Cancer Metastatic to the Liver

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

40 Obstructive Jaundice

Differential Diagnosis

Workup and Diagnosis

Staging

Treatment

Surgical Approach

Preoperative Planning

Surgery

Postoperative Complications

41 Management of Incidental Pancreatic Cysts

Differential Diagnosis of the Incidentally Identified Pancreatic Cyst

Workup

Diagnosis and Treatment

Surgical Approach

Postoperative Management

42 Refractory Pain From Chronic Pancreatitis

Differential Diagnosis

Workup

Treatment

Surgical Approach

General Operative Conduct

Specific Technical Details

Lateral Pancreaticojejunostomy

Izbicki Procedure

Frey Procedure

Pancreaticoduodenectomy

Duodenum-Preserving Pancreatic Head Resection

Distal Pancreatectomy

Total Pancreatectomy With Islet Autotransplantation

Special Intraoperative Considerations

Postoperative Management

Operative Outcomes

43 Symptomatic Pancreatic Pseudocyst

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Postoperative Management

44 Gallstone Ileus

Differential Diagnosis

Discussion

Workup

Diagnosis and Treatment

Surgical Approach

Postoperative Management

SECTION 5: COLORECTAL

45 Splenic Flexure Colon Cancer

Differential Diagnosis

Discussion

Workup

Surgical Approach

Postoperative Management

Adjuvant Therapy

Surveillance and Survivorship

Acknowledgments

46 Anastomotic Leak After Colectomy

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

47 Large Bowel Obstruction From Colon Cancer

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

48 Recurrent Uncomplicated (Sigmoid) Diverticulitis

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

49 Ischemic Colitis

Differential Diagnosis

Workup

Discussion

Diagnosis and Treatment

Surgical Approach

Special Circumstance

Ischemic Colitis Following Aortic Surgery

Postoperative Management

50 Medically Refractory Ulcerative Colitis

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

51 Crohn’s Disease With Small Bowel Stricture

Differential Diagnosis

Workup

Discussion

Diagnosis and Treatment

Medical Management: Inflammatory Stricture Phenotype

Medical Management: Penetrating/Fistulizing Phenotype

Surgical Approach

Inflammatory Stricture and Penetrating/Fistulizing Phenotypes

Fibrostenotic Stricture

Postoperative Management

Risk of Recurrence and Postoperative Surveillance

52 Neuroendocrine Neoplasm of the Appendix

Differential Diagnosis

Workup

Discussion

Diagnosis and Treatment

Surgical Approach

Special Considerations

Postoperative Management

Acknowledgments

53 Rectal Cancer

Differential Diagnosis

Workup

Diagnosis and Treatment

Nonoperative Management (Watch and Wait)

Surveillance and Follow-Up

Surgical Approach

Minimally Invasive Surgery

Open Surgery

Special Intraoperative Considerations

Postoperative Management

54 Anal Carcinoma

Differential Diagnosis

Workup

Treatment

Preoperative Consideration

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

Surveillance

55 Anal and Rectal Abscess

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

56 Thrombosed Hemorrhoids

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

SECTION 6: BREAST

57 Palpable Breast Mass

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

58 Suspicious Mammographic Abnormality

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

59 Ductal Carcinoma In Situ

Differential Diagnosis

Workup

Diagnosis

Treatment Principles

Surgical Approach

Breast Conservation

Mastectomy

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

60 High-Risk Lesions (LCIS, ADH, ALH, FEA)

Differential Diagnosis

Workup

Diagnosis and Treatment

Diagnosis and Treatment Continued

Discussion Points/Special Considerations

61 Early-Stage Breast Cancer

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Potential Pitfalls

Special Intraoperative Considerations

Postoperative Management

62 Advanced Breast Cancer

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Mastectomy

Breast-Conserving Therapy

Targeted Lymph Node Excision With Sentinel Lymph Node Biopsy

Axillary Lymph Node Dissection

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

63 Inflammatory Breast Cancer

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Mastectomy

Lymph Node Dissection

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

64 Breast Cancer During Pregnancy

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Postoperative Management

65 Hereditary Breast Cancer

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

66 Male Breast Mass

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Postoperative Management

67 Breast Reconstruction

Preoperative Clinic Visit

Workup

Treatment Options

Prosthetic Reconstruction

Autologous Reconstruction

Timing of Reconstruction

Surgical Approach

Technical Aspects

Tissue Expander/Implant Reconstruction

Latissimus Dorsi Myocutaneous Flap

Deep Inferior Epigastric Perforator Flap

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

SECTION 7: ENDOCRINE

68 Palpable Thyroid Nodule

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

69 Papillary Thyroid Carcinoma

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Nerve Injury

Parathyroid Gland Injury

Adjuvant Therapy

70 Medullary Thyroid Cancer

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

Prophylactic Thyroidectomy

Acknowledgments

71 Primary Hyperparathyroidism

Epidemiology

Differential Diagnosis

Workup

Sporadic versus Familial Hyperparathyroidism

Imaging

Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

72 Persistent and Recurrent Primary Hyperparathyroidism

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

73 Incidental Adrenal Mass

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Laparoscopic Lateral Transabdominal Adrenalectomy

Laparoscopic Posterior Retroperitoneal Adrenalectomy

Open Adrenalectomy

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

74 Adrenocortical Carcinoma

Differential Diagnosis

Workup

History and Biochemical Workup

Imaging

Role of Biopsy

Diagnosis and Treatment

Staging and Prognosis

Preoperative Considerations and Treatment

Treatment

Surgical Approach

Special Intraoperative Considerations

Tumor Thrombus

Postoperative Management

Immediate Postoperative Period

Adjuvant Therapy

Posttreatment Surveillance

75 Cortisol-Secreting Adrenal Tumor

Differential Diagnosis

Typical Clinical Signs and Symptoms of Hypercortisolism

Workup

Biochemical

Imaging

Special Circumstances: Mild Autonomous Cortisol Secretion and PBMAH

Surgical Approach

Laparoscopic Transabdominal Approach

Posterior Retroperitoneal Laparoscopic or Robotic Approach

Robotic Transabdominal Technique

Open Anterior Transabdominal Technique

Postoperative Management

76 Primary Aldosteronism

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

77 Pheochromocytoma

Differential Diagnosis

Workup

Diagnosis and Treatment

Presurgical Management

Surgical Approach

Special Intraoperative Considerations

Postoperative Care

78 Pancreatic Neuroendocrine Tumors

Differential Diagnosis

Workup

Diagnosis and Treatment

Specific Case Features

Surgical Approach

Special Intraoperative Considerations

Management of Neuroendocrine Liver Metastases

Pancreatic Neuroendocrine Carcinoma

Small, Incidental Pancreatic Neuroendocrine Tumors

Postoperative Management

79 Gastrinoma

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

SECTION 8: THORACIC

80 Esophageal Cancer

Differential Diagnosis

Risk Factors and Demographics

Workup

Diagnosis and Staging

Treatment Strategies

Surgical Approaches

Phase 1—Abdominal Phase

Phase 2—Thoracic Esophageal Lymphadenectomy

Phase 3—Thoracic Esophageal Mobilization

Phase 4—Esophagogastric Anastomosis

Special Considerations

Postoperative Management

81 Esophageal Perforation

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Nonoperative Management

Operative Approach

Primary Repair

Special Intraoperative Considerations

Resection, Diversion

Esophageal Stenting

Endoluminal Vacuum Therapy

Postoperative Management

82 Zenker’s Diverticulum

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

83 Achalasia

Differential Diagnosis

Workup

Discussion

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

84 Non-small Cell Lung Cancer

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Positioning

Exposure and Lymphadenectomy

Vascular and Bronchial Dissection

Closing

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

85 Small Cell Lung Cancer

Differential Diagnosis

Paraneoplastic Syndromes Associated with SCLC

Workup

Diagnosis and Treatment

Surgical Approach

Mediastinal Lymph Node Sampling

Special Intraoperative Considerations

Postoperative Management

86 Spontaneous Pneumothorax

Differential Diagnosis

Workup

Diagnosis and Treatment

Observation

Needle Aspiration

Tube Thoracostomy (Chest Tube Placement)

Surgical Intervention

Surgical Approach

Postoperative Management

Complications of VATS Bleb Resection and Pleurodesis

87 Solitary Lung Lesion

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

88 Empyema

Differential Diagnosis

Workup

Management

Surgical Approach

VATS Decortication

Thoracotomy and Decortication

Special Intraoperative Considerations

Postoperative Care

89 Malignant Pleural Mesothelioma

Differential Diagnosis

Epidemiology

Workup

Treatment

Surgical Approach

Special Intraoperative Considerations

Diaphragm Resection and Reconstruction

Pericardial Resection and Reconstruction

Postoperative Management

Acknowledgments

SECTION 9: VASCULAR

90 Asymptomatic Carotid Artery Stenosis

Differential Diagnosis

Workup

Diagnosis and Treatment

Discussion

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

91 Symptomatic Carotid Artery Stenosis

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Postoperative Management

92 Pulsatile Abdominal Mass

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach for Endovascular Aneurysm Repair

Postoperative Management After EVAR

Surgical Approach for Open Aneurysm Repair

Special Intraoperative Considerations for Open AAA Repair

Postoperative Management After Open AAA Repair

Acknowledgments

93 Ruptured Abdominal Aortic Aneurysm

Presentation and Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Endovascular Approach

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

94 Tissue Loss Due to Arterial Insufficiency

Differential Diagnosis

Workup

Diagnosis

Treatment

Novel Therapies

Surgical Approach

Percutaneous Endovascular Therapies

Infrainguinal Bypass

Special Intraoperative Considerations

Postoperative Management

95 Diabetic Foot Infection

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Debridement/Drainage Procedures

Lower Extremity Bypass

Endovascular Therapy

Amputation

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

96 Lifestyle-Limiting Claudication

Differential Diagnosis

Workup

Diagnosis and Treatment

Approaches for Revascularization

Endovascular Therapy

Open Surgical Revascularization

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

97 Acute Limb Ischemia

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Preoperative Considerations

Intervention Options

Endovascular Approaches

Open Surgical Approach

Choosing Between Open or Endovascular Interventions

When to Do a Fasciotomy

Postoperative Management

Outcomes

98 Acute Mesenteric Ischemia

Differential Diagnosis

Workup

Diagnosis and Treatment

Management—Surgical

Management—Endovascular

Postoperative Management

Acknowledgments

99 Chronic Mesenteric Ischemia

Differential Diagnosis

Clinical Presentation

Workup

Diagnosis and Treatment

Surgical Approach

Endovascular Repair of CMI

Open Surgical Repair of CMI

Postoperative Management

Acknowledgments

100 Deep Venous Thrombosis

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

101 Varicose Veins

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

High Ligation, Division, and Stripping of the GSV

Ambulatory Stab Phlebectomy

Endovenous Ablation

Sclerotherapy

Postoperative Management

102 Need for Hemodialysis

Differential Diagnosis and Treatment Considerations

Workup

Surgical Planning

Surgical Approach

Radial-Artery–Based Autogenous Hemodialysis Access

Brachial- and Axillary-Artery–Based Autogenous and Non-Autogenous Access

Special Intraoperative Considerations

Postoperative Management

SECTION 10: PEDIATRICS

103 Thyroglossal Duct Cyst

Epidemiology and Etiology

Presentation and Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

Complications

104 Emesis in an Infant

Differential Diagnosis

Workup

Discussion

Diagnosis and Treatment

Surgical Approach

Open Pyloromyotomy

Laparoscopic Pyloromyotomy

Special Intraoperative Considerations

Postoperative Management

105 Malrotation and Midgut Volvulus

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Consideration

Postoperative Management

Acknowledgments

106 Neuroblastoma

Differential Diagnosis

Workup

Diagnosis and Treatment

Multimodal Therapy

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

107 Wilms Tumor

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Postoperative Care

Acknowledgments

108 Hepatoblastoma

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

109 Intussusception

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

110 Necrotizing Enterocolitis

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

111 Rectal Bleeding in a Young Child

Differential Diagnoses

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

112 Omphalocele

Differential Diagnosis

Workup

Discussion

Management

Surgical Approach

Postoperative Management

Complications

Outcomes

Acknowledgments

113 Gastroschisis

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

114 Long-Gap Esophageal Atresia

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

115 Hirschsprung Disease

Differential Diagnosis

Workup

Plain Abdominal Radiograph

Contrast Enema

Rectal Biopsy

Anorectal Manometry

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

116 Anorectal Malformations

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

117 Congenital Diaphragmatic Hernia

Differential Diagnosis

Workup

Resuscitation, Stabilization, and Treatment

Surgical Management

Surgical Approach

Special Intraoperative Considerations

Pulmonary Sequestration

Repair on ECMO

Abdominal Compartment Syndrome

Postoperative Care

Feeding

Discharge

118 Tracheoesophageal Fistula

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

SECTION 11: SKIN AND SOFT TISSUE

119 Melanoma

Epidemiology

Diagnosis and Workup

Treatment

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

120 Melanoma Presenting With Regional Lymph Node Involvement

Differential Diagnosis

Workup

Systemic Therapy

Surgical Approach

Postoperative Management

121 Merkel Cell Carcinoma

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

122 Nonmelanoma Skin Cancer

Differential Diagnosis

Workup

Discussion

Diagnosis and Treatment

123 Extremity Mass (Sarcoma)

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

124 Retroperitoneal Sarcoma

Differential Diagnosis

Workup

Evaluation and Treatment Planning

Surgical Approach and Intraoperative Considerations

Postoperative Management

SECTION 12: TRAUMA

125 Hemostatic Resuscitation

Differential Diagnosis

Workup

Discussion

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

126 Resuscitative Thoracotomy

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Key Technical Steps

Potential Pitfalls

Special Intraoperative Considerations

Postoperative Management

127 Penetrating Chest Injury

Differential Diagnosis

Workup

Needle Decompression

Key Steps

Pitfalls

Thoracostomy Tube and Finger Thoracostomy

Absolute Indications

Relative Indications

Key Steps

Pitfalls

Diagnosis and Recommendations

Anterolateral Thoracotomy

Key Steps

Pitfalls

Resuscitative (Aka Emergency Department) Thoracotomy

Accepted Indications

Contraindications

Additional Key Steps to Emergency Department Thoracotomy

Pitfalls

Other Thoracotomy Approaches

Resuscitative Endovascular Balloon Occlusion of the Aorta

Indications

Relative Contraindications

Key Steps

Pitfalls

Intraoperative Management of Specific Injuries

Lung Injury and Pulmonary Tractotomy

Intercostal/Internal Mammary Artery Injury

Pitfalls

Massive Pulmonary Hilar Bleed

Pitfalls

Cardiac Injury

Key Steps

Pitfalls

Great Vessel Injury

Pneumonectomy

Thoracic Esophageal Injury

Tracheobronchial Tree Injury

128 Stab Wound to the Neck

Differential Diagnosis

Workup

Diagnosis and Treatment

Discussion

Surgical Approach

Management of Common Zone II Injuries

Vascular Injury

Esophageal Injury

Tracheal Injury

Special Intraoperative Considerations

Postoperative Management

129 Burns

Differential Diagnosis

Diagnosis and Treatment

Resuscitation

Inhalation Injury

Wound Care

Acknowledgments

130 Blunt Abdominal Trauma From Motor Vehicle Crash

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

131 Damage Control Laparotomy

Surgical Approach

Decision to Perform Damage Control

Damage Control Laparotomy

Hemorrhage Control

Contamination Control

Temporary Abdominal Closure

Postoperative Management

Second-Look Surgery

132 The Abdominal Compartment Syndrome and Management of the Open Abdomen

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Postoperative Management

133 Complex Liver Injury

Differential Diagnosis

Workup

Diagnosis and Treatment

Operative Management

Postoperative Management

134 Duodenal Injury

Differential Diagnosis

Workup

Treatment

Duodenal Exposure

Injury Assessment and Repair

Special Intraoperative Considerations

Postoperative Care

135 Pancreatic and Duodenal Trauma

Differential Diagnosis

Workup/Diagnosis

Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

136 Pelvic Fracture

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

137 Splenic Trauma

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

138 Penetrating Lower Left Quadrant Injury

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Special Intraoperative Considerations

Postoperative Management

SECTION 13: CRITICAL CARE

139 Airway Emergency

Differential Diagnosis

Workup

Diagnosis and Treatment

Preparation for the Difficult Airway

Equipment

Intubation

Rapid Sequence Intubation

Surgical Airway

Surgical Approach

Key Technical Steps

Potential Pitfalls

Special Intraoperative Considerations

Postoperative Management

Acknowledgments

140 Cardiovascular Failure

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Surgical Decision-Making

Key Technical Steps

Special Intraoperative Considerations

Postoperative Management

141 Acute Kidney Injury (Acute Renal Failure)

Differential Diagnosis

Prerenal

Renal

Postrenal

Workup

Examination

Laboratory and Ancillary Testing

Invasive Monitoring

Diagnosis and Treatment

Fluid Resuscitation

Diuretics

Renal Replacement Therapy (RRT)

Prognosis

Clinical Approach to Acute Renal Dysfunction

142 Adrenal Insufficiency

Differential Diagnosis

Diagnosis and Treatment

Treatment of AI

Acknowledgments

143 Acute Respiratory Distress Syndrome (ARDS)

Differential Diagnosis

Workup

Laboratory Studies

Imaging

Diagnosis and Treatment

Lung Protective Ventilation

Fluid Management

Prone Positioning

Neuromuscular Blockade

Rescue Therapies

Special Considerations

Long-Term Management

144 Ventilator-Associated Pneumonia

Differential Diagnosis

Workup

Discussion

Diagnosis and Treatment

Prevention of VAP

145 Sepsis and Septic Shock

Differential Diagnosis

Diagnosis and Treatment

Special Considerations

Postoperative Management

146 Abdominal Compartment Syndrome

Differential Diagnosis

Workup

Discussion

Diagnosis and Treatment

Surgical Approach

Postoperative Management

Acknowledgments

147 Nutritional Support in the Critically Ill Patient

Diagnosis of Malnutrition

Nutritional Assessment

Nutritional Scoring Systems

Metabolic Response to Surgery and Stressed States

Nutrition Delivery

Adjuncts to Nutrition

SECTION 14: TRANSPLANT

148 Acute Liver Failure

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Operative Procedure: Liver Transplant (Table 148.5)

Special Intraoperative Considerations

Postoperative Management

149 Variceal Bleeding and Portal Hypertension

Differential Diagnosis

Workup

Diagnosis and Treatment

Pharmacotherapy

Endoscopy

Transjugular Intrahepatic Portosystemic Shunt

Other Techniques

Surgical Approach

Splenectomy With Proximal Splenic Artery Ligation and Esophagogastric Devascularization

Proximal Splenorenal Shunt

Inferior Mesenteric Vein to Left Renal Vein Shunt

Distal Splenorenal Shunt

Meso-Rex Shunt

Other Shunts

Postoperative Management

Acknowledgments

150 End-Stage Renal Disease (Kidney Transplantation)

Differential Diagnosis

Workup

Diagnosis and Treatment

Surgical Approach

Postoperative Management

SECTION 15: HEAD AND NECK

151 Melanoma of the Head and Neck

Differential Diagnosis

Workup

History

Physical Examination

Diagnosis and Staging

Primary Lesion Biopsy

Melanoma Staging

Treatment

Treatment of Primary Site

Treatment of the Nodal Basin

Systemic and Radiation Therapies

Surgical Approach

Primary Site

Nodal Basin

Special Intraoperative Considerations

Postoperative Management

Postoperative Complications

Surveillance

Acknowledgments

152 Head and Neck Cancer

Differential Diagnosis

Workup & Diagnosis

Treatment

Treatment Considerations for HPVOPC

Operative Considerations

Surgical Approach

Neck Dissection

TORS: Radical Tonsillectomy

Postoperative Management

Adjuvant Treatment

Index

 

An aparitie	21 sep 2024
Autor	JUSTIN B DIMICK, GILBERT R. UPCHURCH, JR, CHRISTOPHER J. SONNENDAY, LILLIAN S. KAO
Dimensiuni	213 x 276 x 42 mm
Editura	LWW
Format	Hardcover
ISBN	9781975213343
Limba	Engleza
Nr pag	1008
Versiune digitala	DA