By Courtney M. Townsend Jr. JR. MD, B. Mark Evers MD
Atlas of common Surgical strategies covers the total spectrum and breadth of basic surgical procedure via approximately 1200 easy-to-follow anatomic drawings. Drs. Courtney M. Townsend, Jr. and B. Mark Evers current step by step suggestions for universal and intricate systems, together with open and minimally invasive ideas. The hugely constant method and outsized structure enable for big academic illustrations with pearls and pitfalls on the finish of every bankruptcy. finished assurance contains scorching themes equivalent to Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy,Hernia fix, Exploration of Neck for Trauma, and Subclavian Artery Stab. you should have a whole array of surgeries at your fingertips-in print and on-line at expertconsult.com! 2009 PROSE Awards (awarded via organization of yankee Publishers for pro and scholarly excellence)Finalist/Honorable point out, scientific drugs comprises entry to the absolutely searchable textual content on-line at expertconsult.com, in addition to downloadable pictures. positive aspects 1200 easy-to-follow, step by step anatomic drawings that in actual fact depict the complete spectrum and breadth of surgical techniques-both open and minimally invasive. Covers scorching issues corresponding to Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy,Hernia fix, Exploration of Neck for Trauma, and Subclavian Artery Stab. offers step by step directions for every strategy in a hugely constant layout that makes employing thoughts effortless. Highlights pearls and pitfalls on the finish of every bankruptcy so that you be aware of what to anticipate ahead of coming into the working room. offers the distinct assistance of gurus on what you want to find out about universal and demanding systems.
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The nursing staff is required to “strip” the drains every shift to prevent occlusion of the drain from ﬁbrinous debris. ◆ Neck incision is cleaned twice daily (bid) and as needed (prn) with half-strength hydrogen peroxide and saline. Following this, antibiotic ointment is then applied to the neck incision bid. This is discontinued after 3 days. ◆ Drains are individually removed when output is 20 mL or less per 24 hours. ◆ Routine tracheotomy care is performed if one is present (see Chapter 5). ◆ Physical therapy is initiated following drain removal.
The facial vessels are ligated at the lower border of the body of the mandible (Figure 2-5). ◆ The posterior border of the mylohyoid muscle is identiﬁed during this dissection (Figure 2-6). Facial artery and vein Marginal mandibular nerve Nerve to mylohyoid FIGURE 2–5 Submandibular gland and tissue Mylohyoid muscle FIGURE 2–6 CHAPTER 2 • Modiﬁed Radical Neck Dissection Preserving Spinal Accessory Nerve 27 ◆ An Army-Navy retractor is placed under the posterior aspect of the mylohyoid muscle, and it is retracted cephalad.
Facial artery and vein Marginal mandibular nerve Nerve to mylohyoid FIGURE 2–5 Submandibular gland and tissue Mylohyoid muscle FIGURE 2–6 CHAPTER 2 • Modiﬁed Radical Neck Dissection Preserving Spinal Accessory Nerve 27 ◆ An Army-Navy retractor is placed under the posterior aspect of the mylohyoid muscle, and it is retracted cephalad. The lingual nerve, submandibular ganglion, and submandibular duct are identiﬁed (Figure 2-7, A). ◆ A clamp is placed below the submandibular ganglion, and the postganglionic ﬁbers are transected and ligated.
Atlas of General Surgical Techniques by Courtney M. Townsend Jr. JR. MD, B. Mark Evers MD