Cesarean Section in a Rural Setting

Apr 6, 2017 by in CRITICAL CARE Comments Off on Cesarean Section in a Rural Setting

Fig. 27.1 Joel-Cohen and Pfannenstiel incisions A 10–12 cm curvilinear convex incision 2 cm above the symphysis pubis is made with a scalpel. The subcutaneous tissue is then incised and…

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Repair of Fingertip Amputations

Apr 6, 2017 by in CRITICAL CARE Comments Off on Repair of Fingertip Amputations

Fig. 25.1 Anatomy of fingertip in sagittal section. Lateral view of finger depiction dorsal aspect to volar aspect of nail, nail bed, distal phalanx, and volar tip from distal proximal…

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Partial Cholecystectomy

Apr 6, 2017 by in CRITICAL CARE Comments Off on Partial Cholecystectomy

Fig. 5.1 Critical view of safety as defined by strassberg There is no additional preparation needed than that done for a laparoscopic or open cholecystectomy. Consent for a laparoscopic cholecystectomy…

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Vasectomy

Apr 6, 2017 by in CRITICAL CARE Comments Off on Vasectomy

Fig. 33.1 Vasectomy clamp Operative Technique With the patient in a comfortable reclined or supine position undressed from the waist down. A gauze 4 × 4 will be wrapped loosely around the…

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Ovarian Torsion

Apr 6, 2017 by in CRITICAL CARE Comments Off on Ovarian Torsion

Fig. 29.1 Initial view of a right adnexa demonstrating torsion In preparation for surgical exploration patients should receive broad spectrum systemic antibiotics. Patients should be positioned in the dorsal lithotomy…

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Oncoplastic Techniques for Breast Conservation

Apr 6, 2017 by in CRITICAL CARE Comments Off on Oncoplastic Techniques for Breast Conservation

Fig. 14.1 (a) Standard markings for oncoplastic surgery. (b) Standard wise pattern markings. (c) Isolating the inferior pedicle. (d) Creating the breast mound. (e) Relocation of the nipple-areolar complex. (f)…

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Laparoscopic Repair of Abdominal Wall Hernias

Apr 6, 2017 by in CRITICAL CARE Comments Off on Laparoscopic Repair of Abdominal Wall Hernias

Fig. 7.1 Wound over hernia defect The ability to repair multiple defects with a single prosthetic through small laparoscopy incisions. Cosmetic advantage of laparoscopic surgery. Less pain and faster recovery:…

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The Vein Stripping Ablation and Phlebectomy

Apr 6, 2017 by in CRITICAL CARE Comments Off on The Vein Stripping Ablation and Phlebectomy

Fig. 21.1 Normal superficial venous anatomy Vein surgery is appropriate for patients manifesting classic venous symptoms of aching leg pain with edema, visible varicose veins, and duplex ultrasound proven superficial…

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Percutaneous Cholecystostomy

Apr 6, 2017 by in CRITICAL CARE Comments Off on Percutaneous Cholecystostomy

Fig. 6.1 Difference in approach for transhepatic versus transperitoneal approaches Under real-time ultrasound guidance, the 21-gauge needle is advanced through the hepatic parenchyma into the gallbladder. Aspiration of either bile…

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