C Extracorporeal shock wave lithotripsy 1. Introduction Extracorporeal shock-wave lithotripsy (ESWL) is a technique that uses high-energy shock waves to fragment renal calculi into small particles. A biplanar fluoroscopy unit is…
B Cystoscopy 1. Introduction Cystoscopy is the use of instrumentation to examine the urinary tract. A cystoscope may be used for diagnostic or therapeutic procedures such as for workup of hematuria,…
A Cystectomy 1. Introduction The bladder is usually removed for cancer but may also be removed for severe hemorrhagic or radiation cystitis. In a radical cystectomy for invasive cancer in women,…
R Whipple resection 1. Introduction Whipple resection consists of a pancreatoduodenectomy, pancreatojejunostomy, hepaticojejunostomy, and gastrojejunostomy. On entering the peritoneal cavity, the surgeon determines the resectability of the pancreatic lesion. Contraindications to…
Q Splenectomy 1. Introduction Patients presenting for splenectomy can be divided into two groups: trauma patients and patients with myeloproliferative disorders and other varieties of hypersplenism. Anesthetic management is individualized based…
P Small bowel resection 1. Introduction Small bowel resection is performed for various diseases, including intestinal obstruction, small bowel tumors, abdominal trauma, stricture, adhesions, Meckel’s diverticulum, Crohn’s disease, and infection. 2. Preoperative…
N Liver transplantation 1. Introduction Liver transplantation is the treatment of choice for patients with acute and chronic end-stage liver disease. The liver transplant operation can be divided into three stages:…
O Pancreatectomy 1. Introduction Whereas distal pancreatectomy is performed for tumors in the distal half of the pancreas, subtotal pancreatectomy involves resection of the pancreas from the mesenteric vessels distally, leaving…
M Liver resection 1. Introduction Patients presenting for hepatic surgery may have primary or metastatic tumors from gastrointestinal and other sources. Liver function may be entirely normal in these patients. Hepatocellular…
L Laparoscopic cholecystectomy 1. Introduction Laparoscopic cholecystectomy is a minimally invasive surgical procedure used in the treatment of gallstones and diseases of the gallbladder. The laparoscopic approach is contraindicated in uncorrectable…
