Grade 1 Grade 2 Grade 3 Grade 4 Low risk Comorbid Potentially contaminated Infected • Low risk of complications • Smoker • Previous wound infection • Infected mesh • No…

Fig. 12.1 Incisions should be designed so that they lie in parallel to the depicted relaxed skin tension lines to minimize tension upon closure After performance of any necessary debridement,…

Fig. 20.1 Infraclavicular incision with self-retaining retractor for exposure Venous Access The patient is placed in a slight Trendelenburg position and using the modified Seldinger technique, the subclavian vein, which…

Fig. 9.1 Relative areas of skin excess Fig. 9.2 Relaxed skin tension lines can be used to plan excision and primary closure The surgeon must decide how he will manage…

Fig. 18.1 Increased uptake lower left thyroid consistent with parathyroid adenoma Patient #2: History of High Calcium Following the administration of 24 mCi of Tc99m sestamibi injected intravenously, immediate and…

Fig. 13.1 Artist generated drawing of patient in position for breast ultrasound Many benign and malignant lesions can be visualized by ultrasound. The differentiation is made by utilizing several criteria….

Fig. 24.1 The often disturbing appearance of facial injuries tends to be distracting. Attention must be paid first to proper trauma management including stabilization of the c-spine and airway management…

Fig. 2.1 Three different types of percutaneously placed endoscopic enteral tubes: (a) typical PEG with inner and outer flange, single port, (b) PEG with jejunal tube extension, double port for…

Fig. 32.1 Median raphe incision Fig. 32.2 Entry into the tunica vaginalis The affected testicle is then brought out of the scrotum. Generally, there is a 360° twist in the…

Fig. 3.1 Polyp encountered at 3 o’clock Fig. 3.2 Polyp positioned at 5 o’clock Once the lesion is determined to be resectable and is properly positioned, determination should be made…