Method IP or OP treatment Dressing changes required Weeks to healing (average) Recurrence (%) Abscess drainage/Shaving OP Yes 3–4 25–40 Excision OP No 3 16 Fistulotomy OP Yes 4–6 1–19…

Figure 39.1 Entering the lesser sac Figure 39.2 Taking down the short gastric vessels Figure 39.3 Exposing the anterior pancreas Figure 39.4 The pancreas in situ Figure 39.5 Mobilizing the…

Figure 24.1 A window is made behind the IMA and IMV to isolate these structures prior to transection. The hypogastric nerves are identified and swept posteriorly to avoid injury A…

Figure 38.1 Initial dissection for pancreaticoduodenectomy. A curvilinear, subcostal incision is first carried out over the right upper quadrant and is subsequently extended across the midline as far as is…

Figure 23.1 Mobilization of the sigmoid colon can be performed in a lateral to medial fashion by incising the white line of Toldt and separating the sigmoid mesentery from the…

Figure 22.1 The right colon is retracted medial while dividing the lateral peritoneal attachments, taking care to identify and preserve the right ureter. As the dissection is carried superiorly, the…

Figure 43.1 Inject anesthetic (Courtesy of Andrew M. Swanson MD) Use 1 or 2 % lidocaine with epinephrine. An allergy to procaine (Novacain) is not a contraindication to the use…

Figure 20.1 Patient positioning during a laparoscopic splenectomy. The patient is placed on the operating room table in the right “lazy” decubitus position using a bean bag with the right…

Figure 34.1 Veress needle placement. A Veress needle is placed into the left upper quadrant. After a negative saline drop test, the abdomen is insufflated to a pressure of 15…

Fig. 44.1 Inflamed cyst (Courtesy of Jennifer Wilson) Fig. 44.2 Lobulated lipoma pre-excision (Courtesy of Jennifer Wilson) Imaging, such as ultrasound and magnetic resonance imaging (MRI), can be used when…