Herbert Chen's Illustrative Handbook of General Surgery PDF

By Herbert Chen

ISBN-10: 3319245554

ISBN-13: 9783319245553

ISBN-10: 3319245570

ISBN-13: 9783319245577

This useful surgical atlas specializes in numerous surgeries in a transportable structure, permitting scholars, citizens or even attending surgeons to hold it round with them through the day to ascertain up on operations at any given time.

The accomplished illustrations support the reader to appreciate the tactics defined, due to inter-operative images which offer actual representations of a number of the thoughts of the operations.

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Extra resources for Illustrative Handbook of General Surgery

Example text

M. Elaraj Therapeutic MRND is indicated for biopsy-proven lateral neck metastases from thyroid cancer [6–8]. Prophylactic MRND is not indicated in the treatment of patients with papillary thyroid cancer. The role and extent of prophylactic MRND in the treatment of medullary thyroid cancer (MTC) is controversial, with some authors advocating prophylactic MRND based on clinical parameters and intraoperative findings [9, 10]. 5 cm if Multiple Endocrine Neoplasia [MEN] 2B) or with adjacent central compartment metastases [11], while other consensus guidelines for the treatment of patients with MEN recommend MRND for patients with MEN 2 only if there is clinical or radiographic evidence of involved lymph nodes in the lateral neck [12].

As superior parathyroid adenomas enlarge, they often slide inferiorly along the paraesophageal space. By definition, the superior parathyroids are located postero-laterally to the plane of the recurrent laryngeal nerve (Fig. 4) [5]. Though routine identification of the recurrent laryngeal nerve is not considered mandatory during parathyroid exploration, the surgeon must be extremely wary of avoiding nerve injury while operating near the superior parathyroids. Chapter 4. 4 Relationship of the recurrent laryngeal nerve (RLN) to the parathyroid glands during bilateral neck exploration for renal hyperparathyroidism.

Levels IV and VB The dissection is continued caudad along the posterior border of the SCM until the clavicle is reached. There is often additional node-bearing tissue inferior to the clavicle extending to the subclavian vein that should also be resected. Furthermore, the node-bearing supraclavicular (Level VB) tissue can be resected en-bloc with Level IV by extending the dissection lateral to the posterior border of the SCM. Medial Dissection The fibrofatty bundle is retracted medially and completely dissected off the deep cervical fascia overlying the scalene muscles.

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Illustrative Handbook of General Surgery by Herbert Chen


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