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The Fourth Edition of Chassin’s Operative Strategy in General Surgery: An Expositive Atlas is designed to expand this comprehensive and unique general surgery reference while remaining true to the special character of the work. This unique text continues to provide an emphasis on surgical strategy that is unmatched by other textbooks of surgical technique. It continues to comprehensively cover all non-vascular operations commonly performed by general surgeons. As always, Chassin’s explains the conceptual basis of each operation, outlines strategies to avoid common pitfalls, and carefully describes and beautifully illustrates the technical steps of each operation. The Fourth Edition has been expanded and updated by adding both new procedures and new features. A significant new feature, “Documentation Basics” has been added to each chapter, providing a bulleted list of key features that need to be listed in the operative note to accurately describe extent of procedure and enhance accuracy of coding.
General surgery continues to evolve. Procedures are added and many operations are done through new minimal access approaches. However, as a surgeon may be called upon to perform an operation that has become rare, Chassin’s unique “legacy” material has been retained for reference. In addition, 17 new chapters have been added, including 4 new chapters on colorectal surgery. Over 1100 elegant illustrations and new radiographs accompany detailed textual explanations. Mo
re than ever, Chassin’s Operative Strategy in General Surgery: An Expositive Atlas, Fourth Edition is an indispensable reference for all surgical residents and practicing surgeons.Part I. General Principles
1. Concepts and Strategies of Surgery
Carol Scott-Conner and Jameson L. Chassin
2. Mechanical Basics of Operative Technique
Carol Scott-Conner and Jameson L. Chassin
3. Incision, Exposure, Closure
Carol Scott-Conner and Jameson L. Chassin
4. Dissecting and Suturing
Carol Scott-Conner and Jameson L. Chassin
5. Surgical Stapling: Principles and Precautions
Carol Scott-Conner and Jameson L. Chassin
6. Control of Bleeding
Carol Scott-Conner and Jameson L. Chassin
7. Management of the Contaminated Operation
Carol Scott-Conner and Jameson L. Chassin
8. Damage Control Laparotomy
Carol Scott-Conner and Jameson L. Chassin
9. Mechanical Basics of Laparoscopic Surgery
Carol Scott-Conner and Jameson L. Chassin
10. Rational Use of Drains
Carol Scott-Conner and Jameson L. Chassin
11. Illustrated Glossary of Surgical Instruments
Mohammad Khreiss and Jamal Hoballah
12. The Operative Note
Jamal J. Hoballah
Part II. Esophagus
13. Concepts in Esophageal Surgery
Thomas H. Gouge
14. Esophagectomy: Right Thoracotomy and Laparotomy
Carol Scott-Conner and Jameson L. Chassin
15. Esophagogastrectomy: Left Thoracoabdominal Approach
Carol Scott-Conner and Jameson L. Chassin
16. Transhiatal Esophagectomy
Carol Scott-Conner and Jameson L. Chassin
17. Minimall
y Invasive EsophagectomyMarcovalerio Melis, Costas S. Bizekis, and Thomas H. Gouge
18. Operations to Replace or Bypass the Esophagus: Colon or Jejunum Interposition
19. Transabdominal Nissen Fundoplication
Carol Scott-Conner and Jameson L. Chassin
20. Laparoscopic Nissen Fundoplication
Carol Scott-Conner and Jameson L. Chassin
21. Posterior Gastropexy (Hill Repair): Surgical Legacy Technique
Carol Scott-Conner and Jameson L. Chassin
22. Transthoracic Gastroplasty (Collis) and Nissen Fundoplication: Surgical Legacy Technique
Carol Scott-Conner and Jameson L. Chassin
23. Bile Diverting Operations for Management of Esophageal Disease
Carol Scott-Conner and Jameson L. Chassin
24. Cricopharyngeal Myotomy and Operation for Pharyngoesophageal (Zenker's) Diverticulum
Carol Scott-Conner and Jameson L. Chassin
25. Esophagomyotomy for Achalasia and Diffuse Esophageal Spasm: Surgical Legacy Technique
Carol Scott-Conner and Jameson L. Chassin
26. Laparoscopic Esophagomyotomy
Carol Scott-Conner and Jameson L. Chassin
27. Operations for Esophageal Perforation and Anastomotic Leaks
Carol Scott-Conner and Jameson L. Chassin
Part III. Stomach and Duodenum
28. Concepts in Surgery of the Stomach and Duodenum
Dustin M. Bermudez and Daniel T. Dempsey
29. Truncal Vagotomy: Surgical Legacy Technique
Carol Scott-Conner and Jameson L. Chassin
30. Proximal Gastric Vagotomy: Surgical Legacy Technique
Carol Scott-Conner and Jameson L. Chassin
31. Pyloroplasty (Heineke-Mikulicz and Finney), Operation for Bleeding Duodenal Ulcer: Surgical Legacy Techniques
Carol Scott-Conner and Jameson L. Chassin
32. Gastrojejunostomy
Carol Scott-Conner and Jameson L. Chassin
33. Partial Gastrectomy Without Lymphadenectomy
Carol Scott-Conner and Jameson L. Chassin
34. Perforated Peptic Ulcer
Carol Scott-Conner and Jameson L. Chassin
35. Laparoscopic Plication of Perforated Ulcer
Carol Scott-Conner and Jameson L. Chassin
36. Gastrostomy
Carol Scott-Conner and Jameson L. Chassin
37. Distal Gastrectomy with D2 Nodal Dissection
Hisakazu Hoshi
38. Total Gastrectomy
Hisakazu Hoshi
39. Exposure of the Third and Fourth Portions of the Duodenum
Carol Scott-Conner and Jameson L. Chassin
40. Laparoscopic Adjustable Gastric Banding
Gene F. Coppa, Heather McMullen, Alan Geiss, and Charles Choy
41. Laparoscopic Roux-en-Y Gastric Bypass
Gene F. Coppa, Jeffery Nicastro, Charles Choy, and Heather McMullen
Part IV. Small Intestine and Appendix
42. Concepts in Surgery of the Small Intestine and Appendix
Danielle M. Fritze, Jessemae L. Welsh, Joseph J, Cullen, and Michael W. Mulholland
43. Small Bowel Resection and Anastomosis
Carol Scott-Conner and Jameson L. Chassin
44. Enterolysis for Intestinal ObstructionCarol Scott-Conner and Jameson L. Chassin
45. Baker Tube Stitchless Plication: Surgical Legacy Technique
Carol Scott-Conner and Jameson L. Chassin
46. Appendectomy
Carol Scott-Conner and Jameson L. Chassin
47. Laparoscopic Appendectomy
Carol Scott-Conner and Jameson L. Chassin
Part V. Large Intestine
48. Concepts in Surgery of the Large Intestine
Marylise Boutros and Stephen D. Wexner
49. Right Colectomy for Cancer
Carol Scott-Conner and Jameson L. Chassin
50. Laparoscopic Right Hemicolectomy
Steven D. Wexner and Susan M. Cera
51. Left Colectomy for Cancer
Carol Scott-Conner and Jameson L. Chassin
52. Laparoscopic Left Hemicolectomy and Low Anterior Resection
Kleber Ricciardi and Steven D. Wexner
53. Low Anterior Resection for Rectal Cancer
Carol Scott-Conner and Jameson L. Chassin
54. Abdominoperineal Resection for Rectal Cancer
Carol Scott-Conner and Jameson L. Chassin
55. Laparoscopic Abdominoperineal Resection and Total Proctocolectomy with End Ileostomy
Giovanna da Silva and Steven D. Wexner
56. Subtotal Colectomy with Ileoproctostomy or Ileostomy
Carol Scott-Conner and Jameson L. Chassin
57. Restorative Proctocolectomy with Mucosal Proctectomy and Ileal Reservoir
Carol Scott-Conner and Jameson L. Chassin
58. Abdominoperineal Proctectomy for Be
nign DiseaseCarol Scott-Conner and Jameson L. Chassin
59. End-Ileostomy
Carol Scott-Conner and Jameson L. Chassin
60. Loop Ileostomy
Carol Scott-Conner and Jameson L. Chassin
61. Cecostomy: Surgical Legacy Technique
Carol Scott-Conner and Jameson L. Chassin
62. Transverse Colostomy
Carol Scott-Conner and Jameson L. Chassin
63. Closure of Temporary Loop Colostomy or Ileostomy
Carol Scott-Conner and Jameson L. Chassin
64. Laparoscopic Stoma Construction and Closure
Dan Enger Ruiz and Steven Wexner
65. Surgery for Colonic Diverticulitis and Other Benign Conditions of the Left Colon (Hartmann’s Procedure)
Carol Scott-Conner and Jameson L. Chassin
66. Ripstein Operation for Rectal Prolapse: Surgical Legacy Procedure
Carol Scott-Conner and Jameson L. Chassin
Part VI: Anus, Rectum, and Pilonidal Region
67. Concepts in Surgery of the Anus, Rectum, and Pilonidal Region
Muneera R. Kapadia and John W. Cromwell
68. Rubber Band Ligation of Internal Hemorrhoids
Carol Scott-Conner and Jameson L. Chassin
69. Hemorrhoidectomy
Carol Scott-Conner and Jameson L. Chassin
70. Procedure for Prolapse and Hemorrhoids
Shauna Lorenzo-Rivero
71. Anorectal Fistula and Pelvirectal Abscess, Seton Placement
Carol Scott-Conner and Jameson L. Chassin
72. Lateral Internal Sphincterotomy for Chronic Anal Fissure
Carol Scott-Conner and Jameson L. Chassin73. Anoplasty for Anal Stenosis
Carol Scott-Conner and Jameson L. Chassin
74. Perineal Operations for Rectal Prolapse
Carol Scott-Conner and Jameson L. Chassin
75. Operations for Pilonidal Disease
Carol Scott-Conner and Jameson L. Chassin
Part VII: Hepatobiliary Tract
76. Concepts in Hepatobiliary Surgery
Umut Sarpel, H. Leon Pachter
77. Cholecystectomy
Carol E.H. Scott-Conner, MD, PhD
University of Iowa, Roy J and Lucille A Carver College of Medicine, Department of Surgery, Iowa City, IA, USA
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