A

Abdominal aorta, 953f Abdominal aortic aneurysm repair

anastomoses, 887-888 aortocaval fistula, 890 closure of, 889

dissection, 884-889, 884f-888f horseshoe kidney, 881, 890 hypogastric aneurysm, 890 incision, 882, 883f inflammatory aneurysm, 890 juxtarenal aneurysm, 890 pearls and pitfalls of, 890-891 postoperative care, 890

preoperative considerations for, 881 retroperitoneal approach, 882 surgical anatomy of, 880, 881f

suturing/sutures, 886, 886f-887f, 889, 889f transperitoneal approach, 882

Abdominal hysterectomy closure of, 1082, 1083f

dissection, 1076-1082, 1077f-1081f incisions, 1072-1075, 1072f-1075f pearls and pitfalls of, 1084 postoperative care, 1084 preoperative considerations for, 1070

surgical anatomy of, 1068-1070, 1069f suturing/sutures, 1082, 1083f

vagina, 1082, 1082f Abdominal surgery

appendectomy. see Appendectomy Billroth I. see Billroth I

Billroth II. see Billroth II

duodenal ulcer, bleeding, 324-327 gastrectomy. see Gastrectomy

gastric banding, laparoscopic, 386-393 gastrojejunostomy. see Gastrojejunostomy intussusception, 411-415, 412f-414f malrotation, 416-420, 417f-419f Meckel’s diverticulectomy,

394-398, 395f-397f

midgut volvulus, 416-420, 417f-419f percutaneous gastrostomy feeding tube

placement. see Percutaneous gastrostomy feeding tube placement

pyloromyotomy. see Pyloromyotomy pyloroplasty. see Pyloroplasty Roux-en-Y gastric bypass. see

Roux-en-Y gastric bypass Stamm gastrostomy, 240-245 Witzel jejunostomy, 246-252

Accelerated partial breast radiotherapy, 109 Accessory nerve, 29f, 37f

Acetabulum, 1063f Achalasia, 230

Acute adrenal insufficiency, 104 Acute necrotizing pancreatitis, 600

Adductor longus muscle, 1059f, 1123f Adductor magnus muscle, 1061f Adenoma

parathyroid, 45-46 pleomorphic, 51

Adjustable gastric band, laparoscopic placement of, 386-393

Adrenal artery, 89f, 94f, 895f, 1135 Adrenalectomy

bilateral, 90, 104 closure of, 104 complications of, 104 dissection, 92-103 incision, 90, 91f indications for, 88 laparoscopic

incisions, 90 left-sided, 92-94, 93f postoperative care, 104

right-sided, 95-96, 95f-96f open

left-sided anterior, 97-98, 97f-98f posterior, 101-103, 101f-103f right-sided anterior, 99-100, 99f-100f

patient positioning for, 90, 91f pearls and pitfalls of, 105 pheochromocytomas, 90, 105 postoperative care, 104

preoperative considerations for, 88, 90 surgical anatomy, 88, 89f

unilateral, 90 Adrenal glands, 88, 89f

Adrenal vein, 88, 89f, 94f, 96f, 1134f, 1135

Air embolus, 39 Allen’s test, 982

Allen stirrups, 716, 717f Allis clamps, 24, 25f, 646 Allis forceps, 112, 113f

American Society of Anesthesiologists, 510 Ampulla of Vater, 453, 455f, 457f, 461 Amputation

below-knee

closure of, 1038, 1039f

dissection, 1032-1038, 1033f-1038f incision, 1030, 1031f

pearls and pitfalls of, 1041 postoperative care, 1040 preoperative considerations for, 1030 surgical anatomy of, 1030, 1031f

hip disarticulation. see Hip disarticulation supracondylar

closure of, 1048, 1049f dissection, 1044, 1046, 1047f incision, 1044, 1045f indications for, 1042 myodesis/myoplasty, 1046 pearls and pitfalls of, 1050 postoperative care, 1050

preoperative considerations for, 1042 surgical anatomy of, 1042, 1043f wound hematoma after, 1050

transmetatarsal

closure of, 1054, 1055f

dissection, 1053-1054, 1053f-1055f incision, 1052, 1052f

indications for, 1051

Amputation (Continued)

pearls and pitfalls of, 1056 postoperative care, 1056 preoperative considerations for, 1052 surgical anatomy of, 1051, 1051f

Anal fistulas, 776-780

Anal sphincter muscle, 1093f, 1101f Anastomoses

abdominal aortic aneurysm repair, 887-888 aortofemoral bypass graft, 900-902, 901f bilioenteric, 532

Billroth I. see Billroth I Billroth II. see Billroth II bubble test for, 745

choledochoduodenostomy, 440-442, 440f-442f

colorectal, 740, 740f, 742, 744 end-to-end

aortofemoral bypass graft, 900, 901f esophagogastrectomy, 216, 216f gastrectomy, 312, 312f

left colectomy, 682, 682f, 684 right colectomy, 671, 671f right hemicolectomy, 658, 658f

sigmoid colectomy, 682, 682f, 684 esophagogastrectomy, 216, 216f, 220,

223f-224f esophagogastric, 211, 211f esophagojejunal, 313, 313f

femoropopliteal bypass, 926, 927f Finney pyloroplasty, 268, 270f gastroduodenal, 283-284, 285f gastrojejunal, 299f, 300, 301f gastrojejunostomy, 336, 336f, 341f Heineke-Mikulicz pyloroplasty, 264, 265f hepaticojejunostomy, 446-450, 447f-449f ileal pouch anal, 715

ileorectal. see Ileorectal anastomosis jejunojejunal

in hepaticojejunostomy, 448, 449f in Roux-en-Y gastric bypass, 360,

374, 374f

in total gastrectomy, 310, 310f, 313f

left and sigmoid colectomy, 682, 682f, 684, 690, 691f

low anterior resection–total mesorectal excision, 740, 740f, 742

right colectomy, 671-672, 671f

right hemicolectomy, 658, 658f-659f, 660-661

Roux-en-Y, 203, 214f, 215f splenorenal, 957f

transhiatal esophagectomy, 184, 184f, 186, 188, 192

transthoracic esophagectomy, 198-200, 202

Anconeus muscle, 939f Anesthesia

for carotid endarterectomy, 910, 917 for esophagogastrectomy, 204

for inguinal hernia repair in infants and children, 843

1186 INDEX

Anesthesia (Continued)

for percutaneous gastrostomy feeding tube placement, 255

for pyloromyotomy, 345

for sentinel lymph node biopsy, 134

for Shouldice inguinal herniorrhaphy, 822 for skin grafts, 1146

for transhiatal esophagectomy, 173 for wide local excision, 110

Aneurysms

abdominal aortic. see Abdominal aortic aneurysm repair

hypogastric, 890 inflammatory, 891 juxtarenal, 890

Angle of His, 388, 389f Ankle-brachial indices, 904, 926

Ansa cervicalis muscle, 21f, 907f, 1019f Ansa hypoglossi nerves, 6, 7f, 36f Antecolic gastrojejunostomy, 334-335, 337f Antecubital arteriovenous fistula, 989-992 Antegrade aortomesenteric bypass, 974-976 Anterior choledochotomy, 438, 439f, 442f Anterior facial vein, 907f, 911f

Anterior jugular vein, 7f, 21f, 65f, 1019f Anterior pancreaticoduodenal artery, 551f,

579

Anterior scalene muscle, 1019f, 1172f Anterior sternoclavicular ligament, 1167f Anterior superior iliac spine, 803f, 1123f Anterior tibial artery, 929, 932, 933f, 1031f Anterior vagus nerve, 329f-331f

Antibiotic prophylaxis

in cholecystectomy, 423

in Finney pyloroplasty, 271

in Jaboulay side-to-side gastroduodenostomy, 273

in laparoscopic adjustable gastric banding, 386

in left colectomy, 675 in pyloroplasty, 266

in sigmoid colectomy, 675 in skin grafts, 1146

Anuria, 962

Aorta, 509f

Aortic bifurcation graft, 900 Aortocaval fistula, 890 Aortofemoral bypass graft

abdominal aorta exposure, 896, 898, 899f anastomoses, 900-902, 901f ankle-brachial indices, 904

aortic anastomosis, 900, 901f closure of, 902 complications of, 904

dissection, 896-902, 897f-901f femoral artery exposure, 896 incision, 896, 897f

indications for, 894

pearls and pitfalls of, 904-905 postoperative care, 904 preoperative considerations for, 894

surgical anatomy of, 892-894, 893f, 895f tunnel, 898, 899f

Aortomesenteric bypass, antegrade, 974-976 Aortorenal bypass, 946-952

Aortorenal endarterectomy, 952-954 Aortorenal plaque, 953f

Apex suture, 457f Appendectomy

in intussusception repair, 414, 414f laparoscopic, 399-403, 400f-402f open, 404-410, 405f-409f

Appendiceal artery, 408, 409f Arc of Riolan, 686

Areolar margin incision, 144, 145f, 150, 151f Areola-sparing mastectomy, 117

Army-Navy retractor, 27, 27f Arteriovenous fistula

antecubital, 989-992 radiocephalic, 986-988, 986f-988f

Arteriovenous grafts, 998-1003, 999f-1003f Ascending colon

anatomy of, 664, 669 graft, 225-227

Ascites

left hepatic lobectomy and, 504-505 right hepatectomy and, 490-492 segmental hepatic resection and,

474-475

Axillary artery, 119f, 125f, 127f, 985f, 1111f, 1117f

Axillary node dissection closure of, 1118, 1118f dissection, 1114-1117 drains, 1119

incision, 1112, 1113f lumpectomy with, 118 patient education after, 1120 pearls and pitfalls of, 1120 postoperative care, 1119-1120

preoperative considerations for, 1112 surgical anatomy of, 1110, 1111f suturing/sutures, 1118, 1118f

Axillary vein, 127f, 1000f, 1111f, 1117f

B

Babcock clamps, 8, 9f, 242f-243f, 245, 248f, 622, 631

Babcock forceps, 6, 7f, 274f-276f Balloon trocar, 853

Bariatric surgery, 386. see also Gastric banding; Roux-en-Y gastric bypass

Basilic vein, 939f, 983f, 991f, 994-995, 997f, 999f-1000f

Bassini inguinal herniorrhaphy closure of, 808, 809f dissection, 804-808, 804f-808f incision, 802

pearls and pitfalls of, 810 postoperative care, 810 preoperative considerations for, 802 surgical anatomy of, 802, 803f suturing/sutures, 808, 808f-809f

Beger procedure

bilioenteric anastomosis, 532 dissection, 526, 527f electrocautery, 532, 533f end-to-side pancreaticojejunostomy

in, 535f incision, 525, 526f

indications for, 523-524 lesser sac, 522

pancreaticojejunostomy in, 534, 535f pearls and pitfalls of, 543

peritoneal dissection, 528-529 postoperative care, 543 preoperative considerations for, 524 surgical anatomy of, 522-524 suturing/sutures for, 530, 531f, 536 technique for, 528f-535f, 528-536

Below-knee amputation closure of, 1038, 1039f

dissection, 1032-1038, 1033f-1038f incision, 1030, 1031f

pearls and pitfalls of, 1041 postoperative care, 1040 preoperative considerations for, 1030 surgical anatomy of, 1030, 1031f

Benign breast lesion excision, 144-149 Biceps brachii muscle, 985f

Biceps femoris muscle, 1061f Bicipital aponeurosis, 991f

Bilateral salpingo-oophorectomy abdominal hysterectomy and, 1070 closure of, 1091

dissection, 1086-1090, 1087f incision, 1086

pearls and pitfalls of, 1091 postoperative care, 1091 preoperative considerations for, 1086 surgical anatomy of, 1085, 1085f

Biliary radicals, 473, 486 Bilioenteric anastomosis, 532 Billroth I

closure of, 291 contraindications, 278 dissection, 280-290, 281f-290f incision, 278, 279f

pearls and pitfalls of, 291 postoperative care, 291 preoperative considerations for, 278 surgical anatomy of, 278, 279f sutures/suturing in

Connell, 288, 289f

Lembert, 283f, 283-284, 285f, 288, 289f Billroth II

closure of, 303

dissection, 292-302, 293f-302f Hofmeister method, 299f, 303 incision, 292

pearls and pitfalls of, 303 Polya method, 303 postoperative care, 303

preoperative considerations for, 292 surgical anatomy of, 292 sutures/suturing in, 302f

Cornell, 298, 298f, 300, 301f

Lembert, 297, 297f, 299, 299f Biopsy

parotid tumors, 52

sentinel lymph node. see Sentinel lymph node biopsy

Bleeding duodenal ulcer, 324-327 “Bloody gulch,” 32

Bookwalter retractor, 703, 718 Bougie

in open Heller myotomy, 235, 235f

in Zenker’s diverticula surgery, 166, 169 Bovie electrocautery, 722, 722f, 1134 Brachial artery, 983f-985f, 991f, 997f, 1000f Brachial axillary nodes, 119f

Brachial nodes, 133f Brachial plexus

injury to, 39

in modified radical mastectomy, 126, 126f-127f

in modified radical neck dissection with spinal accessory nerve preservation, 21f, 31f, 37f

Brachialis muscle, 991f

Brachiobasilic upper arm transposition, 993-997, 993f-997f

Brachioradialis muscle, 939f, 984f

BRCA1, 109

BRCA2, 109 Breast

anatomy of, 108, 117, 119f, 1111f lymphatic system of, 117, 119f

Breast cancer description of, 109

sentinel lymph node biopsy for. see Sentinel lymph node biopsy

Breast conservation, 110, 114 Breast surgery

axillary node dissection. see Axillary node dissection

benign breast lesion excision, 144-149 intraductal papilloma, 155-160

Breast surgery (Continued) major duct excision, 150-154

modified radical mastectomy. see Modified radical mastectomy

sentinel lymph node biopsy. see Sentinel lymph node biopsy

wide local excision. see Wide local excision Broad ligament, 1076, 1077f

Brooke ileostomy closure of, 634 dissection, 627-633 enterostomy, 629-630

in ileorectal anastomosis, 730 incision, 627, 628f

pearls and pitfalls of, 634 postoperative care, 634 preoperative considerations for, 627 surgical anatomy of, 627, 628f

suturing/sutures for, 631-632, 633f, 730 in total colectomy, 710

Bulbocavernosus muscle, 1102f Burn injuries

depth of, 1143f

escharotomies, 1152-1154, 1153f healing of, 1144

skin grafts for. see Skin grafts

C

Calcium, 16 Cantlie’s line, 465f

Captopril renal scan, 946

Carbon dioxide laser endoscopic diverticulotomy, 171

Cardinal ligament, 1068, 1069f, 1081f Carotid blowout, 40

Carotid endarterectomy anesthesia for, 910, 917 closure of, 917 complications of, 917

cranial nerve injury during, 917 dissection, 910

endarterectomy, 914-916, 915f-916f incision, 908, 911f

indications for, 908 pearls and pitfalls of, 918 postoperative care, 917

preoperative considerations for, 908-910 shunt, 910, 912, 912f-913f

stroke after, 917

surgical anatomy of, 906, 907f suturing/sutures, 916, 916f

Carotid sheath, 906, 1160f Cattell maneuver, 1181 Celiac artery, 974, 975f Celiac trunk, 509f, 881f

Cephalic vein, 119f, 939f, 983f, 986f, 991f, 999f Cerebrovascular accident, 40

Cervicovesical space, 1071f, 1078 Cherney incision, 1074-1075, 1075f Children. see Pediatric surgery Cholangitis, 451

Cholecystectomy

endoscopic retrograde cholangiopancreatography with, 434-435

laparoscopic closure of, 428

conversion to open procedure, 435 dissection, 426-428, 427f, 429f incision/port placement, 424, 425f indications for, 422

Kumar clamp, 27f, 426 pearls and pitfalls of, 434-435 postoperative care, 434

open

closure of, 433

dissection, 431-433, 431f-433f

Cholecystectomy (Continued) incision, 430, 430f

laparoscopic procedure conversion to, 435

pearls and pitfalls of, 434-435 postoperative care, 434

operating room setup for, 423 patient positioning for, 423

preoperative considerations for, 422-423 surgical anatomy of, 422

Choledochoduodenostomy anastomosis, 440-442, 440f-442f

anterior choledochotomy, 438, 439f, 442f closure of, 450

dissection, 438-440, 439f incision, 437f, 438 indications for, 436

pearls and pitfalls of, 451-452 postoperative care, 451

preoperative considerations for, 436, 437f surgical anatomy of, 436, 437f

transverse duodenotomy, 440, 440f Choledochotomy, anterior, 438, 439f Chronic pancreatitis, 566

Chyle fistula, 40 Chyle leak, 39

Cimino arteriovenous fistula, 983f Clavipectoral fascia, 138

Clitoris, 1093f Colonic surgery

Brooke ileostomy. see Brooke ileostomy diverting end colostomy with mucous fistula

or Hartmann’s pouch. see Diverting end colostomy with mucous fistula or Hartmann’s pouch

hemorrhoidectomy, 760-764

inguinal herniorrhaphy. see Inguinal herniorrhaphy

laparoscopic

left and sigmoid colectomy. see

Left and sigmoid colectomy, laparo- scopic-assisted

patient positioning for, 612 lateral sphincterotomy, 768-771

left and sigmoid colectomy. see Left and sigmoid colectomy

low anterior resection–total mesorectal excision. see Low anterior resection–total mesorectal

excision

perirectal abscess drainage, 765-767 pilonidal cyst curettage, 768-771 port placement for, 612-616

right hemicolectomy. see Right hemicolectomy

stoma takedown. see Stoma takedown total colectomy. see Total colectomy

Colorectal anastomosis, 740, 740f, 742, 744 Common bile duct

anatomy of, 509f, 959f in Beger procedure, 529f dilation of, 566

in hepaticojejunostomy, 436, 437f, 439f, 444, 445f

in sphincteroplasty, 453, 453f, 460 Common carotid artery, 3f, 21f, 906, 907f,

911f, 913f, 1019f

Common femoral artery, 892, 893f, 897f, 903f Common hepatic artery

anatomy of, 522, 545f, 571f in Beger procedure, 529f

in distal pancreatectomy and splenectomy, 469f, 485f, 509f, 518f

Common hepatic duct, 444, 445f, 545f Common interosseous artery, 939f Compartment syndrome, 1152

INDEX 1187

Connell suturing

in anterior gastrotomy, 586, 587f in Billroth I, 288, 289f

in Billroth II, 298, 298f, 300, 301f in gastrojejunostomy, 333, 338f in left colectomy, 683f

low anterior resection–total mesorectal excision, 740, 741f

in right hemicolectomy anastomoses, 658f, 660

in sigmoid colectomy, 683f in sphincteroplasty, 458, 459f

Cooper’s ligament

anatomy of, 784f-785f, 845f, 861f

in laparoscopic inguinal hernia repair, 848, 849f

repair of, 811-819 Creech technique, 886, 887f Cremaster muscle, 826 Cremasteric fibers, 814f Cricoid cartilage, 1159f

in cricothyroidotomy, 77f in tracheotomy, 65f, 68f

Cricothyroid muscle, 3f Cricothyroidotomy

cricothyroid membrane, 78-81, 79f-81f dissection, 78-81, 79f-81f

incision, 78, 79f, 82 indications for, 76 patient positioning for, 78 pearls and pitfalls of, 82 postoperative care, 81

preoperative considerations for, 76 surgical anatomy, 76, 77f tracheotomy conversion of, 81

Cyst(s)

pilonidal, 772-775 thyroglossal duct, 83-87

Cystic artery, 425f, 426, 428, 431f

Cystic duct, 425f, 431f-432f, 435, 455f, 509f, 545f, 569f

Cystoduodenostomy, 581, 588-593, 588f-593f Cystogastrostomy, 581-587, 583f-587f Cystojejunostomy, 581, 594-598

D

Deaver blade, 706

Deep circumflex iliac artery, 904 Deep circumflex iliac vein, 904 Deep external pudendal artery, 893f Deep external pudendal vein, 893f Deep femoral artery, 892, 893f, 897f,

903f, 905

Deep femoral vein, 897f Deep inguinal ring, 845f

Deep lobe parotidectomy, 60-62, 61f Deep perineal nerve, 1093f

Deep peroneal nerve, 935f

Deep venous thrombosis prophylaxis in ileorectal anastomosis, 731

in splenectomy, 608

in stoma takedown, 650 in total colectomy, 712

Denver shunt, 1024 Dermatomes, 1144, 1145f Dermis, 1143f Descending colon

anatomy of, 686

graft, 218-225, 218f-225f Diagnostic peritoneal lavage, 1010 Digastric muscle

anatomy of, 907f, 1163f

in modified radical neck dissection with spinal accessory nerve preservation, 37f, 39

in parotidectomy, 55, 55f, 57f