Thoracoabdominal incision, 91f Thoracodorsal artery, 119f, 126, 1116, 1117f Thoracodorsal nerve, 119f, 126 Thoracodorsal vein, 119f, 126, 1116, 1117f Thoracotomy, 1174-1177
Thrombectomy, 1004-1005, 1005f Thyroglossal duct cyst, 83-87 Thyrohyoid muscle, 3f
Thyroid cartilage, 3f Thyroidectomy
closure of, 16, 17f complications of, 16 dissection, 4-15, 5f, 8f-15f hypoparathyroidism after, 16 incisions, 4, 5f
indications for, 2 patient positioning for, 4
postoperative care, 16, 18 preoperative considerations for, 2 recurrent laryngeal nerve injury
during, 16, 18 surgical anatomy, 2, 3f
Thyroid isthmus
in cricothyroidotomy, 77f in tracheotomy, 69, 69f
Thyroid membrane, 3f
Tibialis anterior muscle, 931f, 933f, 935f, 1031f
Tibialis posterior muscle, 933f, 935f, 943f, 1031f
Toddlers. see Pediatric surgery Total colectomy
abdominal closure, 711 Brooke ileostomy in, 710
deep venous thrombosis prophylaxis, 712 dissection, 703f-710f, 703-711
ileorectal anastomosis, 710-711 incision, 702, 702f
indications for, 700 patient positioning for, 701
pearls and pitfalls of, 712-713 postoperative care, 712 preoperative considerations for, 700 surgical anatomy of, 699, 699f
Total esophagogastrectomy
with ascending colon graft, 225-227 with descending colon graft, 218f-225f,
218-225 description of, 209-217
Total gastrectomy closure of, 314
esophagojejunal anastomosis, 313, 313f feedings after, 314
incision, 304, 305f
jejunojejunal anastomosis, 310, 310f, 313f left gastric artery, 308, 308f
omentum resection, 307, 307f pearls and pitfalls of, 314 postoperative care, 314 preoperative considerations for, 304 right gastric artery, 308, 308f
Roux limb, 310, 314 spleen retraction, 306, 306f surgical anatomy of, 304
sutures/suturing, 308, 308f, 311-312, 311f-312f
Totally extraperitoneal repair of inguinal hernia, 852-854, 852f-854f, 856
Total mastectomy, 117
Total thyroidectomy. see Thyroidectomy Tracheal fascia, 70
Tracheal rings, 71f Tracheotomy
complications of, 74-75 cricothyroidotomy conversion to, 81 dissection, 68-73
Tracheotomy (Continued) “high,” 66
incision, 66-67, 70, 71f indications for, 66 local awake, 66, 75
patient positioning for, 67 pearls and pitfalls of, 74-75 postoperative care, 74
preoperative considerations for, 66 suctioning after, 74
surgical anatomy, 65 Tracheotomy tube, 66, 73, 73f Traction sutures, 148
Transabdominal preperitoneal repair, of inguinal hernia, 846-851
Transanastomotic stapler device, 286 Transhiatal esophagectomy
anastomoses, 184, 184f, 186, 188, 192 anesthesia for, 173
cervical esophagogastric anastomosis, 188 cervical esophagus dissection, 178-179, 184 closure of, 192
dissection, 175-192
gastrointestinal anastomosis stapling device, 184, 184f, 190
gastrotomy, 189, 189f Heineke-Mikulicz pyloroplasty, 176 incision, 174, 174f-175f
nasogastric tube, 190, 190f patient positioning for, 173 pearls and pitfalls of, 193
Penrose drains, 180-181, 181f, 186 postoperative care, 193
preoperative considerations for, 172-173 pyloromyotomy, 176, 177f
recurrent laryngeal nerve preservation, 178, 178f
stomach, 185-186, 192 surgical anatomy of, 172, 173f suturing of, 191, 191f
transthoracic esophagectomy vs., 172 Transmetatarsal amputation
closure of, 1054, 1055f
dissection, 1053-1054, 1053f-1055f incision, 1052, 1052f
indications for, 1051 pearls and pitfalls of, 1056 postoperative care, 1056
preoperative considerations for, 1052 surgical anatomy of, 1051, 1051f
Transthoracic esophagectomy anastomoses, 198-200, 202 closure of, 201
dissection, 196-200, 196f-200f endoscopic gastrointestinal anastomosis
stapling device in, 198 incision, 196, 196f indications for, 172, 194 nasogastric tube, 200, 200f patient positioning for, 195 pearls and pitfalls of, 202 Penrose drain, 197 postoperative care, 202
preoperative considerations for, 194-195 stomach manipulation and placement, 196,
199, 199f
surgical anatomy of, 194, 195f suturing of, 201, 201f
Transversalis aponeurosis, 861f Transversalis fascia, 784f, 791f, 799f, 817,
826f, 827, 829f, 850f
Transverse abdominal skin incision, 412, 412f Transverse abdominis muscle, 406f Transverse arteriotomy, 969f
Transverse cervical artery, 21f Transverse cervical vein, 21f
INDEX 1199
Transverse colon, 509f
Transversus abdominis aponeurosis arch, 784f
Trapezius muscle, 21f Triangle of Calot, 426, 434
Triangular ligament, 470, 471f, 476, 477f, 482, 493f
Triangulation, 613, 613f Truncal vagotomy
anterior vagus nerve, 329f-331f closure of, 332
dissection, 328-332, 329f-331f in duodenal ulcer repair, 326 incision, 328
pearls and pitfalls of, 332-333 Penrose drain, 330, 333
perforated peptic ulcer repaired with, 323 posterior vagus nerve, 329f, 332f postoperative care, 332
preoperative considerations for, 328 surgical anatomy of, 328, 329f
Tylectomy, 108
U
Ulnar artery, 983f-984f Ulnar nerve, 939f, 983f-985f Umbilical fold, 845f, 847f Umbilical hernia repair
in children, 863-866 closure of, 871, 871f pearls and pitfalls of, 872 postoperative care, 872
preoperative considerations for, 863-864
surgical anatomy of, 863 Umbilical port, 428, 429f Uncinate process, 579 U-stitch, 324-327, 325f Uterine artery, 1069f
Utero-ovarian ligament, 1068, 1076, 1077f Uterosacral ligaments, 1068, 1069f, 1081f Uterus
anatomy of, 1070, 1071f
hysterectomy. see Abdominal hysterectomy ligaments of, 1068, 1069f
V
Vaccines, for postsplenectomy sepsis, 510 Vagus nerve, 3f, 37f, 328, 329f, 907f, 1019f,
1163f Valvulotome, 924, 925f Vascular surgery
abdominal aortic aneurysm repair. see Abdominal aortic aneurysm repair
aortofemoral bypass graft. see Aortofemoral bypass graft
carotid endarterectomy. see Carotid endarterectomy
fasciotomy. see Fasciotomy
femoropopliteal bypass. see Femoropopliteal bypass
femorotibial and peroneal bypass. see Femorotibial and peroneal bypass
hemodialysis access. see Hemodialysis access mesenteric ischemia. see Mesenteric
ischemia
peritoneal venous shunt insertion. see Peritoneal venous shunt insertion
renal revascularization. see Renal revascularization
Tenckhoff catheter insertion. see Tenckhoff catheter insertion
Vas deferens, 785f, 823f, 841f, 849f Ventral hernia, 873-877
Veress needle, 667 Vertebral artery, 1171f
