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Clinical Scenarios in
Surgery
DECISION MAKING AND OPERATIVE
TECHNIQUE

Clinical Scenarios in
Surgery
DECISION MAKING AND OPERATIVE
TECHNIQUE
Editors
Justin B. Dimick, MD, MPH
Assistant Professor of Surgery
Chief, Division of Minimally Invasive Surgery
Department of Surgery
University of Michigan
Ann Arbor, Michigan
Gilbert R. Upchurch Jr., MD
William H. Muller, Jr. Professor
Chief of Vascular and Endovascular Surgery
University of Virginia
Christopher J. Sonnenday, MD, MHS
Assistant Professor of Surgery
Assistant Professor of Health Management & Policy
Hepatobiliary, Pancreatic, and Transplant Surgery
University of Michigan

Ann Arbor, Michigan

Acquisitions Editor:
Brian Brown
Product Manager:
Brendan Huffman
Production Manager:
Bridgett Dougherty
Senior Manufacturing Manager:
Benjamin Rivera
Marketing Manager:
Lisa Lawrence
Design Coordinator:
Joan Wendt
Production Service:
SPi Global
Copyright © 2012 by LIPPINCOTT WILLIAMS &
WILKINS, a WOLTERS KLUWER business
Two Commerce Square
2001 Market Street
Philadelphia, PA 19103 USA
LWW.com
All rights reserved. This book is protected by copyright. No
part of this book may be reproduced in any form by any
means, including photocopying, or utilized by any
information storage and retrieval system without written
permission from the copyright owner, except for brief
quotations embodied in critical articles and reviews.
Materials appearing in this book prepared by individuals as
part of their official duties as U.S. government employees
are not covered by the above-mentioned copyright.
Printed in China
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Library of Congress Cataloging-in-Publication Data
ISBN-13: 9781609139728
CIP data is available from the publisher on request.
Care has been taken to confirm the accuracy of the
information presented and to describe generally accepted
practices. However, the authors, editors, and publisher are
not responsible for errors or omissions or for any
consequences from application of the information in this
book and make no warranty, expressed or implied, with
respect to the currency, completeness, or accuracy of the
contents of the publication. Application of the information in
a particular situation remains the professional responsibility
of the practitioner.
The authors, editors, and publisher have exerted every
effort to ensure that drug selection and dosage set forth in
this text are in accordance with current recommendations
and practice at the time of publication. However, in view of
ongoing research, changes in government regulations, and
the constant flow of information relating to drug therapy and
drug reactions, the reader is urged to check the package
insert for each drug for any change in indications and
dosage and for added warnings and precautions. This is
particularly important when the recommended agent is a
new or infrequently employed drug.
Some drugs and medical devices presented in the
publication have Food and Drug Administration (FDA)
clearance for limited use in restricted research settings. It is
the responsibility of the health care provider to ascertain
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the FDA status of each drug or device planned for use in
their clinical practice.
To purchase additional copies of this book, call our
customer service department at (800) 638-3030 or fax
orders to (301) 223-2320. International customers should
call (301) 223-2300.
Visit Lippincott Williams & Wilkins on the Internet: at
LWW.com. Lippincott Williams & Wilkins customer service
representatives are available from 8:30 am to 6 pm, EST.
10 9 8 7 6 5 4 3 2 1
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Contributors
Edouard Aboian, MD
Clinical Fellow in Vascular Surgery
Department of Vascular Surgery
Maimonides Medical Center
Brooklyn, New York
Lifestyle-Limiting Claudication
Daniel Albo, MD, PhD
Chief, Division of Surgical Oncology
Department of Surgery
Baylor College of Medicine
Director, GI Oncology Program
Dan L. Duncan Cancer Center
Baylor College of Medicine
Houston, Texas
Splenic Flexure Colon Cancer
Amy K. Alderman, MD, MPH
The Swan Center
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Alpharetta, Georgia
Breast Reconstruction
Steven R. Allen, MD
Adrenal Insufficiency
John B. Ammori, MD
Assistant Professor
Department of Surgery
Division of General and Oncologic Surgery
Case Western Reserve University
Attending Surgeon
Department of Surgery
Division of General and Oncologic Surgery
University Hospitals Case Medical Center
Cleveland, Ohio
Gastrointestinal Stromal Tumor
Christopher D. Anderson, MD, FACS
Associate Professor of Surgery
Chief, Division of Transplant and Hepatobiliary Surgery
Department of Surgery
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University of Mississippi Medical Center
Jackson, Mississippi
Acute Liver Failure
Stanley W. Ashley, MD
Frank Sawyer Professor of Surgery
Harvard Medical School
Chief Medical Officer
Senior Vice President for Medical Affairs
Administration
Brigham and Women’s Hospital
Boston, Massachusetts
Severe Acute Pancreatitis
Samir S. Awad, MD, FACS
Associate Professor of Surgery
Chief, Section of Surgical Critical Care
Program Director Surgical Critical Care
Department of Surgery
Baylor College of Medicine
Associate Chief of Surgery
Medical Director SICU
Michael E. DeBakey VAMC
Houston, Texas
Fulminant Clostridium Difficile Colitis
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