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Preface
Despite remarkable technical advances and rapid
scientific progress, it has never been more challenging to
become a safe and proficient surgeon.
Young surgeons are challenged by both the pace of new
information and the subspecialization occurring in every
surgical discipline. Traditional surgical textbooks, which
have grown to keep pace with these changes, are
becoming encyclopedic reference books, which we turn to
only when we need a comprehensive overview. With the
vast amount of information available, it is often difficult to
sort out the basic principles of safe surgery for a given
clinical scenario. The mismatch between existing education
materials and the need for a solid understanding of general
surgical principles becomes most apparent when young
surgeons sit down to prepare to take their written and oral
board exams.
Young surgeons also learn differently than those in the
past. Modern surgical trainees do not sit down and read for
hours at a time. They are multitaskers who demand
efficiency and immediate relevance in their learning
materials. Most medical schools have responded to these
changes by transitioning to curricula based on case-based
https://t.me/med1917

learning. Clinical narratives are extremely effective learning
tools because they use patient stories to teach essential
surgical principles. Most existing surgical textbooks have
not kept pace with these broader changes in medical
education.
We wrote this book to fill these gaps. We have created
a case-based text that communicates core principles of
general surgery and its specialties. We believe the patient
stories in these clinical scenarios will provide context to
facilitate learning the principles of safe surgical care.
Students, residents, and other young surgeons should find
the chapters short enough to read between cases or after a
long day in the hospital. We hope this book will be
particularly useful for senior surgical residents and recent
graduates as they prepare for the American Board of
Surgery oral examination.
Justin B. Dimick
Gilbert R. Upchurch, Jr.
Christopher J. Sonnenday
https://t.me/med1917

Contents
Contributors
Foreword
Preface
Chapter 1
Symptomatic Primary Inguinal Hernia
Evangelos Messaris
Chapter 2
Recurrent Inguinal Hernia
Jonathan F. Finks
Chapter 3
Incarcerated/Strangulated Inguinal
Hernia
Matthew W. Ralls
Justin B. Dimick
Chapter 4
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Ventral Incisional Hernias
Vivian M. Sanchez
Kamal M.F. Itani
Chapter 5
Complex Abdominal Wall
Reconstruction
Michael J. Rosen
Chapter 6
Enterocutaneous Fistula
Eric J. Culbertson
Michael G. Franz
Chapter 7
Infected Ventral Hernia Mesh
Gregory Ara Dumanian
Chapter 8
Postoperative Dehiscence
Angela M. Ingraham
Avery B. Nathens
Chapter 9
Splenectomy for Hematologic Disease
John F. Sweeney
https://t.me/med1917

Chapter 10
Acute Appendicitis
Sarah E. Greer
Samuel R.G. Finlayson
Chapter 11
Perforated Appendicitis
Terry Shih
Mark R. Hemmila
Justin B. Dimick
Chapter 12
Gynecologic Causes of Lower
Abdominal Pain
Charles S. Dietrich III
Bradford P. Whitcomb
Chapter 13
Paraesophageal Hernia
Thadeus Trus
Chapter 14
Gastroesophageal Reflux Disease
Jonathan F. Finks
Chapter 15
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Gastric Cancer
Srinivas Kavuturu
Jussuf T. Kaifi
Kevin F. Staveley-O’carroll
Chapter 16
Bleeding Gastric Ulcer
Danielle Fritze
Michael Mulholland
Chapter 17
Bleeding Duodenal Ulcer
Wendy L. Wahl
Chapter 18
Perforated Duodenal Ulcer
Constance W. Lee
George A. Sarosi Jr.
Chapter 19
Small Bowel Obstruction
Sara E. Clark
Lillian G. Dawes
Chapter 20
Morbid Obesity
John Morton
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Chapter 21
Gastrointestinal Stromal Tumor
John B. Ammori
Ronald P. Dematteo
Chapter 22
Symptomatic Cholelithiasis in
Pregnancy
Vance L. Smith
Paul M. Maggio
Chapter 23
Acute Cholecystitis
Danielle Fritze
Justin B. Dimick
Chapter 24
Bile Duct Injury
Christopher J. Sonnenday
Chapter 25
Cholangitis
William C. Beck
Benjamin K. Poulose
Chapter 26
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Severe Acute Pancreatitis
Marisa Cevasco
Stanley W. Ashley
Amy L. Rezak
Chapter 27
Incidental Liver Mass
Shawn J. Pelletier
Chapter 28
Liver Mass in Chronic Liver Disease
Christopher J. Sonnenday
Chapter 29
Metastatic Colorectal Cancer
Peter D. Peng
Timothy M. Pawlik
Chapter 30
Obstructive Jaundice
Timothy L. Frankel
Christopher J. Sonnenday
Chapter 31
Incidental Pancreatic Cyst
Joshua A. Waters
C. Max Schmidt
https://t.me/med1917

Chapter 32
Refractory Pain From Chronic
Pancreatitis
Sajid A. Khan
Jeffrey B. Matthews
Chapter 33
Symptomatic Pancreatic Pseudocyst
Michael G. House
Chapter 34
Cholecystoduodenal Fistula
Paul Park
Ali F. Mallat
Chapter 35
Lower Gastrointestinal Bleeding
Scott E. Regenbogen
Chapter 36
Splenic Flexure Colon Cancer
Daniel Albo
Chapter 37
Anastomotic Leak After Colectomy
Neil Hyman
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Neil Hyman
Chapter 38
Large Bowel Obstruction from Colon
Cancer
Noelle L. Bertelson
David A. Etzioni
Chapter 39
Colonic Vovulus
Arden M. Morris
Chapter 40
Complicated Diverticulitis
Sean T. Martin
Jon D. Vogel
Chapter 41
Ischemic Colitis
Muneera R. Kapadia
Ann C. Lowry
Chapter 42
Medically Refractory Ulcerative Colitis
Samantha Hendren
Chapter 43
https://t.me/med1917
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