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xxviii CONTRIBUTORS
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Heather L. Yeo, MD, MHS
Assistant Professor
Department of Surgery
NewYork-Presbyterian/Weill Cornell
Medical Center
Associate Professor of Population Health
Sciences
Healthcare Policy and Research
Weill Cornell Medical Center
New York, New York
Management of Fissure-In-Ano
Stephanie Young, MD, MPH
Complex General Surgical Oncology Fellow
Department of Surgical Oncology
John Wayne Cancer Institute
Santa Monica, California
Management of Periampullary Cancers
Victor M. Zaydfudim, MD, MPH
Associate Professor
Section of Hepatobiliary and Pancreatic
Surgery
Division of Surgical Oncology
University of Virginia
Charlottesville, Virginia
Management of Liver Hemangioma
Martha A. Zeiger, MD
Professor and Chair
Department of Surgery
University of Virginia School of Medicine
Charlottesville, Virginia
Surgical Management of Secondary and
Tertiar y Hyperparathyroidism
Michael E. Zenilman, MD
Professor
Department of Surgery
Weill Cornell Medicine
Chief, Department of Surgery
New York Methodist Hospital
New York, New York
A Practical Approach to Surgery in the Frail
Elderly
Jay Zhu, MD
Assistant Professor of Surgery
University of New Mexico School of
Medicine
Albuquerque, New Mexico
Surgical Management of Gastroesophageal
Reflux Disease
Maaz K. Zuberi, MD
Chief Resident
Department of General Surgery
Howard University College of Medicine
Washington DC
Injured Spleen
Nicholas J. Zyromski, MD
Professor
Department of Surgery
Indiana University School of Medicine
Indianapolis, Indiana
Management of Cystic Disorders of the Bile
Ducts

P
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The first edition of Current Surgical Therapy was published in 1984.
The textbook has thus been in existence for almost 40 years, and
this is the fourteenth edition. In each edition, we have updated the
material to reflect the continuing evolution of the field of general
surgery. The textbook continues to be perhaps the most popular
surgical book in the field, and as long as it fulfills a need, we plan to
continue the publication every 3 years. It has been a special privilege
and honor for the two editors to be able to review contributions from
surgeons around the country and, indeed, from around the world,
on what they believe is the current surgical therapy for essentially
all common general surgical topics. It is an enjoyable task and keeps
two surgeons who care for surgical patients current on all general
surgical topics.
As with prior editions, nearly every chapter has been written by a
new author. All authors have contributed their specific and personal
thoughts on the current surgical therapy of the disease about which
they are experts. Therefore, to obtain a broad view of the topic, the
reader may want to review the contributions of the other experts in
the past two or three editions of Current Surgical Therapy.
As with the past editions, disease presentation, pathophysiology,
and diagnosis are discussed only briefly, with the emphasis on current surgical therapy. When an operative procedure is discussed, an
effort has been made to include brief and concise descriptions with
figures and diagrams when possible. Current Surgical Therapy is
written for surgical residents, fellows, and fully trained surgeons in
private practice or in an academic setting. Many have told us that it
is an excellent textbook to review before taking the general surgical
boards or recertifying. Medical students have also given us feedback
that they believe the text is of value to them. However, Current
Surgical Therapy is not written principally for medical students. We
believe a more classic surgical textbook with substantial sections on
disease presentation, diagnosis, and pathophysiology is more appropriate for medical students.
We remain grateful to the many surgeons throughout the
country, as well as to the international surgeons, who participated
in creating this textbook. Most of the potential authors whom we
solicit respond enthusiastically to the opportunity to present their
expert views. Their efforts obviously are what make this textbook
a success. In addition, we could not have compiled this textbook
without the herculean efforts of Ms. Irma Silkworth, who has been
involved with virtually all of these editions. Ms. Katie DeFrancesco
at Elsevier has also has been a terrific help and stands out in the
publishing industry.
Both editors continue to enjoy and thrive in our chosen profession of general surgery. In recruiting medical students into our specialty over the past 40 years, we have used the statement, “If you pick
a profession you love, you never have to work the rest of your life.” In
our view, that profession is surgery.
Finally, we would like to dedicate this edition, as with the others,
to the surgical house staff and fellows at Johns Hopkins Hospital,
who are “the best of best.”
A M. C, MD
J L. C, MD
xxix

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MedStore Medical Supplies
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T A B S
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C (O) E
C
S
The American Board of Surgery Certifying (Oral)
Examination 1
Jo Buyske, MD, and Daniel L. Dent, MD
E
Esophageal Function Tests 3
Wasay Nizam, MBBS, Hamza Khan, MD, and Malcolm V. Brock, MD
Surgical Management of Gastroesophageal Reflux
Disease 7
Jay Zhu, MD, and Brant K. Oelschlager, MD
New Approaches to Gastroesophageal Reflux Disease
(LINX) 14
Tom R. DeMeester, MD
Management of Barrett’s Esophagus 19
Stephen R. Broderick, MD, MPHS
Endoscopic Treatment of Barrett’s Esophagus 24
Anne P. Ehlers, MD, MPH, and Brant K. Oelschlager, MD
Management of Paraesophageal Hernia Repair 29
Richard J. Battafarano, MD, PhD
Management of Zenker’s Diverticulum 34
Fernando A.M. Herbella, MD, Riccardo Rosati, MD,
and Marco G. Patti, MD
Achalasia of the Esophagus 39
T. Robert Qaqish, MD, and Mark Katlic, MD
Management of Disorders of Esophageal Motility 45
Melissa Louise DeSouza, MD, and Lee L. Swanstrom, MD
Management of Esophageal Cancer 54
Fatima G. Wilder, MD, and Stephen C. Yang, MD
Multimodality Therapy in Esophageal Cancer 59
Brooks V. Udelsman, MD, MHS, and Uma M. Sachdeva, MD, PhD
Use of Esophageal Stents 65
Matthew D. Grunwald, MD, Anthony N. Kalloo, MD,
and Dmitriy O. Khodorskiy, MD
Management of Esophageal Perforation 74
Juan A. Muñoz-Largacha, MD, and James M. Donahue, MD
Benign Gastric Ulcer 81
Daniel T. Dempsey, MD, MBA
Management of Duodenal Ulcers 86
Daniel T. Dempsey, MD
Management of Zollinger-Ellison Syndrome 92
David W. McFadden, MD, MBA, and Brian D. Shames, MD
Management of Mallory-Weiss Syndrome 98
Michael G. House, MD
Management of Gastric Adenocarcinoma 100
Alex B. Blair, MD, and Mark D. Duncan, MD
Familial Gastric Cancer 107
Hamza Khan, MD, Juliet Siena Lumati, MD, and Fabian M. Johnston, MD
Management of Gastrointestinal Stromal Tumors 111
Laurence P. Diggs, MD, and Miral Sadaria Grandhi, MD
Gastrointestinal Tubes for Feeding
and Decompression 119
Lawrence B. Brown, MD, MPH, MHS, and Susan L. Gearhart, MD
Management of Morbid Obesity 123
Michael A. Schweitzer, MD, and Vivek Kumbhari, MD
S B
Management of Small Bowel Obstruction 129
Charudutt Paranjape, MD, and George Velmahos, MD
Management of Crohn’s Disease of the Small Bowel 134
John Peter Ricci, MD, and Mark A. Talamini, MD
Use of Strictureplasty in Crohn’s Disease 138
Lea Lowenfeld, MD, and Fabrizio Michelassi, MD
Management of Small Bowel Tumors 144
Ramy El-Diwany, MD, PhD, and John W. Harmon, MD
Small Bowel Diverticulosis 149
Jonathan B. Greer, MD
Diagnosis and Management of Motility Disorders of the
Stomach and Small Bowel in the Current Era 152
Omar M. Ghanem, MD, and Michael G. Sarr, MD
xxxi

xxxii CONTENTS
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Management of Short Bowel Syndrome 161
Jon S. Thompson, MD
Management of Enterocutaneous Fistulas 166
Grace C. Lee, MD, and Richard A. Hodin, MD
Management of Radiation-Induced Injury to the Small
and Large Bowel 171
Sophia Y. Chen, MD, MPH, and Chady Atallah, MD
L B
Preoperative Bowel Preparation: Is It Necessary? 177
Anna Chudnovets, MD, and Sandy Hwang Fang, MD
Management of Diverticular Disease of the Colon 181
Katharina M. Scheurlen, MD, and Susan Galandiuk, MD
Management of ChronicUlcerative Colitis 186
Kirkpatrick Beekman Fergus, MD, Michael G. Kattah, MD, PhD,
and Elizabeth C. Wick, MD
Management of ToxicMegacolon 190
Jonathan E. Efron, MD
Surgical Management ofCrohn’s Colitis 194
Hanjoo Lee, MD, Alessandro Fichera, MD, and
James W. Fleshman Jr., MD
Ischemic Colitis 200
Ranim Alsaad, MD, and Pamela A. Lipsett, MD, MHPE
Management of Clostridioides DifficileColitis 204
Marylise Boutros, MD, Maria Abou Khalil, MD, and StevenD. Wexner,
MD, PhD (Hon)
Management of Large Bowel Obstruction 209
Anthony J. Senagore, MD, MS, MBA, and Yesenia Rojas-Khalil, MD
Enteral Stents in the Treatment of Colonic
Obstruction 215
Shruti Mony, MBBS, Clement Wu, MBBS, and Mouen Khashab, MD
Management of AcuteColonic Pseudo-Obstruction
(Ogilvie’s Syndrome) 226
Marshall S. Bedine, MD
Management of ColonicVolvulus 229
Jose G. Guillem, MD, and Jonathan M. Stem, MD
Management of RectalProlapse 232
Shannon N. Radomski, MD, and Alodia Gabre-Kidan, MD, MPH
Surgical Managementof Constipation 236
Nathalie Mantilla, MD, and Jose R. Cintron, MD
Neoadjuvant and Adjuvant Therapy forColorectal Cancer 259
Yilin (Linda) Cao, MD, and Nilofer Azad, MD
Management of Colorectal Polyps 263
Gifty Kwakye, MD, MPH, and Genevieve B. Melton, MD, PhD
Management of Peritoneal Surface Malignancies 267
Fabian M. Johnston, MD, and Juliet Siena Lumati, MD
Management ofLower Gastrointestinal Bleeding 274
Anna Liveris, MD, and Peter Muscarella II, MD
Appendicitis: Diagnosis and Management 281
Elaa Mahdi, MD, MPH, and Walter Pegoli Jr., MD
A
Management of Hemorrhoids 287
Ariane M. Abcarian, MD, and Herand Abcarian, MD
Management of Fissure-In-Ano 295
Vernissia Tam, MD, MS, and Heather L. Yeo, MD, MHS
Management of Anorectal Abscess and Fistula 298
Amy J. Thorsen, MD
Anal Stenosis 307
Chassidy Grimes, MD, and Dana Hayden, MD
Management of Pruritus Ani 311
Matthew D. Price, MD, and Chady Atallah, MD
Surgical Management of Fecal Incontinence 313
Sarah Stringfield, MD, and Alessandro Fichera, MD
Rectovaginal Fistula 319
Eric G. Weiss, MD, and Emanuela Silva Alvarenga, MD
Anal Condyloma 327
Edward P. Hagen, DO, and Raman Menon, MD
Management of Pilonidal Disease 331
Rebecca L. Gunter, MD, MS, Eric K. Johnson, MD,
and Scott R. Steele, MD
Pneumatosis Intestinalis and the Importance for the
Surgeon 337
Joseph Kim, MD, Ahmed Chatila, MD, Muhammad Hammami, MD,
and Eric Goldberg, MD
Management of Rectal Cancer 340
Gregory K. Low, MD, and Matthew Mutch, MD
Management of Tumors of the Anal Region 346
Emilie C. Barnes, MD, and Jose G. Guillem, MD
Surgical Management ofthe Polyposis Syndromes 244
Scott R. Kelley, MD, and Sacha P. Broccard, MD
Surgical Managementof Colon Cancer 251
Mohamad A. Abdulhai, MD, and Michael A. Choti, MD
PET Scanning in the Management of Colorectal Cancer 255
Joy Zhou Done, MD, and Sandy H. Fang, MD
L
Cystic Disease of the Liver 351
Lucas W. Thornblade, MD, MPH, and Yuman Fong, MD
Management of Echinococcal Cyst Disease of the Liver 355
Miral Sadaria Grandhi, MD, and Henry A. Pitt, MD

CONTENTS
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xxxiii
Management of Liver Hemangioma 363
Victor M. Zaydfudim, MD, MPH, and Reid B. Adams, MD
Management of Benign Liver Tumors 368
Richard D. Schulick, MD, MBA, and Ana Gleisner, MD, PhD
Management of Malignant Liver Tumors 375
Danielle K. DePeralta, MD, and Matthew J. Weiss, MD, MBA
Hepatic Malignancy: Resection Versus Transplantation 380
Sharon R. Weeks, MD, and Shane E. Ottmann, MD
Management of Colorectal Liver Metastases 384
Jordan M. Cloyd, MD, and Timothy M. Pawlik, MD, MPH, PhD
Ablation of Colorectal Carcinoma Liver Metastases 391
Naomi M. Sell, MD, MHS, Zhi Ven Fong, MD, PhD,
and Kenneth K. Tanabe, MD
Management of Hepatic Abscess 396
Daniel L. Eisenson, MD, and Jonathan B. Greer, MD
Transarterial Therapies for Primary and Metastatic Liver
Tumors 401
Nariman Nezami, MD, and Clifford R. Weiss, MD
P H
Portal Hypertension: Role of Shunting Procedures 413
Eliza J. Lee, MD, and Russel N. Wesson, MBChB
Liver Transplantation 417
Benjamin Philosophe, MD, PhD, and Kiara A. Tulla, MD
Endoscopic Therapy for Esophageal Variceal Hemorrhage 427
Julie A. Conyers, MD
Management of Common Bile Duct Stones 476
Artem Shmelev, MD, Shirali T. Patel, MD, and Steven C. Cunningham, MD
Management of Acute Cholangitis 481
Rebecca Tang, MD, Erica Barnett, BA, and David Berger, MD
Management of Benign Biliary Strictures 486
Heather A. Lillemoe, MD, and Keith D. Lillemoe, MD
Management of Cystic Disorders of the Bile Ducts 491
Sean P. McGuire, MD, and Nicholas J. Zyromski, MD
Management of Primary Sclerosing Cholangitis 497
Gillian M. Ahrendt, MD, and Steven A. Ahrendt, MD
Management of Intrahepatic, Perihilar, and Distal
Extrahepatic Cholangiocarcinoma 501
Mohammad Al Efishat, MD, and William Reece Burns, MD
Biomarker Guided Surgical Management of Hepatobiliary
and Pancreatic Tumors 509
Mahip Grewal, BA, Joseph R. Habib, MD, and Ammar A. Javed, MD
Surgical Management of Gallbladder Cancer 516
Anthony Sorrentino, MD, and Christopher L. Wolfgang, MD, PhD
Management of Gallstone Ileus 521
Morgan Bonds, MD, and Barish H. Edil, MD
Transhepatic Interventions for Obstructive Jaundice 523
Andrew R. Kolarich, MD, Yvonne Tsitsiou, MBBS, and Christos
Georgiades, MD, PhD
Obstructive Jaundice: The Role of Endoscopic
Intervention 532
Sameer Khan, MD, and Vikesh K. Singh, MD, MSc
Transjugular Intrahepatic Portosystemic Shunt 434
Andrew R. Kolarich, MD, Yvonne Tsitsiou, MBBS,
and Christos Georgiades, MD, PhD
Management of Refractory Ascites 442
Justin Brilliant, MD, and James P. Hamilton, MD
Management of Hepatic Encephalopathy 447
Amanda Su, MD, Venkata S. Akshintala, MD, and Vikesh K. Singh, MD, MSc
Management of Budd-Chiari Syndrome 451
Joseph DiNorcia, MD, and Ronald W. Busuttil, MD, PhD
G B T
Management of Asymptomatic (Silent) Gallstones 457
Theodore N. Pappas, MD, and Christopher R. Reed, MD
Management of Biliary Dyskinesia 460
J. Bart Rose, MD
Management of Acute Cholecystitis 462
Ryan C. Broderick, MD, and Bryan M. Clary, MD
Proper Use of Cholecystotomy Tubes 467
Ashwyn K. Sharma, MD, and Jason K. Sicklick, MD
P
Management of Acute Necrotizing Pancreatitis 539
Ryan B. Morgan, MD, and John C. Alverdy, MD
Gallstone Pancreatitis 546
Katherine A. Morgan, MD, and William P. Lancaster, MD
Pancreas Divisum and Other Variants of Dominant Dorsal
Duct Anatomy 549
David B. Adams, MD, and Gregory A. Coté, MD, MS
Diagnosis and Management of Autoimmune Pancreatitis 556
Zhi Ven Fong, MD, MPH, and Andrew L. Warshaw, MD
Management of Pancreatic Necrosis 561
Linda Ye, MD, and O. Joe Hines, MD
Management of Pancreatic Pseudocyst 568
Ammar A. Javed, MD, and Kelly J. Lafaro, MD, MPH
Pancreatic Ductal Disruptions Leading to Pancreatic Fistula,
Pancreatic Ascites, or Pancreatic Pleural Effusion 574
David Sanders, MD, Shivanand Bomman, MD, and Richard Kozarek, MD
Management of Chronic Pancreatitis 582
Matthew D. Price, MD, Christi M. Walsh, MSN, CRNP, and
Martin A. Makary, MD, MPH

xxxiv CONTENTS
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Genetic Testing and High-Risk Pancreatic Cancer
Screening 587
Daniel J. Delitto, MD, PhD, and Kevin E. Behrns, MD
Management of Periampullary Cancers 589
Stephanie Young, MD, MPH, and Susan Tsai, MD, MHS
Management of Complications after the Whipple
Procedure 599
Fabio Casciani, MD, and Charles M. Vollmer Jr., MD
Vascular Reconstruction During the Whipple
Operation 606
Benedict Kinny-Köster, MD, and Jin He, MD, PhD
Palliative Interventions for Patients with Operable and
Advanced Pancreatic and Periampullary Cancer 609
Ashley Krepline, MD, Susan Tsai, MD, MHS, and Douglas B. Evans, MD
Neoadjuvant and Adjuvant Therapy for Pancreatic
Cancer 615
Lawrence W. Wu, MD, and Daniel A. Laheru, MD
Rare and Unusual Pancreatic Tumors 620
Jon M. Harrison, MD, and Carlos Fernandez-del Castillo, MD
Intraductal Papillary Mucinous Neoplasms of the
Pancreas 627
Gabriel D. Ivey, MD, and Richard A. Burkhart, MD
Pancreatic Neuroendocrine Tumors of the Pancreas
Excluding Gastrinoma 632
Mohammad R. Khreiss, MD, and Taylor S. Riall, MD, PhD
Intraoperative Radiation for Pancreatic Cancer 638
Amol Kumar Narang, MD, Joseph M. Herman, MD, MSc, MSHCM, and
Abhinav V. Reddy, MD
Transplantation of the Pancreas 641
Niraj M. Desai, MD, and James F. Markmann, MD, PhD
Total Pancreatectomy and Islet Autotransplantation for
Chronic Pancreatitis 646
Isabel S. Dennahy, MD, Christi Walsh, MSN, CRNP,
and Martin A. Makary, MD, MPH
Incisional, Epigastric, and Umbilical Hernias 671
Hien T. Nguyen, MD, MBA, and Katherine McDermott, MD
Management of Spigelian, Obturator, and Lumbar Hernias 678
Ajita S. Prabhu, MD
Athletic Pubalgia 686
Samer Sbayi, MD, MBA, and Konstantinos Spaniolas, MD
Abdominal Wall Reconstruction 693
Dina Podolsky, MD, Kelly H. Tunder, DO, and Yuri W. Novitsky, MD
Loss of Domain in Abdominal Wall Reconstruction 702
Yewande Alimi, MD, David Hindin, MD, and Carla M. Pugh, MD, PhD
Use of Various Meshes in Hernia Repair 708
Adrienne N. Christopher, MD, and John P. Fischer, MD, MPH
B
Benign Breast Disease 717
Halley Vora, MD, and Tawakalitu O. Oseni, MD
Screening for Breast Cancer 720
Julie R. Lange, MD, ScM
Role of Stereotactic Biopsy in Management of Breast
Disease 724
Jessica M. Pastoriza, MD, William C. Mallon, MD,
and Lisa K. Jacobs, MD, MSPH
Molecular Targets in Breast Cancer 728
Reva K. Basho, MD, and Armando E. Giuliano, MD
Breast Cancer: Surgical Therapy 733
Regina Matar, MD, and Mary L. Gemignani, MD, MPH
Pregnancy and Breast Cancer Management 740
Jessica M. Pastoriza, MD, Ranim Alsaad, MD, and David M. Euhus, MD
Ablative Techniques in the Treatment of Benign and
Malignant Breast Disease 746
Marissa Vane, MD, MSc, and Armando E. Giuliano, MD, FACS, FRCSEd
Lymphatic Mapping and Sentinel Lymphadenectomy 749
Roi Weiser, MD, and V. Suzanne Klimberg, MD, PhD, MSHCT
S
Splenectomy for Hematologic Disorders 651
Adam S. Weltz, MD, and Adrian E. Park, MD
Management of Cysts, Tumors, and Abscesses of the
Spleen 656
P. Marco Fisichella, MD, Nicola Tamburini, MD, and Ciro Andolfi, MD
H
Management of Inguinal Hernia 663
James E. Wiseman, MD, MBA, and Gina L. Adrales, MD, MPH
Management of Recurrent Inguinal Hernia 668
Britta Jean Han, MD, MS, and Bethany C. Sacks, MD, MEd
Surgical Management of the Axilla 756
Genevieve Fasano, MD, Solange Bayard, MD, and
Lisa Ann Newman, MD, MPH
Inflammatory Breast Cancer 762
Jennifer K. Plichta, MD, MS, Xuanji Wang, MD, MS,
and Laura H. Rosenberger, MD, MS
Ductal and Lobular Carcinoma in situ of the Breast 768
Lauren M. DeStefano, MD, and Kristine E. Calhoun, MD
Advances in Neoadjuvant and Adjuvant Therapy for EarlyStage Breast Cancer 770
Julia Tchou, MD, PhD, and Seye Adekeye, MD, PhD
Treatment Trends in Locally Recurrent and Metastatic Breast
Cancer 773
Joy Zhou Done, MD, Pathik Aravind, MD, and Mehran Habibi, MD

CONTENTS
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xxxv
Management of Male Breast Cancer 779
Austin D. Williams, MD, MSEd, Kaitlyn Kennard, MD,
and Ned Z. Carp, MD
A Surgeon’s Practical Guide to Breast Imaging 782
Michael D. Grant, MD, and Ronald C. Jones, MD
Genetic Counseling and Testing 786
Katherine deAngeli, MD, and Elisa Port, MD
Contralateral Prophylactic Mastectomy 787
Thomas W. Smith Jr., MD, MS, and Swati A. Kulkarni, MD
Margins: How to and How Big? 791
Patricia A. Cronin, MD, and Richard J. Gray, MD
Breast Reconstruction Following Mastectomy:
Considerations, Techniques, and Outcomes, Part 1 795
Salih Colakoglu, MD, and Gedge Rosson, MD
Breast Reconstruction Following Mastectomy:
Considerations, Techniques, and Outcomes, Part 2 800
Mark S. Burke, MD, and Dennis K. Schimpf, MD
Breast Implant-Associated Anaplastic Large Cell Lymphoma 805
Melissa S. Camp, MD, and Michele Ann Manahan, MD, MBA
E G
Cardiovascular Disease Risk Reduction After Bariatric
Surgery 884
Robert C. Ross, MD, Vance L. Albaugh, MD, PhD, and Philip R. Schauer, MD
S S T
Nonmelanoma Skin Cancers 895
Nicholas Calotta, MD, Paul N. Manson, MD, and Anthony Tufaro, MD, DDS
Management of Cutaneous Melanoma 903
Nicholas Calotta, MD, Paul N. Manson, MD,
and Anthony Tufaro, MD, DDS
Management of Soft Tissue Sarcomas 912
Adam S. Levin, MD, and Carol D. Morris, MD, MS
Management of Solitary Neck Mass 924
Christopher A. Maroun, MD, and Peter S. Vosler, MD, PhD
Surgical Infections of the Hand 931
Visakha Suresh, MD, and Jaimie T. Shores, MD
Nerve Injury and Repair 937
Christopher Frost, MD, and Gedge D. Rosson, MD
Necrotizing Skin and Soft Tissue Infections 946
Philip J. Wasicek, MD, and Arthur J. Nam, MD, MS
Adrenal Incidentaloma 809
Whitney Sutton, MD, MHS, Shkala Karzai, MD, and Aarti Mathur, MD, PhD
Management of Adrenal Cortical Tumors 815
Mark A. Eckardt, MD, Jennifer B. Ogilvie, MD, and Nita Ahuja, MD, MBA
Management of Pheochromocytoma 824
Wilson M. Alobuia, MD, MS, and Electron Kebebew, MD
Management of Thyroid Nodules 834
Quan-Yang Duh, MD, and Sarah S. Sims, MD
Nontoxic Goiter 837
Matthew A. Nehs, MD, and Gerard M. Doherty, MD
Management of Thyroiditis 841
Christopher R. McHenry, MD
Management of Hyperthyroidism 846
Jina Kim, MD, and Julie Ann Sosa, MD, MA
Surgical Management of Thyroid Cancer 853
Yinin Hu, MD, and John A. Olson Jr., MD, PhD
Primary Hyperparathyroidism 860
Shkala Karzai, MD, and Jason D. Prescott, MD, PhD
Persistent and Recurrent Hyperparathyroidism 867
Aditya S. Shirali, MD, and Nancy D. Perrier, MD
C W, M, T
Management of Spontaneous and Secondary
Pneumothorax 951
Cameron D. Wright, MD
Management of Primary Chest Wall Tumors 955
Whitney A. Davidson, MD, Lauren Antognoli, MD,
and Avedis Meneshian, MD
Mediastinal Masses 961
Hamza Khan, MD, Wasay Nizam, MBBS, and Malcolm V. Brock, MD
Primary Tumors of the Thymus 971
Joshua E. Preiss, MD, and Douglas E. Wood, MD, FRCSEd
Management of Tracheal Stenosis 975
Andrea L. Axtell, MD, MPH, Douglas J. Mathisen, MD,
and Ashok Muniappan, MD
Management of Acquired Esophageal Respiratory
Tract Fistula 982
James T. Nawalaniec, MD, and Christopher R. Morse, MD
Repair of Pectus Excavatum 987
Jennine H. Weller, MD, PhD, and Isam W. Nasr, MD
Surgical Management of Secondary and Tertiary
Hyperparathyroidism 873
Zeyad T. Sahli, MD, and Martha A. Zeiger, MD
Metabolic Changes Following Bariatric Surgery 879
Patrick Crosby, MD, Thomas H. Magnuson, MD,
and Michael A. Schweitzer, MD
V S
Open Repair of Abdominal Aortic Aneurysms 993
Erin E. McIntosh, MD, and Richard P. Cambria, MD
Endovascular Treatment of Abdominal Aortic Aneurysms 998
Richard P. Cambria, MD, and Scott G. Prushik, MD

xxxvi CONTENTS
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Management of Ruptured Abdominal Aortic
Aneurysms 1004
David P. Stonko, MD, MS, and Caitlin W. Hicks, MD, MS
Management of Abdominal Aortic Aneurysm with
Concomitant Nonvascular Abdominal Pathology 1009
James K. Elsey, MD
Management of Thoracic and Thoracoabdominal Aortic
Aneurysms 1012
Yasaman Kavousi, MD, and James H. Black III, MD
Management of Acute Aortic Dissections 1019
Karen M. Kim, MD, MS, and Thomas E. MacGillivray, MD
Carotid Endarterectomy 1025
Bruce A. Perler, MD, MBA
Management of Recurrent Carotid Artery Stenosis 1031
Sarah E. Deery, MD, MPH, and Ying Wei Lum, MD
Balloon Angioplasty and Stents in Carotid Artery Occlusive
Disease 1037
Danon E. Garrido, MD, Rishi A. Roy, MD, and
Charles S. O’Mara, MD, MBA
Management of Aneurysms of the Extracranial Carotid and
Vertebral Arteries 1044
Virginia L. Wong, MD
Brachiocephalic Reconstruction 1049
Gregory J. Pearl, MD, and Lauren Beliveau, MD
Upper Extremity Arterial Occlusive Disease 1057
Aric Wogsland, MD, Virginia L. Wong, MD, and Vikram S. Kashyap, MD
Aortoiliac Occlusive Disease 1064
Maryam Ali Khan, MD, Claire Janssen, MD, and
Mahmoud B. Malas, MD, MHS
Femoropopliteal Occlusive Disease 1075
Zachary T. AbuRahma, DO, and Ali F. AbuRahma, MD
Tibioperoneal Arterial Occlusive Disease 1083
Natalia O. Glebova, MD, PhD
Popliteal and Femoral Artery Aneurysm 1092
Rae S. Rokosh, MD, Daniel J. Wong, MD, MHS,
and Elliot L. Chaikof, MD, PhD
Atherosclerotic Renal Artery Stenosis 1126
Douglas Rodgers, MD, and Joseph S. Giglia, MD
Raynaud’s Phenomenon 1133
David S. Strosberg, MD, and Alan Dardik, MD, PhD
Thoracic Outlet Syndrome 1137
Timothy K. Williams, MD, Zachary German, BSPH, and Julie A. Freischlag, MD
Diabetic Foot 1143
Yasaman Kavousi, MD, Caitlin W. Hicks, MD, MS,
and Christopher J. Abularrage, MD
Gangrene of the Foot 1148
Jake A. Nicholson, DO, and M. Ashraf Mansour, MD
Buerger’s Disease (Thromboangiitis Obliterans) 1155
Corinne Bunn, MD, MS, Pegge M. Halandras, MD, and Vivian Gahtan, MD
Takayasu’s Arteritis 1158
Sally Schonefeld, MD, NavYash Gupta, MD, Aamir Shah, MD,
and Bruce L. Gewertz, MD
Acute Mesenteric Ischemia 1160
Kristofor A. Olson, MD, PhD, and Pedro G. Teixeira, MD
Chronic Mesenteric Ischemia 1167
Linda M. Reilly, MD
Hemodialysis Access Surgery 1175
Christine Haugen, MD, PhD, and Thomas Reifsnyder, MD
Venous Thromboembolism: Prevention, Diagnosis, and
Treatment 1182
Jafar Haghshenas, DO, and Elliott R. Haut, MD, PhD
Vena Cava Filters 1185
Todd R. Schlachter, MD, and Adam Fish, MD
Treatment of Varicose Veins 1192
Andrew Schulick, MD, and David R. Whittaker, MD
Lymphedema 1204
Joani Christensen, MD, George Kokosis, MD, Halley Darrach, MD, and
Justin M. Sacks, MD, MBA
Lower Extremity Amputation 1209
Justin M. Simmons, DO, and Carolyn R. Postol, DO
Treatment of Claudication 1097
Qingwen Kawaji, MD, and Margaret W. Arnold, MD
Pseudoaneurysms and Arteriovenous Fistulas 1102
Amani D. Politano, MD, MS
Management of Peripheral Arterial
Thromboembolism 1108
Alik Farber, MD, and Elizabeth Gherardi King, MD
Acute Peripheral Arterial and Bypass Graft Occlusion:
Thrombolysis and Thrombectomy 1115
Gray R. Lyons, MD, and Robert P. Liddell, MD
Management of Infected Grafts 1119
Timothy D. Chilton, DO, and Matthew R. Smeds, MD
T E C
Initial Assessment and Resuscitation of the Trauma
Patient 1215
Jessie Ho, MD, and Hasan B. Alam, MD
Prehospital Management of the Trauma Patient 1223
Zaffer Qasim, MBBS
Use of Resuscitative Endovascular Balloon Occlusion of the
Aorta in Resuscitation of the Trauma Patient 1231
Adam Nelson, MD, and Bellal Joseph, MD
Airway Management in the Trauma Patient 1236
Samuel M. Galvagno Jr., DO, PhD, and Thomas M. Scalea, MD
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