Farquharson's Textbook of Operative General Surgery

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The tissue reaction induced by catgut was sufficiently severe to preclude its use as a subcuticular suture. Farquharson's Textbook of Operative General Surgery covers not only basic techniques for the junior trainee but also the common operations in the general surgical subspecialties that are likely to be encountered during higher surgical training. Separate surgical specialties such as plastic, orthopaedic and urological surgery are covered in those areas where there is potential overlap with general surgery.

aA bB Although good technique is important, it must be remembered that good surgical practice also includes all the nonoperative management: investigation of pathology that might require surgical intervention, and decisions as to what surgery should be advised and whether surgery is appropriate at all.Selected operative techniques in cardiothoracic, gynaecological and neurosurgery are also described as a general surgeon must occasionally operate in an emergency in the absence of the relevant surgical specialist. The tourniquet is then inflated to 50 mm of merpleted, and in a fit young patient may be left inflated for up niquet may systolic resultAlcohol-based inpressure iatrogenic chemical burns.

CCC is a not-for-profit organization that provides licenses and registration for a variety of users. A triple knot is the modification of the reef knot commonly used, and at least three throws are required for security.

A finger or toe tourniquet made from the finger of a rubber can alsotie’ exsanguinate theadigit as ittoisthe rolled Figure 1.

If a cold scope is introduced into the cavity, condensation will form on the lens thus obscuring the view. In the gastrointestinal tract it has proved particularily valuable in angiodysplastic colonic bleeding and in secondary haemorrhage after radical gastrectomy. MINIMAL-ACCESS AND VIDEO-ASSISTED SURGERY The minimal-access techniques for gastrointestinal and vascular procedures are of particular interest to the general surgeon, but there has been a parallel development in other surgical disciplines. The simple and reliable reef knot is well known, and is universally advocated for surgical purposes (Figure 1.In every scenario a minimalaccess technique under image control has the potential to replace a major surgical intervention. Non-absorbable sutures are needed for vascular anastomoses but are unsuitable in the biliary or urinary tract, where they have been shown to cause stone formation.

She is now in her late nineties, but retains an active interest in the book and has again read the entire tenth edition before it was submitted for publication. Choice of camera and stack is largely limited by cost and available equipment, but laparoscope sizes ranging from 3 to 10 mm are available and the viewing angle varies from 0 to 45 degrees. Sutures, however, are also used for gastrointestinal, urological and vascular anastomoses, for abdominal wall closure and for the repair of tendons and nerves. At the end of a continuous suture (for example, closure of the abdominal wall), the surgeon is left to tie a ‘loop’ to an ‘end’, which is not ideal, especially in slippery monofilament material. Skin incisions can be made with diathermy and it almost eliminates the small bleeding points in the dermis.Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. For some there has been a major involvement in one or two chapters, whereas other contributors have been involved in parts of almost every chapter in the book. It is important that dissection is combined with retraction to open the plane and keep any fine structure to be divided on stretch. Interventional radiology Interventional radiology has an increasing role in the management of the surgical patient.