Chassins Operative Strategy in General Surgery : An Expositive Atlas

"Operative Strategy" is the advance plan that the surgeon develops to anticipate and avoid technical pitfalls and
potential danger points of an opertion. The goal is to make each surgical procedure safe and without complications.
Completely revised and now under the editorship of Carol E.H. Scott-Conner, M.D., Chassin's Operative Strategies in
General Surgery: An Expositive Atlas, Third Edition provides a clear exposition of all basic procedures including
surgery of the digestive tract, breast, abdominal wall, selected head and neck, and endocrine system. Surgery is
currently in a state of transition, and many procedures are being performed by minimally-invasive means. While some
might argue that "old" operations should be discarded, no operations have been deleted from the text. These operations
are still needed, and a surgeon may be called upon to perform an operation that has become rare. That is when
this "legacy" material, unique to Chassin's, will be used. In addition, nineteen new chapters have been added,
including seven new chapters featuring precise technical discussions of: -laparoscopic basics -laparoscopic nissen
fundoplication -laparoscopic esophagomyotomy -laparoscopic plication of perforated ulcer -laparoscopic appendectomy -
mesh repair of inguinal hernia -laparoscopic repair of inguinal hernia. Over 1000 elegant illustrations by Caspar
Henselmann accompany detailed textual explanations. This book is an indispensable reference for all surgical residents
and practicing surgeons.

Preface to the Third Edition

Foreword to the Third Edition

Foreword to the First Edition

Contributors



1 Concepts and Strategies of Surgery 3

2 Mechanical Basics of Operative Technique 5

3 Incision, Exposure, Closure 19

4 Dissecting and Suturing 26

5 Surgical Stapling: Principles and Precautions 38

6 Control of Bleeding 44

7 Management of the Contaminated Operation 47

8 Mechanical Basics of Laparoscopic Surgery 52

9 Rational Use of Drains 63

10 Concepts in Esophageal Surgery 69

11 Esophagectomy: Right Thoracotomy and Laparotomy 81

12 Esophagogastrectomy: Left Thoracoabdominal Approach 102

13 Transhiatal Esophagectomy 132

14 Operations to Replace or Bypass the Esophagus: Colon or Jejunum Interposition 139

15 Transabdominal Nissen Fundoplication 151

16 Laparoscopic Nissen Fundoplication 161

17 Posterior Gastropexy (Hill Repair): Surgical Legacy Technique 173

18 Transthoracic Gastroplasty (Collis) and Nissen Fundoplication 181

19 Bile Diverting Operations for Management of Esophageal Disease 193

20 Cricopharyngeal Myotomy and Operation for Pharyngoesophageal (Zenker's) Diverticulum 200

21 Esophagomyotomy for Achalasia and Diffuse Esophageal Spasm 205

22 Laparoscopic Esophagomyotomy 210

23 Operations for Esophageal Perforation and Anastomotic Leaks 215

24 Concepts in Surgery of the Stomach and Duodenum 225

25 Truncal Vagotomy: Surgical Legacy Technique 234

26 Proximal Gastric Vagotomy: Surgical Legacy Technique 238

27 Pyloroplasty (Heineke-Mikulicz and Finney) Operation for Bleeding Duodenal Ulcer: Surgical Legacy Technique 244

28 Gastrojejunostomy 252

29 Gastrectomy (Antrectomy) for Peptic Ulcer: Surgical Legacy Technique 258

30 Perforated Peptic Ulcer 284

31 Laparoscopic Plication of Perforated Ulcer 287

32 Gastrostomy 291

33 Radical Subtotal Gastrectomy 295

34 Total Gastrectomy 303

35 Exposure of the Third and Fourth Portions of the Duodenum 319

36 Concepts in Surgery of the Small Intestine and Appendix 325

37 Small Bowel Resection and Anastomosis 331

38 Enterolysis for Intestinal Obstruction 337

39 Baker Tube Stitchless Plication: Surgical Legacy Technique 342

40 Appendectomy 344

41 Laparoscopic Appendectomy 352

42 Concepts in Surgery of the Large Intestine 361

43 Right Colectomy for Cancer 383

44 Left Colectomy for Cancer