NIL The guide will help you navigate a difficult specialty, which combines medicine and surgery. It is a book that you can come back to time and again during your study, and later when you are working on the wards.
1. Introduction - p. vi 2. Contributors - p. vii 3. Acknowledgements - p. ix 4. Abbreviations - p. xi 5. Contents - p. xiii 6. SECTION 1 USEFUL THEATRE KNOWLEDGE - p. p1 7. 1 Scrubbing Up for Theatre - p. 1 8. 2 Wound Closure and Diathermy - p. 6 9. 3 Surgical Positions - p. 12 10. SECTION 2 UPPER GASTROINTESTINAL - p. p15 11. 4 Ivor Lewis Oesophagectomy - p. 15 12. 5 Nissen Fundoplication - p. 19 13. 6 Gastrectomy - p. 22 14. 7 Omental Patch Repair of a Perforated Duodenal Ulcer - p. 25 15. 8 Gastric Bypass - p. 28 16. 9 Gastric Band - p. 31 17. 10 Cholecystectomy - p. 34 18. 11 Whipple’s Procedure (Pancreaticoduodenectomy) - p. 37 19. 12 Liver Resection - p. 40 20. 13 Splenectomy - p. 43 21. 14 Heller Myotomy - p. 46 22. 15 Endoscopic Retrograde Cholangiopancreatography (ERCP) - p. 49 23. SECTION 3 LOWER GASTROINTESTINAL - p. p52 24. 16 Small Bowel Resection - p. 52 25. 17 Laparoscopic Appendicectomy - p. 55 26. 18 Right Hemicolectomy - p. 57 27. 19 Left Hemicolectomy - p. 60 28. 20 Hartmann’s Procedure - p. 63 29. 21 Anterior Resection of the Rectum - p. 66 30. 22 Abdominoperineal Resection (APR) - p. 69 31. 23 Inguinal Hernia Repair - p. 72 32. 24 Femoral Hernia Repair - p. 75 33. 25 Haemorrhoidectomy - p. 78 34. 26 Excision of Pilonidal Sinus - p. 81 35. 27 Incision and Drainage of Perianal Abscess - p. 84 36. SECTION 4 BREAST - p. p87 37. 28 Skin-Sparing Mastectomy - p. 87 38. 29 Wide Local Excision (WLE) - p. 90 39. 30 Sentinel Lymph Node Biopsy (SLNB) - p. 93 40. 31 Axillary Node Clearance (ANC) - p. 96 41. 32 Latissimus Dorsi Flap Reconstruction of the Breast - p. 99 42. SECTION 5 EAR, NOSE, AND THROAT - p. p102 43. 33 Tonsillectomy - p. 102 44. 34 Surgical Tracheostomy - p. 105 45. 35 Septoplasty - p. 109 46. 36 Superficial Parotidectomy - p. 112 47. 37 Functional Endoscopic Sinus Surgery (FESS) - p. 115 48. 38 Suction Diathermy Adenoidectomy (Also Known as Suction Electrocautery or Suction Coagulation) - p. 118 49. 39 Myringotomy and Tympanostomy Tube Grommet Insertion - p. 121 50. SECTION 6 MAXILLOFACIAL - p. p124 51. 40 Bilateral Sagittal Split Osteotomy (BSSO) - p. 124 52. 41 The Coronal Flap - p. 127 53. 42 Le Fort 1 Osteotomy - p. 131 54. 43 Neck Dissection - p. 134 55. 44 Orbital Floor Reconstruction - p. 138 56. 45 Open Reduction and Internal Fixation of Mandibular Fractures (Tooth-Bearing Regions) - p. 141 57. SECTION 7 ENDOCRINE - p. p144 58. 46 Total Thyroidectomy - p. 144 59. 47 Parathyroidectomy - p. 147 60. 48 Adrenalectomy - p. 150 61. SECTION 8 VASCULAR - p. p153 62. 49 Carotid Endarterectomy - p. 153 63. 50 Open Abdominal Aortic Aneurysm Repair - p. 156 64. 51 Endovascular Aneurysm Repair (EVAR) - p. 159 65. 52 Radiocephalic Fistula Formation - p. 162 66. 53 Below-Knee Amputation (BKA) - p. 165 67. 54 Above-Knee Amputation (AKA) - p. 168 68. 55 Femoral-Popliteal Bypass Graft - p. 171 69. 56 Embolectomy - p. 175 70. 57 Femoral Endarterectomy - p. 178 71. 58 Endovenous Thermal Ablation for Varicose Veins - p. 181 72. SECTION 9 UROLOGY - p. p184 73. 59 Trans-Urethral Resection of the Prostate (TURP) - p. 184 74. 60 Trans-Urethral Resection of Bladder Tumour (TURBT) - p. 187 75. 61 Laparoscopic Nephrectomy - p. 190 76. 62 Scrotal Exploration and Orchidopexy - p. 193 77. 63 Vasectomy - p. 196 78. 64 Circumcision - p. 199 79. SECTION 10 CARDIOTHORACICS - p. p202 80. 65 Coronary Artery Bypass Grafting (CABG) - p. 202 81. 66 Aortic Valve Replacement/Repair - p. 205 82. 67 Mitral Valve Repair/Replacement - p. 208 83. 68 Thoracoscopic Pulmonary Lobectomy - p. 212 84. 69 Percutaneous Patent Foramen Ovale Repair - p. 215 85. 70 Pleurodesis - p. 218 86. 71 Thoracotomy - p. 221 87. SECTION 11 NEUROSURGERY - p. p224 88. 72 Burr Hole - p. 224 89. 73 Craniotomy - p. 227 90. 74 Lumbar Laminectomy - p. 230 91. 75 Ventriculoperitoneal (VP) Shunt Insertion - p. 233 92. 76 Endoscopic Transsphenoidal Pituitary Surgery - p. 236 93. SECTION 12 ORTHOPAEDICS - p. p239 94. 77 Dupuytren’s Contracture Release - p. 239 95. 78 Arthroscopic Rotator Cuff Tendon Repair - p. 242 96. 79 Lumbar Spinal Fusion - p. 245 97. 80 Intervertebral Spinal Discectomy - p. 248 98. 81 Total Hip Replacement (THR) via the Posterior Approach - p. 251 99. 82 Wedge Resection of Ingrown Toenail - p. 254 100. 83 Carpal Tunnel Decompression - p. 257 101. 84 Arthroscopic ACL Reconstruction - p. 260 102. 85 Total Knee Replacement (TKR) - p. 263 103. 86 Arthroscopic Meniscectomy - p. 266 104. 87 Cephalomedullary Femoral Nail (CMN) - p. 269 105. 88 Lateral Malleolus Lag Screw and Neutralisation Plate - p. 272 106. 89 Lower Limb Fasciotomy - p. 275 107. 90 Dynamic Hip Screw (DHS) - p. 278 108. 91 Cemented Hip Hemiarthroplasty - p. 281 109. 92 Medial Malleolus Open Reduction and Internal Fixation With Partially Threaded Screws - p. 284 110. 93 Distal Radius Volar Locking Plate - p. 287 111. 94 Tibial Nail - p. 290 112. SECTION 13 PLASTICS - p. p293 113. 95 Split-Thickness Skin Graft (STSG) - p. 293 114. 96 Full-Thickness Skin Graft (FTSG) - p. 296 115. 97 Deep Inferior Epigastric Perforator (DIEP) Free-Flap for Breast Reconstruction - p. 299 116. 98 Local Flap Reconstruction of Soft Tissue Defects - p. 302 117. 99 Digital Tendon Repair - p. 305 118. 100 Nail Bed Injury Repair - p. 308 119. SECTION 14 PAEDIATRICS - p. p311 120. 101 Ramstedt Pyloromyotomy - p. 311 121. 102 Oesophageal Atresia/Tracheoesophageal Fistula Ligation With Repair - p. 314 122. 103 Laparotomy for Necrotising Enterocolitis (NEC) - p. 317 123. 104 Ladd’s Procedure - p. 320 124. 105 Hepatoportoenterostomy (Kasai Portoenterostomy) - p. 323 125. 106 Orchidopexy (Single Stage) - p. 326 126. SECTION 15 OBSTETRICS AND GYNAECOLOGY - p. p329 127. 107 Hysterectomy - p. 329 128. 108 Tension-Free Vaginal Tape (TVT) - p. 332 129. 109 Hysteroscopy - p. 335 130. 110 Caesarean Section - p. 338 131. 111 Anterior Vaginal Wall Repair - p. 341 132. 112 Large Loop Excision of the Transformation Zone (LLETZ) - p. 344 133. 113 Posterior Vaginal Wall Repair - p. 347 134. SECTION 16 INTERVENTIONAL RADIOLOGY - p. p350 135. 114 Angioplasty ± Stenting - p. 350 136. 115 Transjugular Intrahepatic Portosystemic Shunt (TIPSS) - p. 353 137. 116 Catheter-Directed Thrombolysis (CDT) - p. 356 138. 117 Embolisation - p. 359 139. 118 Inferior Vena Cava Filter - p. 362 140. 119 Percutaneous Biliary Drainage - p. 365 141. 120 Percutaneous Nephrostomy - p. 368 142. 121 Radiologically Inserted Gastrostomy (RIG) or Gastrojejunostomy (RIGJ) - p. 371 143. SECTION 17 OPHTHALMOLOGY - p. p374 144. 122 Phacoemulsification (Cataract Surgery) - p. 374 145. 123 Vitrectomy - p. 378 146. 124 Trabeculectomy - p. 381 147. 125 Dacryocystorhinostomy (DCR) - p. 385 148. 126 Horizontal Strabismus Surgery - p. 388 149. Index - p. 391
NIL The guide will help you navigate a difficult specialty, which combines medicine and surgery. It is a book that you can come back to time and again during your study, and later when you are working on the wards.
1. Introduction - p. vi 2. Contributors - p. vii 3. Acknowledgements - p. ix 4. Abbreviations - p. xi 5. Contents - p. xiii 6. SECTION 1 USEFUL THEATRE KNOWLEDGE - p. p1 7. 1 Scrubbing Up for Theatre - p. 1 8. 2 Wound Closure and Diathermy - p. 6 9. 3 Surgical Positions - p. 12 10. SECTION 2 UPPER GASTROINTESTINAL - p. p15 11. 4 Ivor Lewis Oesophagectomy - p. 15 12. 5 Nissen Fundoplication - p. 19 13. 6 Gastrectomy - p. 22 14. 7 Omental Patch Repair of a Perforated Duodenal Ulcer - p. 25 15. 8 Gastric Bypass - p. 28 16. 9 Gastric Band - p. 31 17. 10 Cholecystectomy - p. 34 18. 11 Whipple’s Procedure (Pancreaticoduodenectomy) - p. 37 19. 12 Liver Resection - p. 40 20. 13 Splenectomy - p. 43 21. 14 Heller Myotomy - p. 46 22. 15 Endoscopic Retrograde Cholangiopancreatography (ERCP) - p. 49 23. SECTION 3 LOWER GASTROINTESTINAL - p. p52 24. 16 Small Bowel Resection - p. 52 25. 17 Laparoscopic Appendicectomy - p. 55 26. 18 Right Hemicolectomy - p. 57 27. 19 Left Hemicolectomy - p. 60 28. 20 Hartmann’s Procedure - p. 63 29. 21 Anterior Resection of the Rectum - p. 66 30. 22 Abdominoperineal Resection (APR) - p. 69 31. 23 Inguinal Hernia Repair - p. 72 32. 24 Femoral Hernia Repair - p. 75 33. 25 Haemorrhoidectomy - p. 78 34. 26 Excision of Pilonidal Sinus - p. 81 35. 27 Incision and Drainage of Perianal Abscess - p. 84 36. SECTION 4 BREAST - p. p87 37. 28 Skin-Sparing Mastectomy - p. 87 38. 29 Wide Local Excision (WLE) - p. 90 39. 30 Sentinel Lymph Node Biopsy (SLNB) - p. 93 40. 31 Axillary Node Clearance (ANC) - p. 96 41. 32 Latissimus Dorsi Flap Reconstruction of the Breast - p. 99 42. SECTION 5 EAR, NOSE, AND THROAT - p. p102 43. 33 Tonsillectomy - p. 102 44. 34 Surgical Tracheostomy - p. 105 45. 35 Septoplasty - p. 109 46. 36 Superficial Parotidectomy - p. 112 47. 37 Functional Endoscopic Sinus Surgery (FESS) - p. 115 48. 38 Suction Diathermy Adenoidectomy (Also Known as Suction Electrocautery or Suction Coagulation) - p. 118 49. 39 Myringotomy and Tympanostomy Tube Grommet Insertion - p. 121 50. SECTION 6 MAXILLOFACIAL - p. p124 51. 40 Bilateral Sagittal Split Osteotomy (BSSO) - p. 124 52. 41 The Coronal Flap - p. 127 53. 42 Le Fort 1 Osteotomy - p. 131 54. 43 Neck Dissection - p. 134 55. 44 Orbital Floor Reconstruction - p. 138 56. 45 Open Reduction and Internal Fixation of Mandibular Fractures (Tooth-Bearing Regions) - p. 141 57. SECTION 7 ENDOCRINE - p. p144 58. 46 Total Thyroidectomy - p. 144 59. 47 Parathyroidectomy - p. 147 60. 48 Adrenalectomy - p. 150 61. SECTION 8 VASCULAR - p. p153 62. 49 Carotid Endarterectomy - p. 153 63. 50 Open Abdominal Aortic Aneurysm Repair - p. 156 64. 51 Endovascular Aneurysm Repair (EVAR) - p. 159 65. 52 Radiocephalic Fistula Formation - p. 162 66. 53 Below-Knee Amputation (BKA) - p. 165 67. 54 Above-Knee Amputation (AKA) - p. 168 68. 55 Femoral-Popliteal Bypass Graft - p. 171 69. 56 Embolectomy - p. 175 70. 57 Femoral Endarterectomy - p. 178 71. 58 Endovenous Thermal Ablation for Varicose Veins - p. 181 72. SECTION 9 UROLOGY - p. p184 73. 59 Trans-Urethral Resection of the Prostate (TURP) - p. 184 74. 60 Trans-Urethral Resection of Bladder Tumour (TURBT) - p. 187 75. 61 Laparoscopic Nephrectomy - p. 190 76. 62 Scrotal Exploration and Orchidopexy - p. 193 77. 63 Vasectomy - p. 196 78. 64 Circumcision - p. 199 79. SECTION 10 CARDIOTHORACICS - p. p202 80. 65 Coronary Artery Bypass Grafting (CABG) - p. 202 81. 66 Aortic Valve Replacement/Repair - p. 205 82. 67 Mitral Valve Repair/Replacement - p. 208 83. 68 Thoracoscopic Pulmonary Lobectomy - p. 212 84. 69 Percutaneous Patent Foramen Ovale Repair - p. 215 85. 70 Pleurodesis - p. 218 86. 71 Thoracotomy - p. 221 87. SECTION 11 NEUROSURGERY - p. p224 88. 72 Burr Hole - p. 224 89. 73 Craniotomy - p. 227 90. 74 Lumbar Laminectomy - p. 230 91. 75 Ventriculoperitoneal (VP) Shunt Insertion - p. 233 92. 76 Endoscopic Transsphenoidal Pituitary Surgery - p. 236 93. SECTION 12 ORTHOPAEDICS - p. p239 94. 77 Dupuytren’s Contracture Release - p. 239 95. 78 Arthroscopic Rotator Cuff Tendon Repair - p. 242 96. 79 Lumbar Spinal Fusion - p. 245 97. 80 Intervertebral Spinal Discectomy - p. 248 98. 81 Total Hip Replacement (THR) via the Posterior Approach - p. 251 99. 82 Wedge Resection of Ingrown Toenail - p. 254 100. 83 Carpal Tunnel Decompression - p. 257 101. 84 Arthroscopic ACL Reconstruction - p. 260 102. 85 Total Knee Replacement (TKR) - p. 263 103. 86 Arthroscopic Meniscectomy - p. 266 104. 87 Cephalomedullary Femoral Nail (CMN) - p. 269 105. 88 Lateral Malleolus Lag Screw and Neutralisation Plate - p. 272 106. 89 Lower Limb Fasciotomy - p. 275 107. 90 Dynamic Hip Screw (DHS) - p. 278 108. 91 Cemented Hip Hemiarthroplasty - p. 281 109. 92 Medial Malleolus Open Reduction and Internal Fixation With Partially Threaded Screws - p. 284 110. 93 Distal Radius Volar Locking Plate - p. 287 111. 94 Tibial Nail - p. 290 112. SECTION 13 PLASTICS - p. p293 113. 95 Split-Thickness Skin Graft (STSG) - p. 293 114. 96 Full-Thickness Skin Graft (FTSG) - p. 296 115. 97 Deep Inferior Epigastric Perforator (DIEP) Free-Flap for Breast Reconstruction - p. 299 116. 98 Local Flap Reconstruction of Soft Tissue Defects - p. 302 117. 99 Digital Tendon Repair - p. 305 118. 100 Nail Bed Injury Repair - p. 308 119. SECTION 14 PAEDIATRICS - p. p311 120. 101 Ramstedt Pyloromyotomy - p. 311 121. 102 Oesophageal Atresia/Tracheoesophageal Fistula Ligation With Repair - p. 314 122. 103 Laparotomy for Necrotising Enterocolitis (NEC) - p. 317 123. 104 Ladd’s Procedure - p. 320 124. 105 Hepatoportoenterostomy (Kasai Portoenterostomy) - p. 323 125. 106 Orchidopexy (Single Stage) - p. 326 126. SECTION 15 OBSTETRICS AND GYNAECOLOGY - p. p329 127. 107 Hysterectomy - p. 329 128. 108 Tension-Free Vaginal Tape (TVT) - p. 332 129. 109 Hysteroscopy - p. 335 130. 110 Caesarean Section - p. 338 131. 111 Anterior Vaginal Wall Repair - p. 341 132. 112 Large Loop Excision of the Transformation Zone (LLETZ) - p. 344 133. 113 Posterior Vaginal Wall Repair - p. 347 134. SECTION 16 INTERVENTIONAL RADIOLOGY - p. p350 135. 114 Angioplasty ± Stenting - p. 350 136. 115 Transjugular Intrahepatic Portosystemic Shunt (TIPSS) - p. 353 137. 116 Catheter-Directed Thrombolysis (CDT) - p. 356 138. 117 Embolisation - p. 359 139. 118 Inferior Vena Cava Filter - p. 362 140. 119 Percutaneous Biliary Drainage - p. 365 141. 120 Percutaneous Nephrostomy - p. 368 142. 121 Radiologically Inserted Gastrostomy (RIG) or Gastrojejunostomy (RIGJ) - p. 371 143. SECTION 17 OPHTHALMOLOGY - p. p374 144. 122 Phacoemulsification (Cataract Surgery) - p. 374 145. 123 Vitrectomy - p. 378 146. 124 Trabeculectomy - p. 381 147. 125 Dacryocystorhinostomy (DCR) - p. 385 148. 126 Horizontal Strabismus Surgery - p. 388 149. Index - p. 391
