Manual Of Liver Surgery

As research in liver disease has greatly expanded over the past few decades the etiology, pathology, and natural history of many hepatic disorders have been clearly defined. Many new and accurate diagnostic tools are now available. In spite of all this progress the treatment of many liver diseases remains ameliorative. Nevertheless a more aggressive and successful surgical approach has taken place in regard to many diseases of the liver in part due to the pioneering work of Dr. William P. Longmire, Jr. and his colleagues. Dr. Longmire was among the early advocates of liver resection of neoplasms, successfully remov ing a large benign tumor of the liver in 1946. In the following decades his contributions covered the surgical treatment of trauma, tumors, cysts, and other congenital abnormalities. He has performed hundreds of operations on patients with these disorders. In 1948 he reported a procedure now named for him, in which intractable common duct obstruction was relieved by partial left hepatectomy and cholan giojejunostomy. He was one of the first to advocate side-to-side portacaval shunt for portal hypertension. Other essential contributions by this master surgeon were the periodic reviews that covered the advances in his field. Dr. Longmire, with his scholarly approach and broad background of knowl edge in all aspects of hepatic surgery, is exceptionally qualified to write this book. He and his colleague, Dr. Ronald K. Tompkins, are to be congratulated on this complete treatise.

With the intension that the students enter the clinical side with a clear concept, this clinical surgery manual is presented with a step-by-step approach. The chapters are designed in such a way that the students come to a diagnosis with an orderly approach. The value addition to this manual is the analysis of symptoms done individually in every chapter for making the understanding very clear. This manual has been evolved to rekindle the interest in students, the desire to improve the art of clinical diagnosis, and will be useful to any surgery student at any level, more importantly the undergraduates. • More than 1800 colour photographs are used to enhance clarity • Clear drawings complement the chapters where photographs cannot be used • Covers all branches of surgery, including Gynaecology, Orthopaedics and ENT with the equal importance as the other chapters. • Chapters written by meticulously chosen recognized and experienced teachers • First multi-author clinical surgery manual from India

This volume is a complete manual of operative techniques for battling a severe liver injury. It provides an easy pre-operative and intra-operative reference with clear illustrations, line drawings as well as actual intra-operative color pictures, supplemented by online video segments. The early sections of the book deal with the fundamentals of surgical anatomy and critical maneuvers in the resuscitation of the patient in extremis. The various technical maneuvers for manual control of hemorrhage, debridement-resection as well as formal lobectomy of the liver, the identification of biliary tract injuries and other miscellaneous techniques, such as balloon tamponade of missile tracts, are discussed in complete detail. The book also sketches the role of liver transplantation surgeons in the acute trauma setting. The final chapters focus on the urgent problem of teaching operative techniques to young trauma surgeons in an era of dwindling surgical experience. Written by authors who are world- renowned experts in trauma management, often termed “master-surgeons”, Operative Techniques for Severe Liver Injury is required preparation for all surgeons who are likely to face a massive crush injury of the liver.

A good knowledge of anatomy helps surgeons avoid anatomical complications, while masterful technique allows them to proceed rapidly and securely in the operating room. Unlike other pocket-sized surgical texts on the market, Surgical Anatomy and Technique manual provides step-by-step techniques of a wide range of general surgery procedures and reviews the anatomical entities involved in each operation. The book's scope spans the entire body: skin and scalp, neck, breast, abdominal wall and herniae, diaphragm, esophagus, stomach, duodenum, pancreas, small intestines, appendix, colon and anorectum, liver, extrahepatic biliary tract, spleen, adrenal glands, carpal tunnel, and varicosities of the lower extremity. A chapter on laparoscopic surgery is also included. Clear, concise, and generously illustrated, this is a superb quick reference to refresh the memory of the surgical resident before entering the operating room.

This book is a compilation of common and uncommon surgical and ancillary techniques that we have found useful in the multiorgan transplantation pro gram at the University of Minnesota. Descriptions of these techniques are not available at a single source elsewhere. Use the book as a teaching aid, a source of workable techniques, and as a reference for individuals with relatively little experience in a particular area of transplantation. Because of the varying levels of expertise of our readers, vascular access is described in exquisite detail, as it is aimed at an audience of individuals who want to learn the fine points about how to prolong the function of shunts. The chapter on organ preservation is aimed at the surgeon or beginning technician who must learn how to do it from scratch--even the catalogue numbers of the necessary equipment are included. In contrast the chapters on heart, liver, and pancreas transplantation, while omitting fine points of suture technique, concentrate on the essential principles and safeguards. Individuals contemplating such transplants are presumably already schooled in the fine points of surgical technique. The chapters on cadaver organ donation are perhaps the most innovative. They represent our attempt to reorganize organ donation in a way that will provide the greatest usefulness of each donor as a source for multiple organs for transplantation. We hope that the book will become available to centers that, while not performing liver, pancreas, or heart transplants, wish to serve as donation centers.