Operative Strategy in General Surgery

1. Front Matter

   Pages i-xxiii

   PDF

2. Introduction

   1. Front Matter

      Pages 1-1

      PDF

   2. Concept and Strategy in Surgery

      • Jameson L. Chassin

      Pages 3-4

   3. Management of the Contaminated Operation

      • Jameson L. Chassin

      Pages 5-11

   4. Rational Use of Drains

      • Jameson L. Chassin

      Pages 12-17

   5. Surgical Stapling: Principles and Precautions

      • Jameson L. Chassin

      Pages 18-33

   6. Incision, Exposure, and Closure

      • Jameson L. Chassin

      Pages 34-43

3. Esophagus

   1. Front Matter

      Pages 45-45

      PDF

   2. Operations to Resect, Replace, or Bypass the Esophagus

      • Jameson L. Chassin

      Pages 47-49

   3. Esophagectomy: Right Thoracotomy and Laparotomy

      • Jameson L. Chassin

      Pages 50-75

   4. Esophagogastrectomy: Left Thoracoabdominal

      • Jameson L. Chassin

      Pages 76-112

4. Stomach

   1. Front Matter

      Pages 113-113

      PDF

   2. Operations for Peptic Ulcer

      • Jameson L. Chassin

      Pages 115-119

   3. Truncal Vagotomy

      • Jameson L. Chassin

      Pages 120-124

   4. Proximal Gastric Vagotomy

      • Jameson L. Chassin

      Pages 125-132

   5. Pyloroplasty, Heineke-Mikulicz

      • Jameson L. Chassin

      Pages 133-138

   6. Pyloroplasty, Finney

      • Jameson L. Chassin

      Pages 139-141

   7. Gastrojejunostomy

      • Jameson L. Chassin

      Pages 142-148

   8. Gastrectomy for Peptic Ulcer

      • Jameson L. Chassin

      Pages 149-187

   9. Perforated Peptic Ulcer

      • Jameson L. Chassin

      Pages 188-191

This surgical atlas should be of great value to all clinical surgeons, both those in training and those in surgical practice, and Dr. Chassin is su­ perbly qualified to author this work. During more than three decades as a member of the faculty of the New York University School of Medicine, he has taught countless residents many aspects of the art of surgical technique. One measure of Dr. Chassin's unusual teaching ability is that he is both Professor of Clinical Surgery at New Y or k University and Director of Surgery at Booth Memorial Hospital, where our fourth-year surgical residents have rotated regularly for the past 12 years. Booth Memorial is the only hospital outside the New York University Medical Center to which New York University residents rotate. This simple fact well underlines Dr. Chassin's remarkable capability for teaching. When a surgical complication develops after an operation, two or three possibilities should be considered. First, of course, was the diag­ nosis correct? If it was, then the cause of the complication is usually either an inadequate operative technique or a flawed concept underlying the selection of the operative procedure. When the surgical technique seems faultless, a postoperative complication would strongly indicate that the concept was erroneous, albeit cherished perhaps for decades. Unlike any other atlas on operative technique, this book specifically discusses the conceptual basis of the operation as well as the strategy that will help the surgeon avoid common pitfalls.

• Chirurgie
• bypass
• cancer
• complication
• general surgery
• hospital
• medicine
• sepsis
• surgery
• surgical technique
• training

• School of Medicine, New York University, USA

  Jameson L. Chassin

• University Hospital, New York University Medical Center, USA

  Jameson L. Chassin

• New York Veterans Administration Hospital, USA

  Jameson L. Chassin

• Bellevue Hospital, USA

  Jameson L. Chassin

• Long Island Jewish-Hillside Medical Center, USA

  Jameson L. Chassin

Policies and ethics