SRB'S SURGICAL OPERATIONS. TEXT & ATLAS. 2ND EDITION

Chapter 1: Introduction and Principles in Operative Surgery 1
• Position of the Surgeon 1
• History of Surgery 2
• Ethics in Surgery 7
Chapter 2: Preoperative Preparation, Operation Room and Postoperative Care 9
• Preoperative Assessment 9
• Operative Risk Assessment 11
• Disinfection and Sterilisation 11
• Methods of Sterilisation and Disinfection 12
• Gaseous sterilisation 20
• Operation Theatre Room 22
• Postoperative Care 29
• Surgical Complications 32
Chapter 3: Basic Principles of Incision, Dissection, Suturing and Haemostasis 47
• Principles of Incision 47
• Dissection 52
• Suturing Technique 56
• Knot Tying Technique 67
• Suture Removal 78
• Haemostasis 78
Chapter 4: Day Care Surgery, Ambulatory Surgery, Outpatient Surgery 87
• Technique 88
Chapter 5: Instruments 90
• Cheatle’s Forceps 90
• Sponge Holding Forceps (Rampley’s) 90
• Mayo’s Towel Clip 91
• Backhaus’ Towel Clip 92
• Moynihan’s Tetra Towel Clip/Forceps 92
• Doyen’s Towel Clip 92
• Artery Forceps (Haemostat) 93
• Negus Artery Forceps 94
• Right Angle Forceps—Meigster’s/Lahey’s 94
• Well’s Arterial Clamp 95
• Bulldog Clamp 95
• Satinsky Vascular Clamp 96
• De Bakey’s Vascular Clamp 96
• Pedicle Clamps 96
• Kocher’s Forceps 97
• Allis’ Tissue Holding Forceps 97
• Babcock’s Forceps 98
• Lane’s Tissue Holding Forceps 98
• Morrant-Baker’s Appendix Holding Forceps 98
• Moynihan’s Tissue Forceps 99
• Kocher’s Gland Holding Forceps 99
• Young’s Gland Forceps 99
• Dissecting Forceps 99
• Kocher’s Thyroid Dissector 100
• Sinus Forceps (Lister’s) 101
• Russian Forceps 101
Retractors 101
• Single Hook Retractor 102
• Volkmann’s Retractor/Cat’s Paw 102
• Fisch Nerve Hook 103
• Skin Hook 103
• Langenbeck’s Retractor 103
• Czerny’s Retractor (Hernia Retractor) 103
• Right Angle Retractor 103
• Morris’ Retractor 104
• ‘C’ Shaped Retractor—Roux 104
• ‘S’ Shaped Retractor 104
• Deaver’s Retractor 104
• Keyland’s Retractor 104
• Doyen’s Retractor 105
• Balfour’s Self-retaining Retractor 106
• Millin’s Self-retaining Retractor 106
• Alm Retractor 106
• Finochietto Retractor (Rib Spreader) 107
• Joll’s Thyroid Retractor 107
• Kocher’s Thyroid Retractor 107
• Macintosh Depressor (Retractor) 107
• Mollison’s Mastoid Retractor 107
• Bladder Neck Retractor 108
• Cheek Retractor 108
• Scapula Retractor 108
• Kidney Hilum Retractor 108
• Morris Kidney Retractor 108
• Allison’s Lung Retractor 108
• Rib Retractor (Tuffier’s) 108
• Doyen’s Rib Raspatory 109
• Farabeuf’s Raspatory 109
• Rib Shear 109
• Rib Approximator 110
• Bone Saw and Bone File 110
• Duval’s Lung Holding Forceps 110
• Friedrich’s Lung Holding Forceps 110
• Bickford’s Bronchial Clamp 111
• Surgical needles 111
• Needle Holder 115
• Bard-Parker’s Handle (BP Handle) 116
• Surgical Blades 116
• Tenotomy Knife 117
• Aneurysm Needle 117
• Scissors 117
Bowel Occlusion Clamps 118
• Crushing Clamps 119
• Desjardin’s Choledocholithotomy Forceps 120
• Bakes Dilator 121
• Cheatle’s Gallstone Scoop with or without Hook 121
• Cholecystectomy Forceps 121
• Gallstone Probe 121
• Mayo-Robson’s Cholecystoenterostomy Clamp 121
• Kehr’s ‘T’ Tube 122
• Suction Instruments 122
• Tracheostomy Tube 123
• Tracheal Dilator (Trousseau’s) 124
• Tracheal Hook 125
• Cricoid Hook 125
• Endotracheal Tube 125
• Direct Laryngoscope 126
• Magill’s Forceps 126
Drains 127
• Intercostal Drainage Tube 129
• Paul’s Drainage Tube 129
Catheters 129
• Foley’s Catheter (Fredrick Eugene Basil Foley, American urologist) 130
• Malecot’s Catheter 131
• Simple Red Rubber Catheter 132
• Depezzer’s Catheter 132
• Catheter Introducer 133
• Gibbon’s Catheter 133
• Tiemann Catheter 133
• Metal Catheters 133
• Ureteric Catheter 134
Urethral Dilators 134
• Lister’s Urethral Dilator 134
• Clutton’s Dilator 135
• Filiform Bougies 135
• Bladder Sound 135
• Thompson-Walker’s Suprapubic Cystolithotomy Forceps 135
• Boomerang Needle 136
• Nasogastric Tube/Ryle’s Tube 136
• Infant Feeding Tube 136
• Flatus Tube 137
• Hernia Bistoury 137
• Collingwood stewart’s ring-shaped blade hernia forceps 137
• Polypropylene Mesh 138
• Trocar and Cannula 138
• Hernia Director 138
• Proctoscope (Kelly’s) 138
• Saint Mark’s Anal Dilator 139
• Fistula Bistoury 139
• Brodie’s Fistula Director 139
• Pile Holding Forceps 139
• Yeoman’s Punch Biopsy Forceps 139
• Moynihan’s Glass Tube 140
• Dupuytren’s Enterotome 140
• Spigot 140
• Hudson Brace with Perforator and Burr 140
• Suture Materials 140
• Mitchel’s Clip Device 145
• Touhy Epidural Catheter 145
• Syringes 145
• Doyen’s Mouth Gag 146
• Jening’s Mouth Gag 147
• Tongue Depressor 147
• Airway 147
• Humby’s Knife 147
• Myer’s Vein Stripper 148
• Bone Cutting Forceps 149
• Bone Elevator/Bone Lever 149
• Bone Nibbler 149
• Sequestrectomy Forceps/Sequestrum Holding Forceps 150
• Fergusson’s Bone Holding Forceps/Lion Forceps 150
• Chisel 150
• Osteotome 150
• Mallet 150
• Gigli’s Saw 150
• Kidney Tray 151
• Gallie Cup 151
• Mayo’s Table 151
• Volkmann’s Scoop 151
• Fine Lengthy Straight and Bayonet Forceps 151
• Cystoscope 152
• Ambu Bag 152
• Laparoscopic Instruments 152
Chapter 6: Energy Sources in Surgery 155
• Electrocautery 155
• Lasers in Surgery 159
• Argon Beam Coagulator 163
• Low and High Frequency Sound Wave Energy 163
• Cavitron Ultrasonic Surgical Aspirator (CUSA) 164
• Ligasure 165
• Radiofrequency Ablation 165
• Cryotherapy 165
• Microwave Ablation 166
• Radiosurgery 166
• Photodynamic Therapy 167
• Thunderbeat 167
Chapter 7: Basic Surgical Procedures 169
• Urinary Catheterisation 169
• Insertion of a Nasogastric Tube 171
• Abscess Drainage 172
• Tracheostomy 179
• Circumcision 185
• Dorsal Slit of Prepuce 188
• Excision of the Swelling 188
• Lymph Node Biopsy 195
• Liver Biopsy 198
• Kidney Biopsy 199
• Bone Marrow Aspiration 199
• Lumbar Puncture 199
• Pleural Tap (Thoracocentesis) 201
• Pericardial Tap (Pericardiocentesis) 202
• Peritoneal Tap (Ascitic Tap) 202
• Intercostal Tube Drainage (ict Drainage) 203
• Bronchoscopy 205
• Vasectomy 205
• Vasovasostomy (Recanalisation Procedure) 206
• Staplers in Surgery 206
• Graft 211
• Flaps 218
• Earlobe Repair 233
• Toe Nail Excision 234
• Dermabrasion 234
• Venepuncture 236
• Venesection 237
• Intraosseous Fluid Therapy 239
• Subcutaneous Infusions as Fluid Therapy 239
• Local/Regional Anaesthesia 239
Chapter 8: Principles of Surgical Management in Trauma 241
• Assessment of Severity of the Injury 241
• Prehospital Trauma Care 242
• Tertiary Hospital Care 242
• Assessment of the Wound 243
• Wound Excision and Management 244
• Principles in Usage of Antibiotics 245
• Management of Foreign Body 245
• Triage 246
• Concepts in Trauma Management 246
• Damage Control Surgery 246
• Neck Injuries 247
• Thoracic Trauma 247
• Abdominal Trauma 250
• Liver Injury 254
• Splenic Injury 256
• Pancreatic Injury 259
• Duodenal Injuries 259
• Small Bowel Injury 261
• Large Bowel Injury 263
• Rectal Injuries 264
• Renal Injuries 265
• Abdominal Compartment Syndrome 267
• Urethral Injury 267
• Rupture Bladder 268
Chapter 9: Principles of Surgical Treatment in Infections 270
• Principles 270
• Drainage of an Abscess 279
Chapter 10: Amputations 291
• Indications 291
• Ideal Stump 292
• Complications of Amputations 292
• Principles in amputation 294
• Different Amputations 295
• Upper Limb Amputations 305
• Hand Amputations 309
• Arm and Shoulder Amputations 311
• Rehabilitation 313
Chapter 11: Surgeries in Arterial Diseases 317
• Principles in Vascular Surgery 317
• Different Methods of Arterial Suturing 320
• Endarterectomy 322
• Carotid Endarterectomy 325
• Aortoiliac Thromboendarterectomy 326
• Arterial Substitutes 328
• Aortofemoral Bypass Graft 332
• Other Graft Procedures 339
• Aortoiliac Bypass Graft 340
• Ileofemoral Graft 340
• Femoropopliteal Bypass Graft 341
• Saphenous Vein Graft 342
• Axillofemoral Graft 349
• Femorofemoral Crossover Graft 349
• Distal Arterial Bypass 351
• Abdominal Aortic Aneurysm 352
• Endovascular Aneurysm Repair 357
• Complications of Revascularisation in Acutely Ischaemic Limb 359
• Acute Ischaemia 360
• Thoracoabdominal Aneurysm 362
• Renal Revascularisation 362
• Exposure of Carotid Artery 363
• Exposure of Vertebral Artery 365
• Exposure of Subclavian Artery 366
• Exposure of Axillary Artery 367
• Exposure of Brachial Artery 368
• Exposure of Radial and Ulnar Arteries 369
• Exposure of Ascending Aorta and Arch of the Aorta 370
• Exposure of Descending Thoracic Aorta 371
• Exposure of Abdominal Aorta and Branches 372
• Exposure of Iliac Arteries 373
• Exposure of Femoral Artery and Branches 374
• Arteriovenous Fistula for Haemodialysis (Haemodialysis Access) 376
• Peritoneal Dialysis Access 382
• Omentoplasty 382
Chapter 12: Surgery in Venous and Lymphatic Diseases 389
• Venous Doppler 389
• Duplex Scan 389
• Surgical Anatomy of Lower Limb Veins 391
• Different Types of Perforators 392
• Physiology of Venous Blood Flow in Lower Limb 392
• Venous Pathology 393
• Management of Varicose Vein Disease 394
• Trendelenburg Operation (Saphenofemoral Crossectomy) and/or Stripping 394
• Ligation of Saphenopopliteal Junction and Stripping of Small Saphenous Vein 403
• Subfascial Ligation 404
• Ambulatory Selective Varices Ablation 404
• Endovenous Thermal Ablation 406
• Radiofrequency Ablation Method (Vnus Closure Method) 406
• Endovenous Laser Ablation/Treatment 408
• Heat Ablation for Closure of Incompetent Perforator Vein 413
• Trivex Method 413
• Other Methods 413
• Injection Sclerotherapy for Varicose Veins (Fegan’s) 413
• Management of Venous Ulcer 416
• Compression Therapy for Varicose Veins 416
• Causes of Recurrent Varicose Veins 418
• Surgical Treatment for Deep Venous Thrombosis and Venous Thromboembolism 418
• Surgeries for Lymphoedema 421
Chapter 13: Surgeries of Nerves, Muscles and Tendons 424
• Muscle Repair 424
• Muscle Debridement (Muscle Excision) 424
• Compartment Syndrome 424
• Tendon Repair 425
• Tendon Release 425
• Tendon Transfer 426
• Tendon Graft 426
• Tendon Lengthening 426
• Nerve Repairs 426
• Tinel’s Sign 428
• Management of Nerve Entrapment/Compression (Nerve Release) 428
• Lumbar Sympathectomy 432
• Cervicothoracic Sympathectomy 435
Chapter 14: Surgeries of Face, Head and Neck 439
• Surgical Anatomy of Neck 439
• Basic Principles in Head and Neck Surgery 441
• Head and Neck Trauma 442
• Retropharyngeal Abscess 443
• Parapharyngeal Abscess 444
• Treatment of Ludwig’s Angina 444
• Treatment of Tuberculous Lymphadenitis and Cold Abscess in the Neck 444
• Excision of the Branchial Cyst and Fistula 446
• Pharyngeal Pouch 446
• Surgical Treatment of Cystic Hygroma 447
• Tongue Tie 450
• Surgical Management of Cervical Rib Thoracic Outlet Syndrome 450
• Carotid Body Tumour 452
• Biopsy in Head and Neck Diseases 454
• Cervical Lymph Node Biopsy 454
• Radical Neck Dissection 455
• Surgery of Head, Face and Jaw 463
• Surgery of the Eyelids/Orbit/Eyeball 464
• Surgery of the Ear 464
• Cleft Lip and Cleft Palate 465
• Surgeries of the Oral Cavity 466
• Surgery for Lip Lesions 483
Chapter 15: Surgery for Thyroid and Parathyroid 491
• Surgical anatomy of thyroid 491
• Excision of Thyroglossal Cyst 496
• Thyroidectomy 497
• Complications of Thyroidectomy 510
• Parathyroid Surgery 515
• Parathyroid Carcinoma 517
Chapter 16: Surgeries for Breast Diseases 521
• Surgical Anatomy of Breast 521
• Open Biopsy of Breast Lesion 524
• Excision of Benign Breast Lump 525
• Drainage of a Breast Abscess 529
• Microdochectomy 529
• Major Duct Excision (Adair–Hadfield Operation) 529
• Sentinel Lymph Node Biopsy/Dissection 529
• Breast Conservative Surgery 531
• Axillary Dissection 533
• Skin Sparing Mastectomy 533
• Nipple Sparing Mastectomy 534
• Indications for Total Mastectomy/Modified Radical Mastectomy in Breast Cancer 534
• Modified Radical Mastectomy 534
• Different Mastectomies 539
• Reconstruction of the Breast 545
Chapter 17: Surgeries of Salivary Glands 552
• Surgical Anatomy of Parotid (Para – Around; Otic – Ear) Gland 552
• Facial Nerve 555
• Parotidectomy 556
• Technique of Parotidectomy 556
• Complications of Parotidectomy 561
• Drainage of Parotid Abscess 563
• Submandibular Salivary Gland 563
• Minor Salivary Glands 566
• Ectopic Salivary Gland 566
Chapter 18: Basic Principles in Laparotomy and Laparoscopy 568
• General Principles in Laparotomy 568
• Abdominal Incisions 574
• Midline Incision 576
• Paramedian Incision 580
• Transverse Incisions 581
• Oblique Incisions 586
• Loin Incisions 589
• Principles in Closure of the Abdominal Incision Wound 590
• Abdominal Retractors 593
• Drains in Laparotomy 594
• Basic Laparoscopy 601
• Laparoscopic Set 601
• Access to the Peritoneal Cavity 609
• Complications in Laparoscopy 616
• Diagnostic Laparoscopy 617
• Laparoscopic Ultrasound 617
• Three-dimensional Laparoscopy 619
• Single Incision Laparoscopic Surgery 619
• Gasless Laparoscopy (Laparolift) 622
• Haemostasis in Laparoscopic and Open Procedures 622
• Laparoscopic Tissue Approximation 627
• Laparoscopic Port Site Closure 628
• Sterilisation/Disinfection of Laparoscopic Instruments 629
• Disinfection 629
• Sterilisation 633
Chapter 19: Surgeries in Hernia 635
• Newer Classifications of Groin Hernia 642
• Indirect (Oblique) Inguinal Hernia 642
• Surgeries for Inguinal Hernia 643
• Strangulated Inguinal Hernia 678
• Inguinal Hernia in Females 683
• Ventral Hernia 683
• Umbilical Hernia Repair 692
• Epigastric Hernia (Fatty Hernia of Linea Alba) 696
• Femoral Hernia Repair 697
• Spigelian Hernia 706
• Biomaterials Used in Surgeries of Hernia 706
• Complications of Hernia Surgery 708
• Guidelines and Recommendations for Groin Hernia 711
Chapter 20: Surgery of Oesophagus 713
• Surgical Anatomy 713
• Surgical Treatment for Achalasia Cardia 718
• Per Oral Endoscopic Myotomy 728
• Surgical Treatment for Reflux Oesophagitis 728
Oesophagectomy 738
• Transhiatal Oesophgectomy (Orringer and Orringer, 1983) 738
• Ivor Lewis Operation (Lewis-Tanner) 752
• Left Thoracoabdominal Approach Oesophagogastrectomy (Churchill and Sweet, 1942) 755
• Mckeown Three Phase Oesophagectomy with Lymphadenectomy (1972) 756
• En Bloc Resection of Oesophagus (Skinner, 1983) 757
• Three Field Lymphadenectomy for Oesophageal Carcinoma 757
• Minimally Invasive Surgery for Carcinoma of Oesophagus (Video Assisted Approaches) 758
• Complications After Oesophageal Resection 758
• Oesophageal Substitutes 759
• Cricopharyngeal Myotomy with Pharyngeal Diverticulectomy 764
• Management of Oesophageal Perforation 765
• Intubation Surgeries for Advanced Carcinoma of Oesophagus 767
Chapter 21: Surgery of Stomach and Duodenum 768
• Surgical Anatomy of Stomach and Duodenum 768
• Surgery for Duodenal Ulcer Perforation 772
• Gastrostomy 776
• Gastrojejunostomy 784
• Vagotomy 790
• Pyloroplasty 798
• Gastrectomy 800
• Total Gastrectomy 817
• Complications of Gastric Surgeries 818
• Ramstedt’s Pyloromyotomy for Congenital Hypertrophied Pyloric Stenosis 825
• Duodenum 826
• Surgical Treatment of Superior Mesenteric Artery Syndrome (Wilkie’s/Vascular Compression of the Duodenum) 828
• Duodenal Atresia 828
Chapter 22: surgeries of small bowel and appendix 830
A. small bowel 830
• Surgical Anatomy 830
• Surgical Treatment of Meckel’s Diverticulum 831
• Small Bowel Resection 832
• Enterolysis/Adhesiolysis 844
• Stricturoplasty 848
• Jejunostomy 849
• Small Bowel Perforation 849
• Intestinal Bypass Procedure 854
• Ileostomy 854
• Closure of Ileostomy 858
• Serosal Patch Technique 859
• Small Intestine Atresia (Intestinal Atresia) 863
• Malrotation 863
• Meconium Ileus 864
• Short Bowel Syndrome (Short Gut Syndrome) 865
• Massive Bowel Resection 866
B. Appendix 866
• Surgical Anatomy of Appendix 866
• Appendicectomy 867
• Open Appendicectomy 869
• Complications after Appendicectomy 876
• Faecal Fistula after Appendicectomy 878
• Troubles in Appendicectomy 878
• Small Incision Open Appendicectomy 879
• Laparoscopic Appendicectomy 880
• Laparoscopy Assisted Appendicectomy 883
• Submucosal Appendicectomy 886
• Appendicular Abscess 886
Chapter 23: surgeries of liver and biliary system 888
A. liver 888
• Surgical Anatomy 888
• Liver Resection 893
• Liver Transplantation 917
• Surgical Treatment for Portal Hypertension 921
• Surgeries for Hydatid Cyst 926
• Surgery 929
B. Gallbladder with Extrahepatic Biliary Tree 934
• Surgical Anatomy 934
• Preoperative Preparation and Assessment 939
• Assessment 942
• Preoperative Preparation 946
• Cholecystectomy 946
• Technique of Open Cholecystectomy 947
• Cholecystostomy 959
• Laparoscopic Cholecystectomy 960
• Single Incision Laparoscopic Surgery in Cholecystectomy 972
• Common Bile Duct Exploration 973
• Choledochoduodenostomy 980
• Transduodenal Sphincteroplasty 980
• Choledochojejunostomy/Biliary Enteric Anastomosis/Hepaticojejunostomy 981
• Radical/Extended Cholecystectomy 989
• Treatment of Bile Duct Carcinoma/ Cholangiocarcinoma 989
• Bile Duct Injuries 993
• Cholecystojejunostomy 996
• Treatment of Choledochal Cyst 999
• Biliary Atresia—Treatment 1000
Chapter 24: surgeries of pancreas and spleen 1002
A. The Pancreas 1002
• Surgical Anatomy 1002
• General Principles in Pancreatic Surgeries 1006
• Surgical Treatment for Chronic Pancreatitis 1008
• Surgical Treatment for Pseudocyst of Pancreas 1025
• Pancreaticoduodenectomy (Whipple’s Operation/Partial Pancreaticoduodenectomy) 1028
• Total Pancreatectomy (Total Pancreaticoduodenectomy) 1046
• Distal Pancreatectomy 1047
• Radical Antegrade Modular Pancreatosplenectomy 1052
• Cholecystojejunostomy 1053 B. Spleen 1053
• Surgical Anatomy 1053
• Splenunculi 1056
• Principles in Spleen Surgery 1056
• Splenectomy 1057
• Management of Splenic Trauma 1060
• Laparoscopic Splenectomy 1071
• Complications of Splenectomy 1073
• Mesh Splenopexy 1074
Chapter 25: Colonic Surgeries 1075
• Surgical Anatomy 1075
• Lymphatic Drainage 1078
• Nerve Supply 1078
• Principles in Colonic Surgery 1078
• Caecopexy 1081
• Caecostomy 1081
• Colostomy 1081
• Closure of Colostomy 1086
• Treatment for Diverticular Disease of Sigmoid/Colon 1086
• Treatment for Ulcerative Colitis 1093
• Treatment Concept in Carcinoma Colon 1094
• Resection of the Colon 1095
• Right Colectomy 1095
• Left Colectomy 1099
• Laparoscopic Colectomy 1109
• Locally Advanced Tumour (Inoperable) 1117
• Surgical Management in Large Bowel Obstruction 1117
• Treatment for Hirschsprung’s Disease 1117
Chapter 26: Anorectal Surgeries 1121
• Surgical Anatomy 1121
• Anal Canal 1122
• Principles in Anorectal Surgeries 1127
• Treatment Plan for Carcinoma Rectum 1128
• Anterior Resection/Abdominal Radical
Restorative Operation/Anterior Proctosigmoidectomy (Open Method) 1131
• Abdominoperineal Resection 1133
• Laparoscopic Abdominoperineal Resection 1135
• Laparoscopic Low Anterior Resection 1136
• Total Proctocolectomy with Ileoanal Pouch 1137
• Treatment for Rectal Prolapse 1139
• Treatment of Pilonidal Sinus 1150
• Treatment of Haemorrhoids 1157
• Treatment of Anal Fissure 1169
• Anorectal Abscess 1172
• Fistula-in-Ano 1175
Chapter 27: Retroperitoneal Surgeries 1187
• Surgical Anatomy 1187
• Approaches for Retroperitoneum 1187
• Retroperitoneal Lymph Node Disssection 1188
Chapter 28: Urologic Surgeries 1191
• Surgical Anatomy of Kidney 1191
• Surgical Anatomy of the Ureter 1193
• Anatomy of Urinary Bladder 1194
• Anatomy of Prostate 1195
• Anatomy of Urethra 1195
• Approaches to Kidney 1196
• Dissection of the Kidney 1203
• Approaches to Ureter 1205
• Treatment of Renal Tuberculosis 1205
• Treatment for Hydronephrosis 1206
• Treatment of Pyonephrosis 1209
• Nephrostomy 1214
• Treatment of Renal Stones 1215
• Removal of Ureteric Stone 1216
• Treatment of Staghorn Calculus 1228
• Treatment of Renal Cell Carcinoma 1230
• Treatment of Polycystic Disease of Kidney 1239
• Treatment of Solitary Renal Cyst 1239
• Treatment of Bladder Stone 1241
• Treatment of Bladder Tumours 1241
• Radical Cystectomy 1242
• Ureterosigmoidostomy (Henri Chaput, 1894, French Surgeon) 1245
• Urinary Diversion 1246
• Ureteric Reimplantation 1247
• Management of Benign Prostatic Hyperplasia 1248
• Prostatic Abscess 1250
• Radical Prostatectomy 1250
• Treatment of Stricture Urethra 1251
• Treatment of Hypospadias 1251
• Treatment of Posterior Urethral Valve 1251
• Treatment of Urethral Stones 1252
• Renal Transplantation Technique 1252
Chapter 29: Adrenal Gland Surgeries 1256
• Adrenal Gland Surgeries 1256
• Adrenalectomy 1258
• Technique of Open Adrenalectomy 1260
• Laparoscopic Adrenalectomy 1263
Chapter 30: Surgeries of Penis, Scrotum and Testis 1271
• Surgical Anatomy of Penis 1271
• Treatment of Chordee 1272
• Treatment Peyronie’s Disease (Induratio-Penis Plastica) 1273
• Treatment of Carcinoma of Penis 1273
• Inguinal Block Dissection—Radical Groin Dissection 1280
• Surgical Anatomy of Scrotum 1290
• Treatment for Hydrocele 1290
• Treatment of Haematocele 1294
• Treatment of Pyocele 1294
• Varicocele 1296
• Treatment of Cyst of Epididymis 1303
• Treatment of Spermatocele 1303
• Surgical Anatomy of Testis 1303
• Undescended Testis 1307
• Ectopic Testis 1308
• Treatment of Torsion Testis 1308
• Testicular Biopsy 1310
• Treatment of Testicular Tumour 1313
• Orchidectomy 1314
Chapter 31: Obesity and Morbid Obesity 1322
• Obesity and Morbid Obesity 1322
• Different Surgeries 1323
Chapter 32: Basic Surgeries in Obstetrics and Gynaecology 1327
• Surgical Anatomy of Female Genitalia 1327
• Surgeries in Female Genital Tract 1329
• Dilatation and Curettage 1330
• Medical Termination of Pregnancy 1331
• Bartholin Cyst and Abscess 1334
• Ectopic Pregnancy 1334
• Caesarean Section 1338
• Caesarian Hysterectomy 1346
• Tubal Sterilisation Procedures 1347
• Surgeries for Ovarian Pathology 1348
• Myomectomy 1356
• Hysterectomy 1356
• Nerve Sparing Radical Hysterectomy 1387
• Robot Assisted Laparoscopic Surgery in Gynaecology 1387
• Feasibility of Single Port Laparoscopic Surgery 1388
• Repair of Genitourinary Fistulas 1388
• Transobturator Tape for Stress Urinary Incontinence 1390
Chapter 33: other procedures 1393
• Robotic Surgery 1393
• Liposuction 1394
• Dressings 1396
• Bandages 1397
Index 1399

This new edition has been fully revised to provide general surgeons with the latest advances and knowledge in their field.
Beginning with an overview of preoperative preparation, the operation room, principles of incision, and instruments, the following sections discuss surgical techniques for diseases and disorders in different parts of the body including breast diseases, salivary glands, stomach and duodenum, urologic surgeries, and much more.
Each procedure is presented in a step by step approach, explaining the technique, potential complications, and their avoidance.
The comprehensive text of nearly 1500 pages is highly illustrated with more than 3000 clinical photographs, detailed diagrams, and tables.

Key points
• Fully revised, new edition providing latest advances in general surgery
• Nearly 1500 pages cover techniques for diseases and disorders throughout the body
• Highly illustrated with more than 3000 clinical images and tables
• Previous edition (9789350251218) published in 2014

Author
Sriram Bhat M MS . Professor, Department of Surgery, Kasturba Medical College, Mangalore, Karnataka, India