Operative Technic in Specialty Surgery Second EditionPDF电子书下载

1．THE BLOOD VESSELS 1

Ⅰ．ACUTE VASCULAR INJURIES＆MICHAEL E．DEBAKEY 1

Supplemental Therapeutic Measures 2

Surgical Therapy 3

Ⅱ．TRAUMATIC ANEURYSM AND ARTERIOVENOUS FISTULA＆DANIEL ELKIN 10

Operative Treatment of Arteriovenous Fistula 11

Operative Treatment of Arterial Aneurysms 16

Anesthesia 19

Ⅲ．ANEURYSM OF THE AORTA＆HENRY T．BAHNSON 20

Thoracic Aneurysm 23

Abdominal Aneurysm 27

Ⅳ．SURGICAL TREATMENT OF ANEURYSMS AND OCCLUSIVE DISEASE OF THE ABDOMINAL AORTA＆MICHAEL E．DEBAKEY 30

Aneurysm 30

Thrombo-obliterative Disease 37

Ⅴ．VARICOSE VEINS AND VENOUS THROMBOSIS＆MICHAEL E．DEBAKEY 48

Varicose Veins 48

Injection Treatment 49

Operative Treatment 51

Venous Thrombosis 57

Prophylactic Therapy 59

Active Therapy 60

2．THE HEART AND PERICARDIUM EXCLUDING CONGENITAL AND VALVULAR LESIONS＆CLAUDE S．BECK 73

Cardiac Arrest and Resuscitation 73

Pressures on Heart 80

Penetrating Wounds 83

Incision 85

Repair of Ventricular Wounds 87

Repair of Auricular Wounds 91

Crush and Other Nonpenetrating Injuries 92

Foreign Bodies 94

Operative Removal 95

Purulent Pericarditis 95

Pericardiostomy 96

Compression Scars 96

Incision 98

Pericardial Effusions：Sterile，Hemorrhagic，Tuberculous，Neoplastic 104

Pericardiotomy 104

Adhesions 105

Aneurysm 106

Operations for Coronary Artery Disease 107

Beck Ⅰ Operation 109

Beck Ⅱ Operation 110

Fauteaux Operation 113

Vineberg Operation 113

Thompson Operation 114

Pulmonary Embolectomy 114

Tumors of the Heart 115

3．CONGENITAL MALFORMATION OF THE HEART AND GREAT VESSELS＆JOHN H．GIBBON，JR． AND HANS C．ENGELL 119

Thoracotomy 120

Patent Ductus Arteriosus 122

Operative Technic 123

Coarctation of the Aorta 127

Operative Technic 129

Double Aortic Arch 132

Operative Technic 134

Pulmonary Stenosis 135

Isolated Pulmonary Stenosis 136

Valvotomy for Pulmonary Stenosis 137

Dilatation and Infundibular Resection for Infundibular Stenosis 139

Pulmonary Stenosis with Atrial Septal Defect(Morgagni＇s Syndrome) 142

The Tetralogy of Fallot 142

Blalock-Taussig Operation 144

Potts Operation 149

4．CARDIAC SEPTAL DEFECTS AND OPEN CARDIOTOMY HYPOTHERMIA AND THE HEART-LUNG MACHINE＆JOHN H．GIBBON，JR．AND HANS C．ENGELL 153

Atrial Septal Defects 153

Gross＇s＂Well＂Technic 154

Bailey＇s Inversion of Atrial Wall Technic 158

Bj？rk-S？ndergaard Purse-String Method 158

Ventricular Septal Defects 159

Open Cardiotomy with Hypothermia 161

Operative Technic 162

Open Cardiotomy with Heart-Lung Machine 163

Operative Procedure 165

5．INTRACARDIAC SURGERY FOR ACQUIRED VALVULAR HEART DISEASE＆JOHN C．JONES AND BERT W．MEYER 170

Mitral Stenosis 170

Surgical Management 173

Surgical Technic 174

Other Valve Lesions 180

6．THE SURGERY OF PORTAL HYPERTENSION＆NATHAN A．WOMACK 182

Technic of Portal Caval Shunt 186

Splenectomy 187

Gastrectomy and Resection of Distal End of Esophagus 187

7．THORACIC WALL，PLEURAL CAVITY，LUNGS，AND DIAPHRAGMATIC HERNIA＆JOHN M．DORSEY 193

Thoracentesis 193

Tension Pneumothorax 199

Hemothorax 201

Closed Drainage Treatment of Acute Empyema 202

Funnel Chest(Pectus Excavatum) 204

Hernia of the Lung 206

Open Wounds of the Thorax 207

Fracture of Ribs 208

Operative Defects 209

Infections of the Chest Wall 210

Therapeutic Pneumothorax 210

Phrenic Nerve Interruption 212

Extrapleural Thoracoplasty 213

Open Operation for Acute Empyema 215

Operations for Chronic Empyema 219

Decortication After Hemothorax 220

Operations for Lung Abscess 220

Pulmonary Resection 223

The Bronchial Tree 225

The Pulmonary Arteries 227

The Pulmonary Veins 233

Specific Resections of the Lung 237

Postresection Management and Complications 249

Surgical Repair of Diaphragmatic Hernia 250

Mediastinal Tumors 260

Treatment 263

8．THE FACE，MOUTH，JAWS，AND NECK＆JAMES BARRETT BROWN AND FRANK MCDOWELL 266

Facial Injuries 266

The Treatment of Facial Paralysis 277

Treatment of Tumors of the Face 281

Repair of Single Cleft Lips 288

Repair of Double Cleft Lips 300

Closure of Cleft Palate 308

Elongation of the Partially Cleft Palate 316

Removal of Salivary Duct Stones 320

Surgical Treatment of Ranula 321

Treatment of Carcinoma of the Mouth 324

Treatment of Osteomyelitis of the Jaws 326

Removal of Cysts and Tumors of the Jaws 327

Neck Operations 331

Excision of the Submaxillary Salivary Gland 332

Thyroglossal Duct Cysts 334

Lateral Cervical Fistulas 336

Branchial Cleft Cysts 338

Hygromas 340

Biopsy of Cervical Lymph Nodes 342

Complete Neck Dissection 342

Bilateral Upper Neck Dissections 357

Drainage of Neck Abscess of Dental Origin 358

9．PLASTIC SURGERY＆PAUL W．GREELEY 360

Treatment of Fresh Wounds 362

Skin Grafts 365

Methods of Closure of Surface Defects 377

Transplantation of Tissues Other Than Skin 381

Management of Common Specific Problems 385

Nasal Deformities 411

Plastic Surgery of the Breast 414

10．FRACTURES＆J．ALBERT KEY 419

Principles in the Operative Treatment of Fractures 419

The Upper Extremity 420

The Lower Extremity 436

The Operative Treatment of Compound Fractures 472

11．HEMATOGENOUS OSTEOMYELITIS＆FRANK DICKSON 477

Osseous Localization 479

Clinical Picture 481

Laboratory Findings 483

X-ray Findings 483

Diagnosis 484

Prognosis 484

Treatment 485

Summary 503

12．DEFORMITIES AND NEOPLASMS OF THE BONE＆CARL E．BADGLEY 504

Deformities of the Bone 504

Congenital Deformities 506

Secondary Congenital Deformities 513

Growth Disturbances Occurring After Birth 520

Growth Changes in Adolescence 522

Affections of Adult Bone Producing Bone Deformity 525

Neoplasms of the Bone 528

Benign Tumors 531

Malignant Bone Tumors 534

13．SURGICAL APPROACHES TO THE JOINTS＆LE ROY C．ABBOTT，LOREN J．LARSEN，ELLIS W．JONES，JR．，AND DONALD B．LUCAS with the collaboration of JOHN B．DEC．M．SAUNDERS 539

The Shoulder Joint 541

The Sternoclavicular Joint 541

The Acromioclavicular Joint 543

The Scapulohumeral Joint 544

The Elbow Joint 567

The Wrist Joint and Joints of the Hand 579

The Sacroiliac Joint 590

The Hip Joint 593

The Knee Joint 609

Joints of the Ankle and Foot 623

14．THE ORTHOPEDIC SURGICAL TREATMENT OF SPASTIC PARALYSIS AND ANTERIOR POLIOMYELITIS＆FREMONT A．CHANDLER 639

Spastic Paralysis 639

Surgical Treatment of Anterior Poliomyelitis 649

15．THE AUTONOMIC NERVOUS SYSTEM＆REGINALD H．SMITHWICK 666

Cervical Sympathectomies 668

Thoracic and Thoracolumbar Sympathectomies 675

Upper Thoracic Sympathectomies 675

Transthoracic Approaches to the Sympathetic Nervous System and to the Vagus Nerves 688

Lumbar Sympathectomy 692

Transperitoneal Approach to the Sympathetic Nervous System and the Vagus Nerves 697

Peripheral Sympathectomy 702

Paravertebral Sympathetic Block 703

16．PERIPHERAL NERVES＆R．GLEN SPURLING 711

Upper Extremity 711

Lower Extremity 713

Indications for Exploration 715

Surgical Technic 719

Aftercare 732

Results 732

17．SCALP，CRANIUM，AND BRAIN＆HOWARD A．BROWN AND HOWARD C．NAFFZIGER 734

Anatomic Considerations 734

Injuries 736

Infections 755

Tumors of the Skull 762

Brain Tumors 764

18．THE SPINAL CORD＆COBB PILCHER AND WILLIAM F．MEACHAM 778

Surgical Anatomy and Surgical Physiology 778

Laminectomy 782

Congenital Malformations 787

Injuries 792

Inflammatory Disorders 798

Neoplasms 800

The Relief of Intractable Pain 806

Miscellaneous Procedures 808

19．LESIONS OF THE CRANIAL NERVES＆BRONSON S．RAY 810

Trigeminal Nerve 810

Alcohol Injection of Branches of the Trigeminal Nerve 811

Alcohol Injection of the Gasserian Ganglion 811

Avulsion of Supra-orbital and Infra-orbital Nerves 811

Rhizotomy：Surgical Interruption of Sensory Root of Trigeminal Nerve 812

Tractotomy：Section of the Descending Tract of the Trigeminal Nerve 817

Decompression of the Trigeminal Root and Ganglia 818

Other Cranial Nerves 820

The Facial Nerve(Nervus Intermedius of Wrisberg) 820

The Acoustic Nerve 820

The Glossopharyngeal and Sensory Fibers of the Vagus Nerves 822

The Spinal Accessory Nerve 822

Cranial Nerve Section for Relief of Painful Malignant Lesions of the Head and Neck 823

Greater Superficial Petrosal Neurectomy 824

The Extracranial Portion of the Facial Nerve 825

20．GYNECOLOGIC SURGERY＆JOE VINCENT MEIGS AND LANGDON PARSONS 830

Dilatation and Curettage 830

Repair of the Cervix 831

Surgical Conization 833

Amputation of the Cervix 833

Excision of Bartholin＇s Cyst and Abscess of Bartholin＇s Gland 836

Simple Perineorrhaphy and Repair of Rectocele 837

Repair of Third Degree Tear or Laceration of the Sphincter Ani Muscle 838

Urethrocele，Cystocele，and Uterine Prolapse 838

Repair of Cystocele 838

Kennedy Repair for Stress Incontinence 843

Manchester(Donald or Fothergill)Operation 844

Vaginal Hysterectomy 848

The Le Fort Operation 854

Enterocele 857

Repair of Vesicovaginal Fistula 858

Abdominal Operations 860

Operations on the Adnexa 862

Salpingectomy 862

Plastic Operation on the Ovary for Ovarian Cyst 862

Salpingo-oophorectomy 863

Uterine Suspension 864

Olshausen Operation 865

Baldy-Webster Operation 865

Marshall-Marchetti Procedure 866

Presacral Neurectomy 867

Hysterectomy 868

Vaginal Hysterectomy 848

Supravaginal Hysterectomy 868

Total Hysterectomy 871

Radical Hysterectomy for Cancer of the Cervix with Bilateral Pelvic Lymph Node Dissection 879

Carcinoma of the Vulva 885

Vulvectomy 885

Radical Vulvectomy and Superficial Groin Dissection 886

Extraperitoneal Lymphadenectomy for Cancer of the Vulva or Cervix 888

21．THE MALE GENITOURINARY SYSTEM＆D．K．ROSE 893

Anatomic Considerations 893

Symptoms 894

The Kidney and Ureter 898

Nephrectomy(Kidney+Excision) 899

Nephropexy 906

Carbuncle of the Kidney and Perinephritic Abscess 907

Calyxectomy and Heminephrectomy 907

The Bladder and Micturition 912

Bladder Surgery 918

Bladder Stone 920

Bladder Tumors 921

Exstrophy of the Bladder 925

Diverticulum of the Bladder 925

Injuries to the Bladder 926

The Prostate 926

Technic of Suprapubic Prostatectomy 928

Carcinoma of the Prostate 934

Seminal Vesicles 935

Scrotum 935

Urethra 938

INDEX 942