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Surgical Technology for the Surgical Technologist : A Positive Care Approach

by ; ;
Edition:
2nd
ISBN13:

9781401838485

ISBN10:
1401838480
Format:
Hardcover
Pub. Date:
12/23/2003
Publisher(s):
Cengage Learning
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Summary

This new edition meets the requirements of the revised Core Curriculum for Surgical Technologists, 5th edition. It is written by surgical technologists for surgical technologists. The content focuses on the concepts and skill development (cognitive and procedural) required of surgical technologists in the operative environment. The text uses the A POSitive CARE approach to surgical problem solving that concentrates on the ability of the surgical technologist to predict the patient's and surgeon's needs through the intraoperative period. The goal is for the surgical technologist to apply this model in daily practice for maximum efficiency and effectiveness during the surgical procedure. The surgical procedures included in the text were selected for their instructive value and because the skills demonstrated can be applied to many other procedures.

Table of Contents

List of Tables xix
Introduction to the second Edition xxiii
Preface xxvii
Contributors xxxix
Reviewers xl
How to Use This Book xlii
SECTION 1 Introduction to Surgical Technology
CHAPTER 1 Orientation to surgical Technology
2(20)
History of Surgery
3(1)
Surgery Today
4(2)
Surgical specialties
5(1)
History of Surgical Technology
6(2)
Field of Surgical Technology
8(3)
Working Conditions
8(1)
Personal Characteristics
8(1)
Surgical Team Members
8(2)
Surgical Technology Education and Certification
10(1)
The Surgical Technologist as a Professional
11(3)
Professionalism
11(1)
Surgical Technologist's Lifestyle
12(1)
Job Descriptions for the Surgical Technologist
13(1)
Career Opportunities
13(1)
Health Care Facilities
14(1)
Hospital Organization
15(7)
Hospital Departments and Interdepartmental Communication
17(2)
Financial Considerations and Reimbursement
19(1)
Organizations Related to Hospitals, Health Care, and Surgical Services
20(2)
CHAPTER 2 Standards of Conduct
22(20)
Legal Issues
23(7)
Definitions of General Legal Terms
23(1)
Definitions of Traditional Principles
24(1)
Torts
25(2)
Consent for Surgery: A Basic Right
27(2)
Documentation
29(1)
Event/Incident Reports
30(1)
Advance Directives
30(1)
Ethical and Moral Issues
30(4)
Moral Principles
31(1)
Bioethics
31(1)
AHA Patient's Bill of Rights
31(1)
Elements of Ethical Decision Making
32(2)
Professional Codes of Conduct
34(1)
Surgical Conscience
34(1)
Scope of Practice
34(4)
Job Descriptions and Competencies
35(1)
Credentialing
36(1)
Accreditation
36(1)
Core Curricula for Surgical Technology and Surgical Assisting
36(1)
Career Development
36(1)
Clinical Ladder Program
37(1)
Risk Management and Liability
38(4)
Medical Errors
38(1)
Safe Medical Device Act
39(1)
Malpractice Insurance
39(3)
CHAPTER 3 The Surgical Patient
42(14)
The STSR and the Surgical Patient
43(1)
Physical, Psychological, Social, and Spiritual Needs of the Surgical Patient
43(13)
Understanding the Surgical Patient
44(1)
Causes of Surgical Intervention
44(1)
The Surgical Patient, a Human Being
44(1)
Prioritizing Needs: Maslows Hierarchy
45(1)
Life Stage Development: Select Basic Concepts
46(3)
Cultural and Religious Influences
49(7)
CHAPTER 4 Special Populations
56(20)
Introduction
57(1)
Pediatric Patients
57(8)
Monitoring the Pediatric Patient
59(1)
Shock
60(1)
Fluids and Electrolytes
60(1)
Infection
61(1)
Metabolic and Nutritional Responses
61(1)
Trauma
61(1)
Patients with Obesity
62(2)
Review of Surgical Considerations
64(1)
Specific Considerations of Bariatric Surgery
64(1)
Patients with Diabetes
65(1)
Complications Associated with Diabetes
65(1)
Care of the Patient with Diabetes in Surgery
66(1)
Pregnant Patients
66(2)
Considerations When Caring for Pregnant Patients
67(1)
Anesthesia
67(1)
Intraoperative Considerations for the Surgical Technologist
67(1)
Immunocompromised Patients
68(1)
Acquired Immunodeficiency Syndrome
68(1)
Considerations for the Surgical Team Members
68(1)
Patients with Disabilities
69(1)
Geriatric Patients
69(2)
Trauma Patients
71(1)
The "Golden Hour" and Trauma system
71(1)
Kinematics
71(1)
Blunt Trauma
71(1)
Penetrating Trauma
72(1)
Trauma Scoring
72(1)
Considerations for the Surgical Technologist
72(1)
Preservation of Evidence
72(1)
Hypothermia
73(1)
Infection
73(1)
Preparation of the Case
73(3)
CHAPTER 5 Physical Environment and safety standards
76(22)
Physical Design of the Surgery Department
77(8)
Areas of the OR
78(1)
Physical Components of the Operative Suite
79(4)
Substerile Area
83(1)
Direct Support Services
83(2)
Hazards and Regulatory Agencies
85(1)
Safety Considerations
86(4)
Air-Handling System
86(1)
Surgical Lights
86(1)
Noise in the Operating Room
86(1)
Ergonomics and Safety Considerations
86(1)
Fire Hazards and Safety
87(1)
Electrical Hazards
88(1)
Ionizing Radiation
89(1)
Biological Hazards and Safety Considerations
90(4)
Universal Precautions
90(1)
Standard Precautions
90(3)
Laser and Electrosurgical Plume
93(1)
Latex Allergy
94(1)
Chemical Hazards and Safety Considerations
94(4)
Waste Anesthetic Gases
94(1)
Methyl Methacrylate
95(1)
Formalin
95(1)
Ethylene Oxide
95(1)
Glutaraldehyde
95(3)
SECTION 2 Principles and Practice of surgical Technology
CHAPTER 6 Biomedical science
98(31)
Introduction
99(1)
Computers
99(8)
Surgical Applications
99(1)
Hardware
100(3)
Software
103(1)
Word Processing
104(1)
Graphics
105(1)
Internet Basics
106(1)
Electricity
107(5)
Surgical Applications
107(1)
Basic Principles of Electricity
108(4)
Physics
112(10)
Medical and Surgical Applications
112(1)
Mechanics
113(9)
Nuclear Physics
122(1)
Gravity
122(1)
Surgical Robots
122(3)
Terminology
123(1)
Design
123(1)
Remote Manipulation
124(1)
Geometry
124(1)
Hearing and Vision
125(1)
Decontamination and Sterilization of Robotic Components
125(1)
Clinical Applications
125(1)
The OR of the Future
125(1)
Surgical Planning and Rehearsal
125(1)
Surface-Based Registration
126(1)
Role of the Surgical Technologist
126(3)
CHAPTER 7 Asepsis and Sterile Technique
129(42)
History of sterilization
130(1)
Basic Terminology
131(1)
Pathogens and Infection
131(7)
Infection
131(1)
Pathogens Associated with Surgical Site Infection
132(3)
Methods of Transmission
135(3)
Principles of Asepsis
138(2)
Principle 1: Sterile Field
138(1)
Principle 2: Sterile Team Member Attire
139(1)
Principle 3: Movement in and Around Sterile Field
140(1)
Surgical Conscience
140(1)
Cleaning, Disinfection, and sterilization
141(10)
Cleaning and Disinfection
142(5)
Disinfectant and Disinfectant/Sterilant Agents
147(4)
Instrument Preparation and Wrapping for Sterilization
151(1)
Instruments
151(1)
Specific Procedural Trays
151(1)
Instrument Sets
151(1)
Packaging for Sterilization and Storage
152(11)
Performance Standards of Packaging Material
152(1)
Performance Characteristics
152(1)
Types of Packaging Materials
153(2)
General Principles of Packaging
155(3)
Sterilization
158(1)
Requirements and Essential Factors
159(1)
Basic Components of a Steam Sterilizer
160(3)
Gas Sterilization
163(2)
Ethylene Oxide
163(1)
Alternative Sterilization Methods
164(1)
Liquid Chemical Sterilization Processes
165(1)
Ionizing Radiation
165(1)
Methods of Monitoring the Sterilization Process
165(2)
Mechanical Methods of Monitoring the Sterilization Process
165(1)
Chemical Methods of Monitoring the Sterilization Process
166(1)
Biological Methods of Monitoring the Sterilization Process
166(1)
Bowie-Dick Test
167(1)
Event-Related Sterility
167(4)
Environmental Decontamination
168(1)
Environmental Services
168(1)
Case by Case
168(1)
Daily
168(3)
CHAPTER 8 General Patient Care and safety
171(47)
Preoperative Patient Routines
172(7)
Surgical Consent
173(2)
Preoperative Education
175(1)
Patient Possessions
175(1)
Evening/Morning Before Surgery
176(1)
Diet
177(1)
Makeup and Dress
177(1)
Call to the Operating Room
177(1)
Family Visit
177(1)
Patient Identification
177(1)
Transportation
178(1)
Transfer and Positioning
179(1)
Basic Positioning for Surgery
180(11)
Supine Position
181(2)
Trendelenburg Position
183(1)
Reverse Trendelenburg Position
184(1)
Fowler's Position and Sitting Position
184(1)
Lithotomy Position
185(1)
Prone Position
186(2)
Kraske (Jackknife) Position
188(1)
Lateral Position
189(1)
Kidney Position
190(1)
Sims' Position
191(1)
Thermoregulatory Devices
191(1)
Vital Signs
192(7)
Temperature
192(1)
Pulse
193(1)
Respiration
194(2)
Blood Pressure
196(3)
Urinary Catheterization
199(3)
Indications
200(1)
Considerations
200(1)
Procedure
200(2)
Skin Preparation
202(4)
Skin Preparation Setup
203(3)
Skin Marking
206(1)
Hemostasis and Blood Replacement
206(5)
Factors Affecting Hemostasis
207(1)
Control of Bleeding During Surgery
207(1)
Mechanical Methods
207(2)
Thermal Hemostasis
209(1)
Pharmacological Agents
209(1)
Blood Loss
210(1)
Blood Replacement
210(1)
Hemolytic Transfusion Reactions
211(1)
Cardiopulmonary Resuscitation
211(2)
Cardiac Arrest in the Surgical Setting
212(1)
Malignant Hyperthermia
213(1)
Prevention
213(1)
Treatment
213(1)
Emergency Medical Services
213(1)
Indications of Emergency Situations
214(1)
Objectives and Priorities in Emergency Situations
214(4)
Syncope
214(1)
Convulsions/Seizures
215(1)
Anaphylactic Reactions
215(1)
Clinical Manifestations of Impending Cardiac Arrest
216(2)
CHAPTER 9 Surgical Pharmacology and Anesthesia
218(40)
Pharmacology
219(4)
Drug Sources
219(1)
Drug Forms
220(1)
Drug Nomenclature
220(1)
Route of Administration
221(1)
Drug Classifications
221(1)
Pharmacokinetics
221(1)
Pharmacodynamics
222(1)
Drug-Handling Techniques
223(6)
Medication Identification
223(2)
Supplies for Medication Handling
225(1)
Transfer of a Medication to the Sterile Field
225(1)
Medications Commonly Used in the Operating Roam
226(3)
History of Modern Anesthesia
229(2)
Methods and Techniques of Anesthetic Administration
231(1)
General Anesthesia
231(13)
Depth of General Anesthesia
231(1)
Phases of General Anesthesia
232(1)
Advantages of General Anesthesia
232(1)
Risks and Complication Associated with General Anesthesia
232(3)
Anesthetic Agents
235(5)
Adjuncts to General Anesthesia
240(1)
Anesthesia Equipment
241(3)
Nerve Conduction Blockade
244(5)
Nerve Conduction Blocking Agents
244(2)
Topical Anesthesia
246(1)
Local Anesthesia
246(1)
Regional Anesthesia
246(3)
Nontraditional Anesthesia Options
249(1)
Team Member Roles During Anesthesia Administration
249(9)
Preoperative Visits
250(1)
Preoperative Routine-All Types of Anesthesia
250(3)
Postanesthesia Care
253(5)
CHAPTER 10 Instrumentation, Equipment, and Supplies
258(33)
Instrumentation
259(10)
Classifications
259(5)
Instrument Care and Handling
264(1)
Types of Instrument Sets
265(4)
Specialty Equipment
269(6)
Endoscopes
269(1)
Power Tools
270(1)
Lasers
270(3)
Microscopes
273(1)
Video Monitors, Recorders, and Cameras
273(1)
Fiber-Optic Headlamps and Light Sources
274(1)
Irrigation/Aspiration Unit
274(1)
Cryotherapy Units
274(1)
Insufflators
274(1)
Nerve Stimulators
274(1)
Accessory Equipment
275(5)
Suction Systems
275(1)
Electrosurgical Unit
275(3)
Lights
278(1)
Pneumatic Tourniquets
279(1)
Sequential Compression Devices
280(1)
Supplies
280(11)
Drapes
280(2)
Sterile Packs
282(1)
Sponges and Dressings
282(3)
Catheters, Tubes, and Drains
285(3)
Nonsuture Needles
288(1)
Irrigators and Syringes
289(2)
CHAPTER 11 Wound Healing, Sutures, Needles, and Stapling Devices
291(26)
Introduction
292(1)
Types of Wounds
292(2)
Surgical Wound
292(1)
Traumatic Wound
293(1)
Chronic Wound
294(1)
Inflammatory Process
294(1)
Types of Wound Healing
294(1)
First Intention (Primary Union)
294(1)
Phases of Wound Healing by First Intention
295(1)
Second Intention (Granulation)
295(1)
Third Intention (Delayed Primary Closure)
295(1)
Factors Influencing Wound Healing
295(1)
Complications of the Healing Wound
296(2)
Intraoperative Wound Care
297(1)
Postoperative Wound Care
298(1)
Suture
298(12)
History
298(1)
Types of Suture Material
299(1)
Suture Sizes
300(1)
General Factors Affecting Choice of Suture
300(1)
Characteristics of Common Sutures
300(3)
Packaging of Suture
303(1)
Ligatures
303(1)
Ligating Methods
303(1)
Suture for the Procedure
304(1)
Layer Closure
305(2)
Endoscopic Suture
307(1)
Suturing Techniques
307(2)
Accessory Devices
309(1)
Stapling Devices
310(3)
Types of Staplers
312(1)
Meshes or Fabrics
313(1)
Needles
313(4)
Needle Eye
314(1)
Needle Point
315(1)
Needle Bodies
315(2)
CHAPTER 12 Surgical Case Management
317(53)
Introduction
318(5)
Applied Theory
319(4)
Preoperative Case Management
323(18)
Attire
323(4)
Preparing the OR
327(14)
Organizing the Back Table
341(12)
Organizing the Mayo Stand
346(1)
Assisting a Team Member
346(1)
Draping the Surgical Patient
346(7)
Positioning of the Sterile Team Members and the Furniture
353(1)
Intraoperative Case Management
353(10)
General Principles
353(8)
Progression of the Surgical Procedure
361(2)
Postoperative Case Management
363(7)
Preservation of the Sterile Field
363(1)
Drape Removal
363(1)
Gown and Glove Removal
364(1)
Immediate Postoperative Patient Care
364(1)
Patient Transfer and Transportation
364(1)
Breakdown of the Setup
365(1)
The Operating Room Cycle
365(1)
The Instrument Cycle
366(4)
SECTION 3 Surgical Procedures
CHAPTER 13 Diagnostic Procedures
370(15)
Sources of Patient Data
371(12)
History and Physical Examination
371(1)
Diagnostic Imaging
371(7)
Laboratory Reports
378(3)
Electrodiagnostic Studies
381(1)
Pulmonary Diagnosis
382(1)
Endoscopy
383(1)
Plethysmography and Phleborheography
383(1)
Indications for Surgery
383(2)
CHAPTER 14 General surgery
385(92)
Anatomy
386(11)
Abdominal Cavity: General Dimensions
386(1)
Surface Features
386(1)
Abdominal Musculature
387(1)
Peritoneum
387(1)
Retroperitoneum
388(1)
Alimentary Canal
388(1)
Esophagus
388(1)
Stomach
389(1)
Small Intestine
390(1)
Mesentery
391(1)
Colon
391(2)
Rectum
393(1)
Anus
393(1)
Omenta
394(1)
Pancreas
394(1)
Spleen
395(1)
Liver
395(1)
Biliary Tract
396(1)
General Surgery Instrumentation
397(3)
Major Set
397(1)
Minor Set
397(2)
Local Excision Instruments
399(1)
Biliary Instruments
399(1)
Intestinal Instruments
400(1)
Other General Instruments
400(1)
Room Setup
400(1)
Positioning
400(1)
Draping
400(2)
Incisions
402(2)
Surgery of the Abdominal Wall: Hernias
404(3)
Specific Anatomical Features of the Groin Area
404(1)
Hernias
405(1)
Hernia Repair
405(2)
Surgery of the Alimentary Canal
407(20)
Surgery of the Esophagus
408(1)
Gastric Surgery
408(1)
Pathological Conditions of the Stomach
408(6)
Procedures Related to Gastric Secretion, Ulcers, and Neoplasm
414(2)
Procedures for Morbid Obesity
416(1)
Surgery of the Small Bowel
416(4)
Appendectomy
420(5)
Colon Surgery
425(2)
Stomas
427(20)
Anorectal Surgery
427(3)
Hemorrhoid Ligation and Excision
430(1)
Surgery of the Liver and Biliary Tract
430(9)
Common Bile Duct Exploration
439(8)
Surgery of the Pancreas and Spleen
447(7)
Select Pathology of the Pancreas
447(1)
Draining Pancreatic Cysts
448(1)
Pancreatic Resection
448(1)
Whipple Pancreaticoduodenectomy
448(4)
Surgery of the Spleen
452(2)
Vascular and Other Procedures
454(3)
Varicose Veins
454(1)
Vascular Access Procedures
455(1)
Muscle and Nerve Biopsies
456(1)
Incision and Drainage
456(1)
Excision of Lesion
456(1)
Endoscopy
457(1)
Breast Surgery
457(4)
Breast Anatomy
457(1)
Breast and Axilla: Pathology and Diagnosis
457(1)
Breast Surgery (Noncosmetic)
457(4)
Surgery of the Thyroid and Parathyroid
461(1)
Anatomy of the Thyroid and Parathyroid
461(1)
Pathological Conditions of the Thyroid and Parathyroid Glands
461(1)
Thyroidectomy
461(1)
Tracheotomy
461(16)
Indications for Tracheotomy
461(6)
Illustrative Procedure: Tracheotomy
467(10)
CHAPTER 15 Obstetric and Gynecologic surgery
477(76)
Introduction to Obstetric and Gynecologic Surgery
478(1)
Anatomy
478(7)
Pelvis
478(3)
External Genitalia
481(1)
Vagina
481(1)
Uterus
482(1)
Fallopian Tubes
483(1)
Ovaries
483(2)
Pregnancy-A Special Condition
485(2)
Select Key Terms in Labor and Delivery
486(1)
Labor
486(1)
Special Instrumentation, Drugs, Equipment, and Supplies in Obstetric and Gynecologic surgery
487(7)
Instrumentation
467(20)
Drugs
487(7)
Equipment
494(1)
Supplies
494(1)
OR Setup and Basic Patient Positioning and Draping
494(1)
Surgical Procedures: Obstetrics and Fertility Related
494(59)
Pathology and Surgical Conditions: Obstetrics and Fertility Related
494(16)
Vaginal Delivery
495(2)
Cesarean Section
497(6)
Tubal Occlusion (Sterilization) Procedures
503(1)
Tuboplasty
504(3)
Laparoscopic Resection of Unruptured Tubal Pregnancy
507(3)
Surgical Procedures: Gynecologic Procedures
510(1)
Gynecologic Pathology
510(1)
Surgical Intervention: Overview
510(44)
Abdominal Incisions for Gynecologic Surgery
510(5)
Surgical Intervention: Laparoscopy
515(3)
Basic Colposcopy
518(1)
Hysteroscopy
518(3)
Marsupialization of Bartholin's Gland Cyst
521(1)
Simple Vulvectomy
521(3)
Anterior and Posterior Repair (Colporrhaphy)
524(9)
Cervical Biopsy, Cryotherapy, Laser Treatment, LEEP, and Conization
533(2)
Dilation and Curettage
535(3)
Myomectomy
538(4)
Total Abdominal Hysterectomy with Bilateral Salpingo-oophorectomy (TAH-BSO)
542(4)
Vaginal and Laparoscopically Assisted Vaginal Hysterectomy (LAVH)
546(1)
Radical Cancer Surgery: Total Pelvic Exenteration
547(6)
CHAPTER 16 Ophthalmic surgery
553(33)
Anatomy of the Eye
554(4)
Orbit
554(1)
Extrinsic Muscles
555(1)
Lacrimal System
555(1)
Globe
556(2)
Cavities and Chambers of the Eye
558(1)
Ophthalmic Surgical Pathology
558(2)
Glaucoma
558(1)
Cataract
558(1)
Small Retinal Detachment
558(1)
Large Retinal Detachment
558(1)
Vitreous Hemorrhage
558(1)
Proliferative Vitreoretinopathy (PVR)
559(1)
Traction Retinal Detachment
559(1)
Epiretinal Membrane
559(1)
Corneal Pathology
559(1)
Chalazion
559(1)
Pterygium
559(1)
Dacryocystitis
559(1)
Strabismus
559(1)
Ophthalmic Medications
560(1)
Special Considerations in Ophthalmic Surgery
560(2)
Special Equipment
560(1)
Instruments
561(1)
Surgical Intervention
562(24)
Surgical Repair of Ptosis
562(1)
Iridectomy
563(1)
Trabeculoplasty
563(1)
Strabismus Correction: Recession/Resection
563(3)
Adjustable Suture Surgery
566(1)
Scleral Buckle
567(4)
Enucleation and Evisceration of the Eye (Traditional Approach)
571(2)
Keratoplasty (Cornea I Transplant)
573(4)
Cataract Extraction
577(3)
Phacoemulsification
580(1)
Vitrectomy
580(6)
CHAPTER 17 Otorhinolaryngologic Surgery
586(58)
Anatomy of the Ear
587(2)
Outer Ear
587(1)
Middle Ear
588(1)
Inner Ear
588(1)
Pathology of the Ear
589(2)
Pathology Affecting the Outer Ear
589(1)
Pathology Affecting the Middle Ear
589(1)
Pathology Affecting the Inner Ear
590(1)
Diagnostic Procedures/Tests for the Ear
590(1)
Preoperative Considerations
591(1)
Special Instruments, Supplies, and Drugs
592(1)
Ear Procedures
592(9)
Myringotomy
592(4)
Myringoplasty/Tympanoplasty
596(4)
Mastoidectomy
600(1)
Stapedectomy
600(1)
Stapedotomy
600(1)
Cochlear Implants
601(1)
Anatomy of the Nose and sinuses
601(2)
External Nose
601(1)
Internal Nose
601(1)
Paranasal sinuses
602(1)
Blood Supply to the Nose
602(1)
Olfaction
603(1)
Pathology of the Nose and Paranasal Sinuses
603(2)
Rhinitis/Sinusitis
603(1)
Nasal Polyps
604(1)
Hypertrophied Turbinates
604(1)
Deviated Nasal Septum
604(1)
Septal Perforation
604(1)
Epistaxis
604(1)
Diagnostic Procedures/Tests
605(1)
Direct Vision
605(1)
Mirror Examination
605(1)
Radiography
605(1)
Preoperative Considerations
605(1)
Special Instruments, Supplies, and Drugs
606(3)
Nasal Procedures
609(9)
Submucous Resection (SMR)
609(3)
Polypectomy
612(1)
Intranasal Antrostomy
612(1)
Removal of Foreign Body
612(1)
Internal Maxillary Artery Ligation
613(1)
Sinus Procedures
613(1)
Caldwell-Luc
613(2)
Ethmoidectomy
615(1)
Sphenoidectomy
616(1)
Drainage of the Frontal Sinus
616(1)
Sinus Endoscopy
616(2)
Anatomy of the Upper Aerodigestive Tract
618(3)
Pharnx
618(2)
Larynx
620(1)
Trachea
621(1)
Bronchi and Lungs
621(1)
Esophagus
621(1)
Pathology Affecting the Upper Aerodigestive Tract
621(3)
Pharyngitis
621(1)
Epiglottitis
622(1)
Tonsillitis
622(1)
Sleep Apnea
623(1)
Laryngitis
623(1)
Polypoid Corditis or Vocal Cord Polyps
623(1)
Vocal Cord Nodules
623(1)
Vocal Cord Granulomas
623(1)
Laryngeal Neoplasms
624(1)
Tracheitis and Bronchitis
624(1)
Laryngotracheobronchitis (Croup)
624(1)
Foreign Bodies
624(1)
Pathology Affecting the Esophagus
624(1)
Esophagitis
624(1)
Ulceration of the Esophagus
624(1)
Neoplasms Affecting the Esophagus
624(1)
Foreign Bodies
625(1)
Zenker's Diverticulum
625(1)
Diagnostic Procedures/Tests
625(1)
Direct Visualization
625(1)
Indirect Visualization
625(1)
Laboratory Tests
625(1)
Radiologic Examinations
625(1)
Videostroboscopy
626(1)
Polysomnography
626(1)
Multiple Sleep Latency Test (MSLT)
626(1)
Preoperative Considerations
626(1)
Special instruments, Supplies, and Drugs
626(2)
Aerodigestive Tract Procedures
628(16)
Adenoidectomy
628(1)
Tonsillectomy
628(3)
Incision and Drainage of a Peritonsillar Abscess
631(1)
Uvulopalatopharyngoplasty
631(2)
Laryngoscopy
633(3)
Bronchoscopy
636(1)
Esophagoscopy
636(1)
Panendoscopy
636(1)
Radical Neck Dissection with Mandibulectomy
636(8)
CHAPTER 18 Oral and Maxillofacial surgery
644(40)
Anatomy of the Oral Cavity
645(1)
Lips
645(1)
Teeth
645(1)
Palate
646(1)
Cheeks
646(1)
Tongue
646(1)
Anatomy of the Face and Cranium
646(2)
Orbit
647(1)
Facial Muscles and Innervation
647(1)
Embryologic Development of the Face
648(1)
Pathology of the Oral Cavity
649(2)
Mouth
649(1)
Jaw Bones
649(1)
Mandibular Fractures
649(1)
Frontal Fractures
650(1)
Orbital Fractures
650(1)
Zygomatic Fractures
650(1)
Midfacial Fractures
651(1)
Craniofacial Deformities
651(1)
Diagnostic Tests
651(1)
Oral Procedures: General Considerations
652(6)
Tooth Extraction/Odontectomy
653(4)
Tooth Restoration
657(1)
Implantation
657(1)
Maxillofacial Procedures: General Considerations
658(26)
Graft Materials
658(1)
Repair of Mandibular/Maxillary Fractures
659(1)
Application of Arch Bars
659(3)
Wire Fixation
662(1)
Plate and Screw Fixation of Mandibular Fracture
663(3)
Frontal Fracture Repair
666(1)
Orbital Floor Fracture Repair
667(3)
Reduction of Zygomatic Fractures
670(1)
Le Fort I Fracture Repair
671(4)
Le Fort II and III Fracture Repair
675(1)
Craniofacial Reconstruction
675(4)
Correction of Retrognathism or Prognathism
679(3)
Temporomandibular Joint Procedures
682(2)
CHAPTER 19 Plastic and Reconstructive surgery
684(47)
Anatomy
685(9)
Skin and Underlying Structures
685(2)
Palate
687(1)
Nose
687(1)
Hand
687(7)
Breast
694(1)
Surgical Pathology
694(7)
Pathology Affecting the Skin
694(2)
Cleft Lip and Palate
696(1)
Pathology Affecting the Hand
697(4)
Pathology Affecting the Breast
701(1)
Diagnostic Procedures and Tests
701(1)
Special Instrumentation, Supplies, Drugs, and Equipment
701(3)
Nasal Set
701(1)
Dermatome
702(2)
Mesh Graft Device
704(1)
Surgical Intervention
704(27)
Rhytidectomy
704(2)
Blepharoplasty
706(1)
Suction Lipectomy
707(1)
Abdominoplasty
708(1)
Skin Grafts
709(4)
Dermabrasion
713(1)
Scar Revision
713(1)
Cheiloplasty and Palatoplasty
713(1)
Rhinoplasty
714(2)
Hand Surgery
716(7)
Mammoplasty
723(8)
CHAPTER 20 Genitourinary Surgery
731(60)
Anatomy
732(7)
Suprarenal Glands
732(1)
Kidneys
732(3)
Ureters
735(1)
Urinary Bladder
736(1)
Male Reproductive System
737(2)
Pathology Affecting the Adrenal Glands
739(1)
Cushing's Syndrome
739(1)
Adrenal Insufficiency (Addison's Disease)
739(1)
Pheochromocytoma
739(1)
Pathology Affecting the Urinary system
739(4)
Bladder Tumors
739(1)
Urinary Calculi
740(1)
Kidney Disorders
740(3)
Pathology Affecting the Male Reproductive System
743(2)
Phimosis
743(1)
Hypospadias/Epispadias
743(1)
Benign Prostatic Hypertrophy
743(1)
Cancer of the Prostate
744(1)
Cryptorchidism
744(1)
Testicular Torsion
744(1)
Testicular Cancer
744(1)
Trauma to the Genitourinary System
745(1)
Diagnostic Procedures/Tests
745(6)
History and Physical
745(1)
Laboratory Findings
745(6)
Radiologic Findings
751(1)
Biopsy
751(1)
Endoscopy
751(1)
Special Equipment, Instruments, Supplies, and Drugs
751(1)
Preoperative and Intraoperative Preparation
752(5)
Incisional Options
754(3)
Surgical Procedures
757(34)
Adrenalectomy
757(1)
Nephrectomy
757(5)
Renal Transplant
762(1)
Stone Removal
763(1)
Cystostomy
764(2)
Cystectomy/Ileal Conduit
766(5)
Procedures for Stress Incontinence Affecting Women
771(3)
Transurethral Endoscopy of the Genitourinary Tract
774(2)
Circumcision
776(2)
Orchiectomy
778(1)
Orchiopexy
778(3)
Hydrocelectomy
781(1)
Varicocelectomy
781(1)
Hypospadias Repair
782(1)
Insertion of Inflatable Penile Prosthesis
782(1)
Vasectomy
783(1)
Vasovasostomy
784(1)
Prostatectomy
784(7)
CHAPTER 21 Orthopedic surgery
791(72)
Bone and Bone Tissue
792(6)
Bone Tissue
792(2)
Types of Bones
794(1)
Types of Joints
794(3)
Bone Growth and Bone Cells
797(1)
Intramembranous Bones
798(1)
Endochondral Bone
798(1)
Mineral storage
798(1)
Factors That Affect Bone Growth
798(1)
Clinical and Bone Landmark Terms
798(1)
Pathology
798(10)
Types of Fractures
805(1)
Normal Bone Healing
805(1)
Pathological Bone Healing
806(2)
Diagnostic Terms and Procedures
808(1)
The skeleton
808(10)
The Skull
808(3)
Vertebral Column
811(1)
Bones of the Thoracic Region
812(1)
Clavicles
812(1)
Scapula
812(1)
Pectoral Girdle
812(1)
Humerus
812(1)
Radius and Ulna
813(1)
Hand and Wrist
814(1)
Pelvis
814(1)
Hip and Femur
814(1)
Tibia and Fibula
814(2)
Ankle and Foot
816(2)
Equipment
818(3)
Positioning Devices
818(1)
Pneumatic Tourniquets
819(1)
Traction
819(1)
Laser
819(1)
Radiography
819(1)
Air Flow
820(1)
Continuous Passive Range-of-Motion Machines
820(1)
Transcutaneous Electric Nerve Stimulation
820(1)
Electrical Stimulation of Bone
820(1)
Saws, Drills, and Reamers
820(1)
Arthroscopic Equipment
820(1)
Supplies
821(1)
Implants
821(1)
Suture
821(1)
Methyl Methacrylate
821(1)
Pharmacology
821(1)
Procedures
822(41)
Bone Grafting
822(2)
Knee Arthroscopy
824(3)
Arthroscopic Repair of Meniscal Tear
827(3)
Arthroscopic Anterior Cruciate Ligament Repair
830(2)
Above-the-Knee Amputation
832(1)
Endoscopic Carpal Tunnel Release
832(3)
Colles' Fracture
835(5)
Metacarpal Phalangeal Joint Arthroplasty
840(1)
Triple Arthrodesis
840(1)
Achilles Tendon Repair
841(1)
Bunionectomy
842(1)
Open Reduction-Internal Fixation of the Humerus
842(3)
Shoulder Joint Arthroscopy
845(1)
Acromioplasty
846(1)
Repair of Rotator Cuff
846(5)
Internal Fixation of Femoral Shaft Fracture
851(1)
Repair of Hip Fracture
852(1)
Total Hip Arthroplasty
853(6)
Total Knee Arthroplasty
859(4)
CHAPTER 22 Cardiothoracic surgery
863(64)
Anatomy of the Chest
864(4)
The Thorax
864(2)
The Trachea
866(1)
The Bronchial Tree
866(1)
The Lungs
867(1)
Anatomy and Physiology of the Heart
868(5)
Location of the Heart
868(1)
Coverings of the Heart
869(1)
The Heart Wall
869(1)
The Heart Chambers
869(1)
The Heart Valves
869(1)
Blood Flow Through the Heart
870(1)
Blood Supply for the Heart
871(1)
The Cardiac Cycle
871(1)
Cardiac Output
872(1)
Cardiac Conduction
872(1)
Anatomical Development of the Heart
872(1)
Operative Pathology
873(14)
The Chest Wall
873(1)
The Mediastinum
873(1)
The Lungs
874(1)
Thoracic Trauma
875(2)
Thoracic Outlet Syndrome
877(1)
Thoracic Aortic Aneurysm
877(2)
Coronary Artery Disease
879(2)
Valvular Disease
881(1)
Cardiomyopathy
882(1)
Cardiac Dysrhythmias
882(2)
Congenital Heart Defects
884(3)
Diagnostic Procedures: Thorax
887(2)
Bronchoscopy
887(1)
Mediastinoscopy
887(1)
Thoracoscopy
887(2)
Thoracentesis
889(1)
Diagnostic Procedures: Cardiac
889(1)
Radiologic Studies
889(1)
Surgical Intervention: Thoracic
889(11)
Special Preoperative Considerations
889(1)
Special Instrumentation, Supplies, Drugs, and Equipment
889(1)
Patient Preparation
890(2)
Thoracoscopy
892(3)
Scalene/Supraclavicular Node Biopsy
895(1)
Thoracotomy for Upper Lobectomy
895(4)
Thoracotomy for Right Pneumonectomy
899(1)
Thoracotomy for Wedge Resection or Segmentectomy
899(1)
Decortication of Lung
899(1)
Surgical Intervention: Cardiac (Adult)
900(21)
Preoperative Considerations
900(1)
Patient Preparation
901(1)
Techniques of Cardiopulmonary Bypass
901(3)
Mechanical Circulatory Assistance
904(1)
Coronary Artery Bypass Grafting
905(6)
Aortic Valve Replacement
911(5)
Mitral Valve Replacement
916(1)
Thoracic Aortic Aneurysmectomy
917(1)
Pericardiectomy/Pericardial Window
918(1)
Heart Transplantation
919(1)
Permanent Pacemaker Insertion
920(1)
Percutaneous Transluminal Coronary Angioplasty
921(1)
Surgical Intervention: Cardiac (Pediatric)
921(6)
Special Preoperative Preparation
922(1)
Atrial Septal Defect
922(1)
Ventricular Septal Defect
922(1)
Patent Ductus Arteriosus
923(1)
Correction of Aortic Coarctation
924(1)
Procedure for Correction of Tetralogy of Fallot
924(1)
Procedure for Correction of Transposition of the Great Arteries
925(2)
CHAPTER 23 Peripheral Vascular surgery
927(38)
Peripheral Vascular Surgery
928(1)
Surgical Anatomy
928(6)
Blood Vessels
928(2)
Blood Pressure
930(1)
The Arterial System
931(2)
The Venous System
933(1)
Operative Pathology and Diagnosis
934(3)
Arterial Embolism
935(1)
Arteriosclerosis Obliterans
935(1)
Aneurysms of the Abdominal Aorta
936(1)
Surgical Interventions
937(28)
Peripheral Vessel Angioplasty
937(2)
Bypass Grafting and Endarterectomy
939(1)
Features of Peripheral Vascular Procedures
940(3)
Aortofemoral Bypass
943(4)
Abdominal Aortic Aneurysmectomy
947(3)
Femoropopliteal Bypass
950(4)
Femorofemoral Bypass
954(2)
Axillofemoral Bypass
956(3)
Carotid Endarterectomy
959(6)
CHAPTER 24 Neurosurgery
965(60)
Surgical Anatomy
966(10)
Divisions of the Nervous System
966(1)
Cranium
966(7)
Vertebral Column
973(1)
Blood Supply
974(1)
Cranial Nerves
974(1)
Spinal Nerves
974(2)
Neurosurgical Pathology
976(8)
Cervical Spine
976(1)
Thoracic Spine
977(1)
Lumbar Spine
978(1)
Neoplasms
979(1)
Head Injury
980(2)
Spinal Cord Injury
982(1)
Cerebrovascular Disease
982(1)
Congenital Abnormalities
983(1)
Infection
984(2)
Abscess
984(1)
Spinal Tumors
985(1)
Peripheral Nerve Disorders
985(1)
Neurosurgical Procedures
986(36)
Special Instrumentation, Supplies, Drugs, and Equipment
986(4)
Patient Preparation
990(1)
Craniotomy
991(10)
Craniectomy
1001(4)
Ventriculoperitoneal and Ventriculoatrial Shunt
1005(3)
Transphenoidal Hypophysectomy
1008(3)
Stereotactic Procedures
1011(1)
Cranioplasty
1012(1)
Spinal Procedures
1012(8)
Peripheral Nerve Procedures
1020(2)
Advances in Neurosurgery
1022(3)
Intraoperative MRI
1022(1)
Three-Dimensional Reconstruction
1022(1)
Radiosurgery
1022(1)
Minimally Invasive Techniques
1022(1)
Stereotaxis
1022(1)
lntraoperative Ultrasound
1023(1)
Brain Mapping
1023(1)
Endoscopic Neurosurgery
1023(1)
Deep Brain Stimulation
1023(2)
Appendix A Anatomy Plates 1025(11)
Appendix B Common Prefixes and Suffixes 1036(3)
Appendix C Measurements 1039(2)
Glossary 1041(30)
Index 1071


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