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Chassin’s Operative Strategy in General Surgery: An Expositive Atlas PDF

1087 Pages·2013·76.133 MB·English
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Chassin's Operative Strategy in General Surgery Carol E.H. Scott-Conner Editor Chassin's Operative Strategy in General Surgery An Expositive Atlas Fourth Edition Illustrations by Caspar Henselmann Editor Carol E.H. Scott-Conner Department of Surgery Roy J. and Lucille A. Carver College of Medicine University of Iowa Iowa City , IA USA ISBN 978-1-4614-1392-9 ISBN 978-1-4614-1393-6 (eBook) DOI 10.1007/978-1-4614-1393-6 Springer New York Heidelberg Dordrecht London Library of Congress Control Number: 2013954875 © Springer Science+Business Media New York 2014 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher's location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) To Harry, my helpmeet throughout all things. Dr. Chassin’s Foreword to the Third Edition Eight years have passed since the publication of the second edition of this atlas. During that period, I retired from the practice of surgery and from the chairmanship of the Department of Surgery at the New York Hospital Medical Center of Queens, concluding an exciting and stimulating run of 34 years, the highlight of which was teaching several generations of residents the intellectual and technical details of surgery. A vital component of this program was the atlas Operative Strategy in General Surgery , the fi rst edition of which was published in 1980. The success of this work was due in large part to the fact that it was based on my day- to- day learning and teaching in the operating room. Having retired from the operating room, I felt that I could not produce a quality, up-to-date product for the third edition of this work. Fortunately, we were able to recruit an outstanding surgeon-teacher to edit the third edition. Dr. Carol Scott-Conner, whom I taught when she was a resident in 1980, has the intellect, teaching skills, and drive to have functioned as an author, surgeon, teacher, and Head of the Department of Surgery at the University of Iowa. In editing this volume, she has reviewed each chapter to make sure that the text and references are up to date. Although the previous editions were the work of a single author (me), it is a fact that surgery and medical science have advanced so rapidly that it is no longer feasible for a single author to write a comprehen- sive surgical text like this one. Consequently, 13 prominent surgeons have each contributed a chapter that reviews and analyzes recent advances in the fi elds of the contributor’s special expertise. Eight new operations have been added, most of which are laparoscopic procedures. In addition, 77 operations from my last edition, having proven themselves worthy by the test of time, are included in this volume, together with the meticulous operating room illustrations by Caspar Henselmann. Many of these procedures are complex, such as esophagectomy, total colectomy with ileoanal pouch, and pancreatoduodenectomy. Special attention has been paid to emphasize in the drawings the detailed teaching points that will make these operations safe for the patient. I hope that our combined efforts have produced an atlas that you will fi nd useful. New York, NY, USA Jameson L. Chassin, MD vii Dr. Spencer’s Foreword to the First Edition 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 superbly qualifi ed 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 York 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 diagnosis correct? If it was, then the cause of the complication is usually either an inadequate operative technique or a fl awed concept underlying the selection of the operative procedure. When the surgical technique seems faultless, a postoperative complication would strongly indicate that the concept was errone- ous, albeit cherished perhaps for decades. Unlike any other atlas on operative technique, this book specifi cally discusses the concep- tual basis of the operation as well as the strategy that will help the surgeon avoid common pitfalls. The operative technique is then described step by step. I am confi dent that in the years ahead this atlas will be regarded as one of the major contri- butions to our literature of surgical technique. New York, NY, USA Frank C. Spencer, MD ix

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