Farquharson's Textbook of Operative General Surgery PDF
Preview Farquharson's Textbook of Operative General Surgery
TENTH EDITION FARQUHARSON’S FARQUHARSON’S TEXTBOOK OF OPERATIVE TEXTBOOK OF OPERATIVE GENERAL SURGERY GENERAL SURGERY TENTH EDITION Sixty years after its first publication, Farquharson’s Textbook of Operative General Surgery is firmly established as a classic textbook for general surgeons throughout the world, whether they are just embarking on training or are well established in their career. This tenth edition has been fully revised and updated, while retaining the core philosophy that has ensured its popularity over six decades – to provide an authoritative guide to TENTH EDITION operative surgery for the general surgeon in a manageable single volume. Farquharson’s Textbook of Operative General Surgery covers not only basic techniques for the junior trainee but all the common operations in the general surgical subspecialties which are likely to be encountered during higher surgical training. In addition, the needs of a general surgeon who may be the only surgeon in a remote hospital are addressed. Such surgeons may have to offer a limited service in orthopaedics, neurosurgery, urology and obstetrics. Relevant procedures are therefore described for the experienced general surgeon who may have to GT operate in another surgical discipline. EE NX T E Features RB Comprehensive coverage of all aspects of operative general surgery AO LO Over 600 full colour illustrations to aid understanding SK Updated to reflect current practice and procedures U O R Consistency of style across chapters to enhance readability GF O Expert contributors and advisers for specialist chapters E RP YE Authors R Margaret Farquharson FRCSEd Formerly Consultant Surgeon, Hampshire Hospitals Foundation Trust, A Basingstoke, UK. T I James Hollingshead MSc, FRCS(Gen Surg) Surgical Registrar, North West Thames, London, UK. V E Brendan Moran MCh, FRCSI Consultant Surgeon, Hampshire Hospitals Foundation Trust, Basingstoke, UK; Honorary Senior Lecturer, Southampton University, Southampton, UK. HF oa Mllrq oringuh Margaret Farquharson, James Hollingshead asa nhr easo and Brendan Moran dn K17791 ISBN: 978-1-4441-7592-9 90000 9 781444 175929 vip.persianss.ir K17791_Cover.indd All Pages 8/22/14 12:02 PM FARQUHARSON’S TEXTBOOK OF OPERATIVE GENERAL SURGERY TENTH EDITION Edited by Margaret Farquharson FRCSEd Formerly Consultant Surgeon Hampshire Hospitals Foundation Trust Basingstoke, UK James Hollingshead MSc, FRCS(Gen Surg) Surgical Registrar North West Thames London, UK Brendan Moran MCh, FRCSI Consultant Surgeon Hampshire Hospitals Foundation Trust Basingstoke, UK Honorary Senior Lecturer, Southampton University Southampton, UK vip.persianss.ir FM.indd 2 31/07/14 3:06 PM FARQUHARSON’S TEXTBOOK OF OPERATIVE GENERAL SURGERY vip.persianss.ir FM.indd 1 31/07/14 3:06 PM FARQUHARSON’S TEXTBOOK OF OPERATIVE GENERAL SURGERY TENTH EDITION Edited by Margaret Farquharson FRCSEd Formerly Consultant Surgeon Hampshire Hospitals Foundation Trust Basingstoke, UK James Hollingshead MSc, FRCS(Gen Surg) Surgical Registrar North West Thames London, UK Brendan Moran MCh, FRCSI Consultant Surgeon Hampshire Hospitals Foundation Trust Basingstoke, UK Honorary Senior Lecturer, Southampton University Southampton, UK vip.persianss.ir FM.indd 2 31/07/14 3:06 PM FARQUHARSON’S TEXTBOOK OF OPERATIVE GENERAL SURGERY TENTH EDITION Edited by Margaret Farquharson FRCSEd Formerly Consultant Surgeon Hampshire Hospitals Foundation Trust Basingstoke, UK James Hollingshead MSc, FRCS(Gen Surg) Surgical Registrar North West Thames London, UK Brendan Moran MCh, FRCSI Consultant Surgeon Hampshire Hospitals Foundation Trust Basingstoke, UK Honorary Senior Lecturer, Southampton University Southampton, UK vip.persianss.ir FM.indd 3 31/07/14 3:06 PM CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2015 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20140825 International Standard Book Number-13: 978-1-4441-7593-6 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. 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Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechani- cal, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright.com (http://www.copyright.com/) or contact the Copy- right Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com vip.persianss.ir Contents Preface to the First Edition vii Preface to the Tenth Edition viii Acknowledgements ix Contributors x CHAPTERS 1. Skills and tools: knots to robots 1 2. Surgery of the skin and subcutaneous tissue 15 3. Surgery of the breast and axilla 31 4. Soft tissue surgery: muscles, tendons, ligaments and nerves 45 5. Surgery of bone and amputations 63 6. Vascular surgical techniques: vascular access and trauma 85 7. Operative management of vascular disease 107 8. Cardiothoracic surgery for the general surgeon 137 9. Neurosurgery for the general surgeon 151 10. Surgery of the neck 165 11. Surgery of the face and jaws 189 12. Special considerations in abdominal and gastrointestinal surgery 201 13. Surgical access to the abdomen and surgery of the abdominal wall 209 14. General techniques in abdominal and gastrointestinal surgery 227 15. Emergency abdominal surgery 241 16. Surgery of intra-abdominal malignancy 255 17. Classic operations on the upper gastrointestinal tract 263 18. Operative management of upper gastrointestinal disease 291 19. Gallbladder and biliary surgery 321 20. Surgery of the pancreas, spleen and adrenal glands 339 21. Surgery of the liver 359 22. Classic operations on the small and large bowel 377 23. Operative management of small and large bowel disease 411 vip.persianss.ir FM.indd 5 31/07/14 3:06 PM 24. Surgery of the anus and perineum 435 25. Surgery of the groin and external genitalia 459 26. Urological surgery for the general surgeon 483 27. Gynaecology and obstetrics for the general surgeon 503 Appendix I: Preoperative preparation 517 Appendix II: Intraoperative care 525 Appendix III: Postoperative care 533 Index 541 vip.persianss.ir FM.indd 6 31/07/14 3:06 PM Preface to the First Edition (1954) Most recently published works on operative surgery are the In most sections an attempt has been made to include a product of multiple authorship – the work of a number of short review of the surgical anatomy of the part; indications eminent authorities, each writing on the specialty he has for the operation, the choice of procedure, and the pre- and made his own. In support of such composite works, it is often post-operative treatment have been discussed where stated that the progress of operative surgery in its many and pertinent. Operations which are less frequently performed, varied branches has made the subject too vast to be covered and also those which lie more strictly within the specialised adequately by a single author. It is with considerable fields, are described more briefly. In this way it has been diffidence, therefore, that I have approached such a task, but found possible to contain the work within a single volume of I have felt that there was scope for a one-volume book written reasonable size. by a general surgeon, and designed to present, as far as In the specialised fields of surgery I have sought the advice possible, the whole subject of operative surgery in balanced of several colleagues, and their help, which is acknowledged perspective from the viewpoint of the general surgeon. later, has been invaluable to me. Many of the views, however, With these aims in view, I have endeavoured to describe, that I have expressed on matters pertaining to their specialties, in detail and with adequate illustrations, all the operations together with the responsibilities for such, are entirely which the junior is likely to undertake himself, and also the my own. more commonly performed operations in which he may have to assist. In the specialised fields of surgery I have described in the same manner such operations as the general surgeon may at times be required to undertake when more expert help is not available. Eric L. Farquharson 1905–1970 This photograph was taken around the time of the publication of the First Edition vip.persianss.ir FM.indd 7 31/07/14 3:06 PM Preface to the Tenth Edition Eric Farquharson was a young consultant at Edinburgh Royal operations without supervision, unforeseen circumstances Infirmary when Operative Surgery was first published in can still arise. With increasing specialisation, even experienced 1954, but it was as a General Surgical trainee in the 1930s that surgeons can sometimes be involved in a surgical emergency, he started the project. Surgical training was then very or an intraoperative complication, requiring an operative different from that of today and he perceived the need for a procedure in a subspecialty other than their own. textbook that could guide a trainee surgeon through an A short list of references is given at the end of each chapter. unfamiliar operation. He did not set out to write a technical These are a personal selection, including some interesting step by step manual but rather a book which, in addition to historical papers, but no attempt has been made to provide a describing the anatomy and operative details, would explain comprehensive bibliography. the aims of an operation and give guidance where there was In many parts of the world General Surgery has remained a choice of surgical options. The difficulties that might be a more all-encompassing surgical discipline and in remote encountered were explored and the basis on which hospitals General Surgeons may be the only surgical intraoperative decisions had to be made was discussed. specialists. When transfer and referral options are unavailable, During the 1960s and 70s the book became a standard text these surgeons may have to offer a limited service in for the old Surgical Fellowship examinations when a orthopaedics, neurosurgery, urology and obstetrics. For this candidate was expected to describe a wide range of operations. reason some operations in other surgical disciplines are Eric Farquharson’s vision, though, was less of an examination included, and here the emphasis is more on what might be text, confined to a library, but more of a book that would be achievable in difficult circumstances rather than a more readily available in the operating theatre and of value to the sophisticated procedure if this would be impractical outside practising surgeon. a specialist centre. Surgical training has changed and General Surgery has When many specialists are involved, balance and fragmented in many countries into a number of subspecialties, consistency of style become increasingly challenging. Eric though there is still a need for a broad range of knowledge Farquharson was very aware of this difficulty and advocated and skills for all who participate in the emergency surgical single authorship as the only practical solution. This is no on-call rota. Therefore, as editors we have strived to remain longer possible and most chapters are now a collaborative faithful to the original philosophy. The additional editor effort between the editors and one or more other contributors. since the last edition is a grandson of Eric Farquharson. He is However, consistency and cross-referencing between chapters at the same stage of his surgical career as his grandfather was have remained of paramount importance during the when he planned the First Edition and has been in the ideal editorship. position to contribute from the perspective of the trainee. We hope that this classic textbook will remain of value to The book has been extensively updated with the involvement General Surgeons, whether already well established in surgery of many surgical specialists. All the common operations in or just embarking on a surgical career. the General Surgical subspecialties that are likely to be encountered during Higher Surgical Training are described and, additionally, basic techniques are explained for the Margaret Farquharson junior trainee. Although surgeons in training no longer James Hollingshead anticipate that they will be expected to undertake unfamiliar Brendan Moran vip.persianss.ir FM.indd 8 31/07/14 3:06 PM
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