Operative Dictations in General and Vascular Surgery PDF
Preview Operative Dictations in General and Vascular Surgery
Operative Dictations in General and Vascular Surgery Jamal J. Hoballah Carol E.H. Scott-Conner Editors Operative Dictations in General and Vascular Surgery Second edition Editors Jamal J. Hoballah, MD, MBA, Carol E.H. Scott-Conner, MD, PhD, FACS MBA, FACS Professor and Chairman Professor of Surgery Department of Surgery Department of Surgery American University of Beirut University of Iowa Carver College Medical Center of Medicine Beirut, Lebanon Iowa City, IA, USA [email protected] Professor of Surgery Department of Surgery Vascular Surgery Division University of Iowa Carver College of Medicine Iowa City, IA, USA [email protected] ISBN 978-1-4614-0450-7 e-ISBN 978-1-4614-0451-4 DOI 10.1007/978-1-4614-0451-4 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2011935376 © Springer Science+Business Media, LLC 2011 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, 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 (CSC) To Leila, Jawad, Nader and Wafa (JJH) Preface A SPECIAL WORD TO SURGICAL RESIDENTS AND FELLOWS Surgeons love to operate, but nobody likes paperwork. The opera- tive dictation, or “op note” as it is commonly called, is one of the most important pieces of paperwork that a surgeon creates. Accurately recording what happened in the operating room – what the indications were, what was found, what was done, who was there, what sutures and devices were used, what individual differences in anatomy were encountered – is a crucial skill that all surgeons must learn. Yet, surgical residents rarely receive detailed instruction in how to dictate concise, informative opera- tive notes. Quite simply, this is a book we wish we had had when we were residents. It is a book we want our residents to have and to use. Personalize your copy. Use the space labeled “notes” to take note of particular technical variations favored by the various attending surgeons with whom you scrub. Note their preferences in suture materials, patient positioning, and other small details. Make it your practice to review this material before scrubbing on a case. Surgery is made up of thousands of small details. Note what works well, and what is less useful. Sooner than you might believe, you will be facing your board exams and working independently. When you do, this book will help you recall everything you have learned, and help you to determine your own technical preferences. We hope you will enjoy using this unique resource. We wel- come your comments or suggestions. Jamal J. Hoballah Carol E.H. Scott-Conner vii Introduction The second edition of this book, once again, seeks to put a world of technical information in your pocket, or OR locker. A total of 60 new operations have been added, expanding the content by more than 35%. A large number of endovascular procedures have been added in the second edition, reflecting the changes in the manage- ment of vascular pathology. The volume has two primary objectives. First, it is designed to serve as a source of model operative dictations that may be individualized and used as templates. Second, it is intended as an aide-memoir, giving the surgeon a short list of pertinent informa- tion about each procedure. Ample space is provided to allow each surgeon to add notes. By reviewing this introductory material before scrubbing on a procedure, the trainee surgeon will enter the operating room better prepared to participate actively and to learn as much as possible. At the end of training, this book, with the notes accumulated by the resident, will serve as an invaluable review resource analogous to the individualized notebooks many surgeons keep. The first edition was noted to be very valuable by graduating surgical trainees in preparation for the certifying exam of the American Board of Surgery. This book is also intended for practicing surgeons, who may modify each template to reflect their own individual practice. It also serves as a concise reminder of essential steps in those opera- tions that may be only rarely performed. Here you will find concise summaries of 226 operations. This comprises the majority of procedures commonly performed by general and vascular surgeons. For each procedure, a list of com- mon indications is given. This list is by no means exhaustive, but ix
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