Operative Dictations in General and Vascular Surgery: Operative Dictations Made Simple PDF
Preview Operative Dictations in General and Vascular Surgery: Operative Dictations Made Simple
Operative Dictations in General and Vascular Surgery Operative Dictations in General and Vascular Surgery Operative Dictations Made Simple Jamal J. Hoballah, M.D., M.BA. Professor and Chairman, Division of Vascular Surgery, Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa Carol E.H. Scott-Conner, M.D., Ph.D., M.DA. Professor and Head, Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa Editors ~ Springer Jamal J. Hoballah. M.D .. M.B.A. Carol E.H. Scott-Conner. M.D .. Ph.D., Profe,sor and Chairman M.B.A. Division of Va,cular Surgery Professor and Head Department of Surgery Department of Surgery University of Iowa Hospitals and Clinics University of Iowa Hospitals and Clinics Iowa City, IA 52242-1086 Iowa City, IA 52242-1086 USA USA j [email protected] [email protected] Operative dictations in general and vascular surgery: operative dictations made simple I editors, Jamal J. Hoballah, Carol E.H. Scott-Conner. p. ; em. Includes bibliographical references and index. ISBN 978-0-387-95589-6 ISBN 978-1-4757-4167-4 (eBook) DOI 10.1007/978-1-4757-4167-4 l. Surgery, Operative. 2. Blood-vessels-Surgery. 3. Surgery. 1. Title: Operative dictations made simple. II. Hoballah, Jamal 1. III. Scott-Conner. Carol E.H. [DNLM: 1. Surgical Procedures, Operative-methods. 2. Vascular Surgical Procedures methods. WO 500 060132003] RD32.0583 2003 2002030574 617'.91-dc21 Additional material to this book can be downloaded from hUp:llextras.springer.com. ISBN 978-0-387-95589-6 Printed on acid-free paper. <D 2006 Springer Science+Business Media New York Originally published by Springer Science+Business Media, LLC in 2006 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher Springer SciencerBusiness Media, LLC, except for hrief 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 forbiddcn. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identilicd as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. 9 8 7 6 springer.com Preface A Special Word to Surgical Residents and Fellows Surgeons love to operate, but nobody likes paperwork. The op erative 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 de tailed 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 at tending 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 inde pendently. 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, M.D., M.B.A. [email protected] Carol E.H. Scott-Conner, M.D., Ph.D., M.B.A. [email protected] Contents Preface .. . . . .. . ...... ....... . . . . ........ v Contributors xix Introduction .................. . . .. .. . ... . xxv PARTI GENERAL SURGERY Section I Esophagus 1 Esophagectomy: Right Thoracotomy and Laparotomy with Thoracic Anastomosis 2 Benjamin E. Schneider 2 Esophagectomy: Right Thoracotomy and Laparotomy with Cervical Anastomosis .. . . . 6 Benjamin E. Schneider 3 Esophagogastrectomy.................. 12 Natisha Busick 4 Transhiatal Esophagectomy . . . . . . . . . . .. .. 18 Benjamin E. Schneider 5 Transabdominal Nissen Fundoplication . . . . . 22 Kevin F. Satisky 6 Laparoscopic Nissen Fundoplication . . . . . .. 26 Kevin F. Satisky 7 Transthoracic Collis Gastroplasty and Nissen Fundoplication ... .. .. . ..... . .. . ... . .. 30 Natisha Busick 8 Cricopharyngeal Myotomy and Operation for Pharyngoesophageal (Zenker's) Diverticulum . . . . . . . . . . . . . . . . . . . .3 4. . . . . Benjamin E. Schneider 9 Esophagomyotomy for Achalasia and Diffuse Esophageal Spasm ........ . . . . .. 36 Carol E.H. Scott-Conner 10 Laparoscopic Esophagomyotomy . . . . . . . . 3.8. Benjamin E. Schneider Section II Stomach and Duodenum 11 Gastrojejunostomy ......... . ... . . . .... 42 Natisha Busick viii CONTENTS 12 Proximal Gastric Vagotomy . . . . . . . . . ... . 4. 6 Carol EH. Scott-Conner 13 Truncal Vagotomy and Pyloroplasty . . . . . . . 50 Carol EH. Scott-Conner 14 Partial Gastrectomy with Billroth I Reconstruction ....................... 54 Roy R. Danks 15 Partial Gastrectomy with Billroth II Reconstruction . . . . ............ . . . .... 58 Roy R. Danks 16 Plication of Perforated Peptic Ulcer. . . . . ... 64 Georgios Tsoulfas 17 Laparoscopic Plication of Perforated Ulcer .. . . . . . . . . . . . . . . .. . . 66. . Roy R. Danks 18 Gastrostomy......................... 70 Carol EH. Scott-Conner 19 Percutaneous Endoscopic Gastrostomy ... . . 72 Mazen M. Hashisho 20 Radical Subtotal Gastrectomy for Cancer 74 Mazen M. Hashisho, Roy R. Danks, and Mario Martinasevic 21 Total Gastrectomy. . . . . . . . . . . . . . . . .8 0. . . . Mario Martinasevic 22 Vertical Banded Gastroplasty . ...... . .. . . 84 Mario Martinasevic 23 Roux-en-Y Gastric Bypass for Obesity . . . . .. 88 Yi-Homg Lee 24 Laparoscopic Roux-en-Y Gastric Bypass for Obesity . ...... . ........ . ......... 92 Yi-Homg Lee 25 Simple Excision of Duodenal Diverticulum 98 Roy R. Danks 26 Transduodenal Excision of Duodenal Diverticulum ............. . .... . . . . . . , 102 Roy R. Danks Section III Small Intestine and Appendix 27 Small Bowel Resection ... . ............. 106 Ross Bengtson CONTENTS ix ---- ---- - - - ---- -- - - ------- 28 Enterolysis for Intestinal Obstruction . . . . . . 110 Mazen M. Hashisho 29 Feeding Jejunostomy. . . . . . . . . . . . .. .. . 11.2 . Mazen M. Hashisho 30 Appendectomy ............... . . .. .... 114 Mohamad Allam 31 Laparoscopic Appendectomy . . . . . . . . . . . .. 118 Natisha Busick and Georgios Tsoulfas 32 Resection of Meckel's Diverticulum . . . . . . .12. 2 Ross Bengtson Section IV Large Intestine 33 Right Hemicolectomy . ................. 126 Carol E.H. Scott-Conner 34 Left Hemicolectomy .......... ... ...... 130 Nate Thepjatri 35 Low Anterior Resection . . . . . . . . . . . . . 13. 4. . . Nate Thepjatri 36 Abdominoperineal Resection . . . . . . . . . . 1.3 8. . Carol E.H. Scott-Conner 37 Subtotal Colectomy with Ileostomy and Hartmann's Pouch . .. . ................ 142 Mazen M. Hashisho 38 Total Proctocolectomy with Ileoanal Reservoir and Ileoanal Anastomosis . . . . . . .14. 6 Carol E.H. Scott-Conner 39 Total Proctocolectomy with Ileostomy . . . . .1. 50 Carol E.H. Scott-Conner 40 End Ileostomy . .. .. ...... . .. .. ....... 154 Kareem A. Hamdy 41 Loop Ileostomy . . . . . . . . . . . . . . . ... . 1. 5.8 . . Kareem A. Hamdy 42 Transverse Loop Colostomy. . . . . . . . . . . 1.6 2. . Kareem A. Hamdy 43 Closure of Transverse Loop Colostomy . . . . . 164 Kareem A. Hamdy 44 Subtotal Colectomy for Lower GI Bleeding .. 166 Mazen M. Hashisho 45 Hartmann's Procedure . . . . . . . . . . . . .. .. . 1. 70 Carol E.H. Scott-Conner x CONTENTS 46 Ripstein Procedure for Rectal Prolapse ... . . 174 Carol E.H. Scott-Conner Section V Anus, Rectum, and Pilonidal Region 47 Rubber Band Ligation of Hemorrhoids . .... 176 Shauna Lorenzo-Rivero 48 Hemorrhoidectomy . .. . ... . ............ 178 Shauna Lorenzo-Rivero 49 Drainage of Perirectal Abscess . . . . . . . . . .1 8.0 . Shauna Lorenzo-Rivero 50 Anorectal Fistulotomy . . . . . . . . . . . .. .. . 1.8 .2 Shauna Lorenzo-Rivero 51 Lateral Internal Sphincterotomy for Chronic Anal Fissure . . . . . . . . . . . . . . . 184. . . . Shauna Lorenzo-Rivero 52 Anoplasty for Anal Stenosis. . . . . . . . . ... . .1 86 Carol E.H. Scott-Conner 53 Marsupialization of Pilonidal Sinus . . . ..... 188 Mohamad Allam 54 Excision and Primary Closure of Pilonidal Sinus . . .................... . 190 Mohamad Allam Section VI Hepatobiliary Tract 55 Cholecystectomy......... . .... . ...... . 192 Mazen M. Hashisho 56 Laparoscopic Cholecystectomy ... . ..... .. 196 Mazen M. Hashisho 57 Open Common Bile Duct Exploration ..... . 200 Christopher T. Bunch 58 Roux-en-Y Hepaticojejunostomy or Choledochojejunostomy ...... . ......... 204 Natisha Busick 59 Carcinoma of Hepatic Duct Bifurcation . . . . . 210 Natisha Busick 60 Hepatic Wedge Resection .... ... .. ...... 216 Georgios Tsoulfas 61 Right Hepatic Lobectomy ............... 218 Georgios Tsoulfas 62 Left Hepatic Lobectomy .... . .. ......... 222 Georgios Tsoulfas CONTENTS xi Section VII Pancreas 63 Partial Pancreaticoduodenectomy (Whipple Procedure) . ..... . ......... . .. 226 Natisha Busick 64 Total Pancreaticoduodenectomy .......... 232 Natisha Busick 65 Distal Pancreatectomy . . . . . . . . . . . . . . 23.8 . . . Natisha Busick 66 Pancreatic Cystogastrostomy 242 Natisha Busick 67 Pancreaticojejunostomy (Puestow Procedure) ........ . ........ . .. 246 Andrew A. Fedder Section VIII Spleen 68 Splenectomy (Open) for Disease 250 Charles H. Mosher 69 Laparoscopic Splenectomy . ... .......... 254 Carol E.H. Scott-Conner 70 Splenectomy for Trauma . . . . . . . . . . . . . . .. 258 Charles H. Mosher 71 Partial Splenectomy ................... 262 Charles H. Mosher 72 Splenorrhaphy ............. . ......... 266 Charles H. Mosher Section IX Hernia Repairs and Surgery for Necrotizing Fasciitis 73 Bassini Repair of Inguinal Hernia ......... 270 Mohamad Allam 74 Shouldice Repair of Inguinal Hernia . . . . ... 274 Carol E.H. Scott-Conner 75 McVay Repair of Inguinal Hernia ......... 278 Peter Fretz 76 Mesh Repair of Inguinal Hernia .......... 282 Benjamin E. Schneider and Peter Fretz 77 Laparoscopic Inguinal Hernia Repair: Transabdominal Preperitoneal . .. . ...... . . 286 Alvina Won
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