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 qualified to author this work. During more than three decades as a mem­ ber of the faculty of the New York University School of Medicine, he has taught countless residents many aspects of the art of surgical tech­ nique. 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 under­ lines 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 flawed concept underlying the selection of the operative procedure. When the surgical technique seems faultless, a postoperative complication would strongly indicate that the concept was erroneous, albeit cherished perhaps for decades. Unlike any other atlas on operative technique, this book specifically discusses the conceptual 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.

Inhalt

Breast.- 43 Operations for Benign Breast Diseases.- 44 Concept: Which Operation for Breast Cancer.- 45 Modified Radical Mastectomy (Patey).- 46 Radical Mastectomy.- Biliary Tract.- 47 Concept: When to Remove the Gallbladder.- 48 Cholecystectomy.- 49 Cholecystostomy.- 50 Common Bile Duct Exploration.- 51 Concept: When to Perform Other Operations on the Common Bile Duct (CBD).- 52 Secondary Choledocholithotomy.- 53 Sphincteroplasty.- 54 Choledochoduodenostomy.- 55 Roux-Y Hepatico- or Choledochojejunostomy.- 56 Periampullary Diverticulectomy.- 57 Operations for Carcinoma of Hepatic Duct Bifurcation.- Pancreas.- 58 Concept: Which Operations for Pancreatic Cancer.- 59 Partial Pancreatoduodenectomy (Whipple).- 60 Total Pancreatoduodenectomy.- 61 Distal Pancreatectomy.- 62 Operations for Pancreatic Cyst.- 63 Pancreaticojejunostomy (Puestow) for Chronic Pancreatitis.- Spleen.- 64 Splenectomy for Disease.- 65 Operation for Splenic Trauma.- Esophagus.- 66 Concept: Operations for Reflux Esophagitis, Stricture, Short Esophagus, and Paraesophageal Hernia.- 67 Transabdominal Fundoplication (Nissen).- 68 Posterior Gastropexy (Hill).- 69 Transthoracic Gastroplasty (Collis) and Nissen Fundoplication.- 70 Operations to Replace or Bypass The Esophagus: Colon or Jejunum Interposition; Gastric Pull-Up.- 71 Bile Diverting Operations in the Management of Reflux Esophagitis.- 72 Cricopharyngeal Myotomy and Operation for Pharyngoesophageal (Zenker's) Diverticulum.- 73 Esophagomyotomy for Esophageal Achalasia and Diffuse Esophageal Spasm.- 74 Operations for Esophageal Perforations and Anastomotic Leaks.- Abdominal Wall.- 75 Concept: Which Operation for Inguinal Hernia.- 76 Anterior Transversalis Repair of Inguinal Hernia (Shouldice).- 77 Cooper's Ligament Herniorrhaphy (McVay).- 78 Operations for Recurrent Inguinal Hernia.- 79 Femoral Hernia Repair.- 80 Operations for Large Ventral Hernia.- 81 Operations for Necrotizing Fasciitis of Abdominal Wall and Infected Abdominal Wound Dehiscence.- Anus and Rectum.- 82 Rubber Band Ligation of Internal Hemorrhoids.- 83 Hemorrhoidectomy.- 84 Anorectal Fistula and Pelvirectal Abscess.- 85 Lateral Internal Sphincterotomy for Chronic Anal Fissure.- 86 Anoplasty for Anal Stenosis.- 87 Operation for Rectal Prolapse (Thiersch).- 88 Operations for Pilonidal Disease.- Lymph Nodes: Axillary, Inguinal, Pelvic.- 89 Axillary Lymphadenectomy.- 90 Inguinal and Pelvic Lymphadenectomy.- Head and Neck.- 91 Parotidectomy.- 92 Thyroidectomy.- 93 Cricothyroidotomy.- 94 Tracheotomy.- Miscellaneous.- 95 Ileoanal Anastomosis with Ileal Reservoir Following Total Colectomy and Mucosal Proctectomy.- 96 Drainage of Subphrenic Abscess.- E Glossary.