Unofficial Guide to Surgery: Core Operations

Indications, Contraindications, Core Anatomy, Step-by-Step Guide, Complications and Follow Up

Katrina Mason, Gareth Rogers, Madelaine Gimzewska, Zeshan Qureshi

• Publisher: Unofficial Guide to Medicine
• Year: 2019
• ISBN:
  9781910399309
• Edition: 1
• Topic: Medicine
• Subtopic: Surgery & Surgical Medicine

The field of surgery has enchanted students for as long as it has existed, and today's medical students are no exception. Despite surgery being vital to our healthcare system, very few students are exposed to surgical teaching at a level of detail approaching that of their instruction in medicine or critical care. Th is textbook seeks to excise the mystery around the operating theatre and to equip students with a thorough understanding of the principles of common operations.The Unofficial Guide to Surgery: Core Operations is a practical guide to common surgical operations, and it would be a useful resource for any medical or nursing student undertaking a rotation in surgery. Whether you're a surgeon-to-be at the cutting edge of your cohort and hoping to wow your senior colleagues, or a budding psychiatrist unexcited about standing in theatre for hours on end, this textbook has something for you. It is detailed enough to serve as a study resource for the Christina Yangs of tomorrow, but organised and concise so that even the least surgically inclined student can feel more prepared for their obligatory stint in theatre after reading through an operation report while changing into their scrubs.The textbook features an introduction to the principles of surgery, followed by detailed operation reports for an extensive array of common procedures, organised in chapters based on speciality. Helpfully, each operation report includes the definition of the procedure being performed, its indications, high-quality illustrations of relevant anatomy, a step-by-step guide to the procedure at a level appropriate for students and junior doctors, and interesting trivia on the operation or associated condition. Students will be prepared for a niche question from even the most esoteric consultant!

1	UPPER GASTROINTESTINAL
	JOANNA BUCHAN, GRETA MCLACHLAN

1.Ivor Lewis Oesophagectomy

Andrea McCarthy

2.Nissen Fundoplication

Muhamed Zuhair

3.Gastrectomy

Lisa Grundy and Yashashwi Sinha

4.Omental Patch Repair of a Perforated Duodenal Ulcer

Abhishek Chitnis

5.Gastric Bypass

Yashashwi Sinha

6.Gastric Band

Nick Leaver

7.Cholecystectomy

Abhishek Chitnis

8.Whipple’s Procedure (Pancreaticoduodenectomy)

Sasha Shoba Devi Thrumurthy

9.Liver Resection

James Brooks

10.Splenectomy

James Brooks

11.Heller Myotomy

Sameena Mohamedally

12.Endoscopic Retrograde Cholangiopancreatography (ERCP)

Nimeshi Jayakody

IVOR LEWIS OESOPHAGECTOMY

Andrea McCarthy

DEFINITION

The partial removal of the oesophagus and stomach with construction of a gastric conduit.

INDICATIONS

Oesophageal cancer—after multidisciplinary team (MDT) discussion and complete staging (CT chest, abdomen, and pelvis, staging laparoscopy, positron emission tomography (PET), endoscopic ultrasound).

Severe strictures associated with reflux, lye ingestion, or end-stage achalasia.

Para-oesophageal hernia.

Gastric cancer involving the gastro-oesophageal junction.

CONTRAINDICATIONS

Oesophageal cancer T4b staged lesions—with invasion of the trachea, aorta, spine, or other crucial structures or with distant metastases and thus inoperable.

Where the stomach is diseased or previously removed; other reconstructive options would need to be considered (e.g. colonic interposition).

Those with significant comorbidities, poor performance status, or severe malnutrition.

Poor lung function that precludes one lung ventilation.

ANATOMY

Gross anatomy

The oesophagus extends from the lower border of the cricoid cartilage (C6) to the cardiac orifice of the stomach (T11).

It is subdivided in...