Table of Contents

Concepts and Strategies of Surgery.
Mechanical Basics of Operative Technique.
Incision, Exposure, Closure.
Dissecting and Suturing.
Surgical Stapling: Principles and Precautions.
Control of Bleeding.
Management of the Contaminated Operation.
Damage Control Laparotomy.
Mechanical Basics of Laparoscopic Surgery.
Rational Use of Drains.
Illustrated Glossary of Surgical Instruments.
The Operative Note.
Concepts in Esophageal Surgery.
Esophagectomy: Right Thoracotomy and Laparotomy.
Esophagogastrectomy: Left Thoracoabdominal Approach.
Transhiatal Esophagectomy.
Minimally Invasive Esophagectomy.
Operations to Replace or Bypass the Esophagus: Colon or Jejunum Interposition.
Transabdominal Nissen Fundoplication.
Laparoscopic Nissen Fundoplication.
Posterior Gastropexy (Hill Repair): Surgical Legacy Technique.
Transthoracic Gastroplasty (Collis) and Nissen Fundoplication: Surgical Legacy Technique.
Bile Diverting Operations for Management of Esophageal Disease.
Cricopharyngeal Myotomy and Operation for Pharyngoesophageal (Zenker's) Diverticulum.
Esophagomyotomy for Achalasia and Diffuse Esophageal Spasm: Surgical Legacy Technique.
Laparoscopic Esophagomyotomy.
Operations for Esophageal Perforation and Anastomotic Leaks.
Concepts in Surgery of the Stomach and Duodenum.
Truncal Vagotomy: Surgical Legacy Technique.
Proximal Gastric Vagotomy: Surgical Legacy Technique.
Pyloroplasty (Heineke-Mikulicz and Finney), Operation for Bleeding Duodenal Ulcer: Surgical Legacy Techniques.
Partial Gastrectomy Without Lymphadenectomy.
Perforated Peptic Ulcer.
Laparoscopic Pl.
Total Gastrectomy.
Exposure of the Third and Fourth Portions of the Duodenum.
Laparoscopic Adjustable Gastric Banding.
Laparoscopic Roux-en-Y Gastric Bypass.
Concepts in Surgery of the Small Intestine and Appendix.
Small Bowel Resection and Anastomosis.
Enterolysis for Intestinal Obstruction.
Baker Tube Stitchless Plication: Surgical Legacy Technique.
Laparoscopic Appendectomy.
Concepts in Surgery of the Large Intestine.
Right Colectomy for Cancer.
Laparoscopic Right Hemicolectomy.
Left Colectomy for Cancer.
Laparoscopic Left Hemicolectomy and Low Anterior Resection.
Low Anterior Resection for Rectal Cancer.
Abdominoperineal Resection for Rectal Cancer.
Laparoscopic Abdominoperineal Resection and Total Proctocolectomy with End Ileostomy.
Subtotal Colectomy with Ileoproctostomy or Ileostomy.
Restorative Proctocolectomy with Mucosal Proctectomy and Ileal Reservoir.
Abdominoperineal Proctectomy for Benign Disease.
Loop Ileostomy.
Cecostomy: Surgical Legacy Technique.
Transverse Colostomy.
Closure of Temporary Loop Colostomy or Ileostomy.
Laparoscopic Stoma Construction and Closure.
Surgery for Colonic Diverticulitis and Other Benign Conditions of the Left Colon (Hartmanns Procedure).
Ripstein Operation for Rectal Prolapse: Surgical Legacy Procedure.
Concepts in Surgery of.
Procedure for Prolapse and Hemorrhoids.
Anorectal Fistula and Pelvirectal Abscess, Seton Placement.
Lateral Internal Sphincterotomy for Chronic Anal Fissure.
Anoplasty for Anal Stenosis.
Perineal Operations for Rectal Prolapse.
Operations for Pilonidal Disease.
Concepts in Hepatobiliary Surgery.
Laparoscopic Cholecystectomy.
Cholecystostomy: Surgical Legacy Technique.
Common Bile Duct Exploration: Surgical Legacy Technique.
Secondary Choledocholithotomy: Surgical Legacy Technique.
Sphincteroplasty: Surgical Legacy Technique.
Choledochoduodenostomy: Surgical Legacy Technique.
Roux-en-Y Biliary-Enteric Bypass.
Transduodenal Diverticulectomy.
Operations for Lesions of Hepatic Duct Bifurcation.
Hepatic Resection.
Concepts in Surgery of the Pancreas.
Partial Pancreatoduodenectomy.
Total Pancreatoduodenectomy.
Distal Pancreatectomy.
Laparoscopic Distal Pancreatectomy.
Operations for Pancreatic Pseudocyst.
Pancreaticojejunostomy (Puestow) for Chronic Pancreatitis.
Concepts in Splenic Surgery.
Splenectomy for Disease.
Operations for Splenic Trauma.
Laparoscopic Splenectomy.
Concepts in Hernia Repair, Surgery for Necrotizing Fasciitis, and Drainage of Subphrenic Abscess.
Shouldice Repair of Inguinal Hernia.
Coopers Ligament (McVay) Repair of Inguinal Hernia.
Mesh Repair of Inguinal Hernia.
Laparoscopic Inguinal Hernia Repair: Transabdominal Preperitoneal (TAPP) and Totally Extraperi.
Operations for Large Ventral Hernia.
Laparoscopic Ventral Hernia Repair.
Operations for Infected Abdominal Wound Dehiscence, Necrotizing Fasciitis, and Intra-abdominal Abscesses.
Concepts in Breast and Melanoma Surgery.
Excision of Benign Palpable Breast Mass.
Excision of Ducts, Operations for Breast Abscess.
Lumpectomy for Breast Cancer.
Sentinel Lymph Node Biopsy and Axillary Staging for Breast Cancer.
Modified Radical Mastectomy, Simple (Total) Mastectomy.
Radical Mastectomy: Surgical Legacy Technique.
Wide Local Excision and Sentinel Lymph Node Biopsy for Melanoma.
Axillary Lymphadenectomy for Melanoma.
Inguinal and Pelvic Lymphadenectomy.
Concepts in Thyroid, Parathyroid, and Adrenal Surgery.
Laparoscopic Adrenalectomy.
Tracheostomy. The Fourth Edition of Chassins Operative Strategy in General Surgery: An Expositive Atlas is designed to expand this comprehensive and unique general surgery reference while remaining true to the special character of the work. This unique text continues to provide an emphasis on surgical strategy that is unmatched by other textbooks of surgical technique. It continues to comprehensively cover all non-vascular operations commonly performed by general surgeons. As always, Chassins explains the conceptual basis of each operation, outlines strategies to avoid common pitfalls, and carefully describes and beautifully illustrates the technical steps of each operation. The Fourth Edition has been expanded and updated by adding both new procedures and new features. A significant new feature, Documentation Basics has been added to each chapter, providing a bulleted list of key features that need to be listed in the operative note to accurately describe extent of procedure and enhance accuracy of coding. General surgery continues to evolve. Procedures are added and many operations are done through new minimal access approaches. However, as a surgeon may be called upon to perform an operation that has become rare, Chassins unique legacy material has been retained for reference. In addition, 17 new chapters have been added, including 4 new chapters on colorectal surgery. Over 1100 elegant illustrations and new radiographs accompany detailed textual explanations. More than ever, Chassins Operative Strategy in General Surgery: An Expositive Atlas, Fourth Edition is an indispensable reference for all surgical residents and practicing surgeons.