Abdominal Key

Fig. 30.1 Draping technique to facilitate exposure to the perineum Initial Survey A survey of the available instrumentation, possible endoscopic or radiologic needs, and additional available staff should be addressed…

Fig. 33.1 (a) Side-to-side four-stapled technique. The linear cutting stapler is introduced through an enterotomy made on the antimesenteric side of the enterectomy staple line. (b) Side-to-side four-stapled technique. The…

Fig. 12.1 Rectocele. Rectal prolapse can also seen at the verge that was easily visualized with straining (Courtesy of M. Shane McNevin, MD) A careful urogynecologic examination is also important,…

Fig. 34.1 Average time (in hours) from injury to arrival at a field hospital for major American conflicts (GWOT global war on terror) (Modified with permission from Perry et al….

Fig. 10.1 The original procedure (a) Segment of terminal ileum (Arrow points to distal) (b) Folding of the bowel on itself and formation of the posterior wall. (c) Creation of…

Fig. 7.1 Mortality of secondary peritonitis patients, divided based on the severity of disease expressed by the APACHE-II score. Two surgical strategies were compared per category, re-laparotomy on-demand (□) and…

Fig. 28.1 (a) Fistula with seton in place (Courtesy of W. Brian Sweeney, MD). (b) Fistulotomy with marsupialization of the tract (Courtesy of W. Brian Sweeney, MD) Fig. 28.2 Seton…

Fig. 18.1 The contribution of anastomotic collagen synthesis and lysis to overall anastomotic strength (With permission from Munireddy et al. [2]) Remodeling The provisional matrix previously formed is remodeled into…

Fig. 17.1 Gastrografin enema demonstrating a pouch-vaginal fistula MRI Pelvis This is a good test for the evaluation of abnormalities relating to the structure of the pouch and pelvis and…

Condition Examples Unstable coronary syndromes Unstable or severe angina (CCS class III or IV)a Recent MIb Decompensated heart failure (NYHA functional class IV; worsening or new-onset HF)  Significant arrhythmias High-grade…