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Farquharson's Textbook of Operative General Surgery

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All the common operations in the General Surgical subspecialties that are likely to be encountered during Higher Surgical Training are described and, additionally, basic techniques are explained for the junior trainee. More sophisticated methods for reducing central venous pressure for liver surgery are discussed in Chapter 21. Every time a vessel is ligated, two ‘foreign bodies’ are introduced – the ligature itself and 01-Farquharson-cpp 8/4/05 9:51 AM Page 6 the strangulated tissue beyond it. For some there has been a major involvement in one or two chapters, whereas other contributors have been involved in parts of almost every chapter in the book. When many specialists are involved, balance and consistency of style become increasingly challenging.

As the skills required of a surgeon/physician cannot be learned from any single source, I encourage you to make use of as many other references as possible.Uumlber den AutorMargaret Farquharson FRCSEd, Consultant Surgeon, formerly of Hampshire Hospitals Foundation Trust, Basingstoke, UK James Hollingshead FRCS(Gen Surg), Specialist Registrar in General Surgery NW Thames, London, UK Br. Hodder Arnold: London, British Journal of Surgery, Volume 93, Issue 2, February 2006, Page 254, https://doi. Separate surgical specialties such as plastic, orthopaedic and urological surgery are covered in those areas where there is potential overlap with general surgery. A surgeon may refer a patient to another discipline for a minimal-access procedure or a patient may be referred to a surgeon after a minimal-access intervention in another discipline has failed or caused complications. c) Two turns around the needle holder have been achieved and the short end can now be grasped to complete the first throw of the knot.

Extra turns in or the just the Knots may be be tied using the needle to all, grasp end advantages over thecut basic method areholder marginal and related first throw, can give added security especially to a knot of of the suture material which must be wound around the mainly to speed, but in other instances they make a difficult thicker monofilament material. However, the pressure of the artery forceps left on for a minute or two and then released may be sufficient for a small vessel, but there is a danger of bleeding restarting later. For this reason some operations in other surgical disciplines are included, and here the emphasis is more on what might be achievable in difficult circumstances rather than a more sophisticated procedure if this would be impractical outside a specialist centre. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual.This area of surgery has expanded enormously in the last 20 years in those countries that can afford the expensive equipment and its skilled maintenance. The Cavitron ultrasonic surgical aspirator (CUSA) has generally replaced finger fraction for dissection through the liver. At the end of a continuous suture (for example, closure of the abdominal wall), the surgeon is left to tie a ‘loop’ to an ‘end’, which is not ideal, especially in slippery monofilament material. With increasing specialisation, even experienced surgeons can sometimes be involved in a surgical emergency, or an intraoperative complication, requiring an operative procedure in a subspecialty other than their own. Eric Farquharson was very aware of this difficulty and advocated single authorship as the only practical solution.

D) (d)The Thewhite whitestrand strandhas hasbeen beencorrectly correctly has pulledto tothe theright, right,the theblack blacktotothe theleft; left;see see(B). Advice from surgeons practising in other surgical disciplines has been extensively utilised in these sections. In this way it has been found possible to contain the work within a single volume of reasonable size. The is applied and, beforea inflation, the limb open jawstourniquet of an artery forceps passed beneath vessel. Interventional radiology Interventional radiology has an increasing role in the management of the surgical patient.Venography allows the insertion of venous stents, inferior vena caval filters for the prevention of pulmonary emboli and testicular vein embolisation to treat variocoeles. Features Comprehensive coverage of all aspects of operative general surgery Over 600 full colour illustrations to aid understanding Updated to reflect current practice and procedures Consistency of style across chapters to enhance readability Expert contributors and advisers for specialist chapters Authors Margaret Farquharson FRCSEd Formerly Consultant Surgeon, Hampshire Hospitals Foundation Trust, Basingstoke, UK.

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