tailieunhanh - Ebook NMS surgery (6th edition): Part 2

(BQ) Part 2 book "NMS surgery" presentation of content: Head and neck surgery, bariatric surgery, minimal access surgery, surgical oncology, trauma and burns, organ transplantation, pediatric surgery, plastic and reconstructive surgery, neurosurgery,. | Part VI Special Subjects Chapter Cuts and Caveats CHAP TER 18 He a d a nd Ne c k Surg e ry: T e most common neck lesion is a reactive lymph node. All adults with a persistent neck mass have a malignancy until proven otherwise. Most head and neck cancers are squamous cell and are treated with surgery, radiation, or chemotherapy. Cosmetic and unctional def cits may be requent. Congenital lesions are abnormal variants o normal structures. T yroglossal duct cysts are midline structures that rise and all with swallowing. T ey should be resected i symptomatic, a er making sure there is adequate residual thyroid tissue. onsillectomy was once an extremely common operation and is now reserved or those with repeated in ections, as the risk o surgery outweighs the benef ts or most patients. CHAP TER 19 Ba ria tric Surg e ry: Obesity a ects more than one third o Americans and an increasing percentage o children and adolescents. Obesity creates metabolic comorbidities and decreases li e span. BMI is the most use ul marker or obesity; people quali y or bariatric surgery with BMI greater than 40 kg/m 2 or 35 kg/m 2 with medical comorbidities. Bariatric procedures are classif ed as primarily restrictive or malabsorptive. Roux-en-Y gastric bypass is the most common operation and is a blend o the two. Gastric banding and sleeve gastrectomy are restrictive, and the duodenal switch operation is malabsorptive. Postoperative bariatric patients are susceptible to a variety o unique complications, including internal hernia, marginal ulceration, and nutritional def ciencies. achycardia in a postoperative patient is a surgical complication until proven otherwise. T e patient must be assessed or anastomotic leak and DV /PE. CHAP TER 20 Minim a l Ac c e s s Surg e ry: Minimally invasive surgery relies on technology to decrease the size o the access incisions; visual cues largely replace tactile ones. T e f rst steps in minimally invasive procedures are establishment o pneumoperitoneum .

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