Operative Surgery Volume I Sixth EditionPDF|Epub|txt|kindle电子书版本网盘下载

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CHAPTER 1 GENERAL CONSIDERATIONS＆BY GUY W．HORSLEY1

CHAPTER 2 SURGICAL DRAINAGE＆BY GUY W．HORSLEY7

Biologic Defenses7

Classification of Surgical Drainage8

Drainage Material12

Encapsulated Foreign Bodies in the Peritoneum13

Criticisms13

CHAPTER 3 TECHNIC，SUTURES，AND INSTRUMENTS＆BY GUY W．HORSLEY15

CHAPTER 4 PRINCIPLES UNDERLYING OPERATIONS FOR MALIGNANT TUMORS；TECHNICAL CONSIDERATIONS IN OPERATIONS FOR MALIGNANCY；χ-RAY AND RADIUM BURNS＆BY GUY W．HORSLEY23

Knowledge of Pathology Needed23

The Cause of Cancer24

Cancer Research in the Laboratory25

Clinical Research28

The Principles of Prognosis and Treatment29

Metastases30

Technical Considerations in Operations for Malignancy31

Roentgen Ray and Radium Burns41

CHAPTER 5 INFECTION；SHOCK；HEMORRHAGE；BLOOD TRANSFUSION；FLUID ELECTROLYTE BALANCE＆BY EVERETT I．EVANS44

Preparation of the Operative Site44

Preparation of the Surgeon＇s Hands45

Surgical Infections45

Shock and Hemorrhage46

The Sequelae of Prolonged Severe Shock48

Blood Transfusion in Surgery48

Fluid and Salt Requirements in Surgery51

Treatment of Water and Salt Deficit in the Surgical Patient54

CHAPTER 6 ANESTHESIA＆BY WILLIAMS E．PEMBLETON59

Preoperative Medication59

Inhalation Anesthesia61

Endotracheal Anesthesia65

Intravenous Anesthesia66

Resuscitation67

Spinal Anesthesia68

Local Anesthesia72

Curare73

Intravenous Procaine75

Choice of Anesthesia for Specific Operations76

CHAPTER 7 COLLATERAL CIRCULATION；EXPOSURE AND LIGATION OF ARTERIES＆BY I．A．BIGGER83

Indications for Ligation83

Technic of Exposure and Ligation of Certain Large Arteries88

Ligation of the Abdominal Aorta99

Ligation of the Common Iliac Artery102

Ligation of the Internal Iliac(Hypogastric)Artery102

Ligation of the External Iliac Artery103

Ligation of the Femoral Artery104

Ligation of the Popliteal Artery107

CHAPTER 8 BLOOD VESSEL SUTURE；ARTERIAL EMBOLECTOMY＆BY I．A．BIGGER109

Blood Vessel Suture109

Arterial Embolectomy111

CHAPTER 9 ANEURISMS．LIGATION FOR ANEURISMS；ANEURISMORRHAPHY；ANEURISMECTOMY；VEIN IMPLANTS＆BY I．A．BIGGER115

Wiring and Electrothermic Coagulation115

Ligation and Compression116

Matas Operation119

Excision of Sac121

Operations on Aneurisms of Special Arteries122

CHAPTER 10 ARTERIOVENOUS FISTULAS．QUADRUPLE LIGATION AND EXCISION；TRANSVENOUS ARTERIORRHAPHY＆BY I．A．BIGGER130

CHAPTER 11 VARICOSE VEINS；VENOUS THROMBOSIS；OBSTRUCTION OF THE LYMPHATICS OF THE EXTREMITIES＆BY BENJAMIN W．RAWLES，JR137

Varicose Veins137

Venous Thrombosis147

Obstruction of Lymphatics of Extremities153

CHAPTER 12 DUPUYTREN＇S CONTRACTURE；INFECTIONS OF THE HAND AND FOREARM＆BY BENJAMIN W．RAWLES，JR158

Dupuytren＇s Contracture of the Hand158

Infections of the Hand and Forearm159

CHAPTER 13 WOUNDS OF SOFT TISSUES；CARBUNCLES；PILONIDAL CYSTS AND SINUSES；TUMORS，BENIGN AND MALIGNANT；MELANOMA＆BY HARRY J．WARTHEN，JR170

Wounds of Soft Tissues170

Carbuncles171

Pilonidal Cysts and Sinuses171

Tumors，Benign and Malignant175

Malignant Melanomas176

CHAPTER 14 GENERAL PRINCIPLES OF PLASTIC SURGERY＆BY HARRY J．WARTHEN，JR179

Scope of Plastic Surgery179

General Principles179

Planning Operations185

Anesthesia in Plastic Surgery185

Preparation of Operative Field188

Instruments，Needles， and Sutures189

Drains and Dressings190

Postoperative Care191

Closure of Defects192

CHAPTER 15 THE CAUSES OF CONTRACTURES；THE TREATMENT OF SCARS；WEBBED FINGERS；KELOIDS＆BY HARRY J．WARTHEN，JR198

Causes of Cicatrical Contractions198

General Considerations in Treatment of Scars202

Closure of Decubitus Ulcers210

Syndactylism(Webbed Fingers211

Keloids212

CHAPTER 16 TRANSPLANTATION OF FLAPS CONTAINING SKIN＆BY HUNTER S．JACKSON215

Sources of Grafts215

Preparation of Source of Graft216

Dressing of Donor Site217

Flaps217

Sources and General Principles220

Tubed Pedicle Flaps223

Migrating Pedicle Flaps226

Crossed Leg Flaps227

Double Pedicle Flaps227

CHAPTER 17 FREE GRAFTS OF SKIN AND MUCOUS MEMBRANE＆BY LEROY SMITH229

Physiologic Properties of Grafts229

Split Thickness Grafts231

Full Thickness Grafts239

Tunnel Grafts241

Composite Grafts243

Mucous Membrane Grafts244

CHAPTER 18 DEEP TISSUE GRAFTS＆BY LEROY SMITH246

Fat Grafts246

Fascia Grafts247

Muscle Graft249

Cartilage250

Bone Grafts251

CHAPTER 19 CLEFT LIP AND PALATE＆BY LEROY SMITH255

History255

Repair of Single Cleft Lip256

Repair of Double Harelip262

Repair of Cleft Palate265

Repair of Postoperative Defects270

Secondary Repair of Postoperative Palate Defects271

CHAPTER 20 PLASTIC REPAIR OF ACQUIRED DEFECTS OF LIPS，CHEEKS，EYELIDS，AND FOREHEAD＆BY LEROY SMITH274

The Lips274

Microstomia282

Macrostomia283

The Cheeks283

Facial Paralysis285

The Eyelids286

Ptosis of Eyelids297

The Eyebrows298

Forehead Defects299

CHAPTER 21 PLASTIC OPERATIONS ON NOSE AND EAR＆BY LEROY SMITH301

Repair of Dorsum of Nose301

Reconstruction of the Tip of the Nose304

The Loss of The Ala，Rim， or Columella305

Total Loss of the Nose308

Structural Derangement of the Nose311

Dorsal Hump315

Hypertrophy of the Tip318

Subtotal and Total Loss of Ear319

Congenital Deformities324

CHAPTER 22 THE SALIVARY GLANDS；BENIGN TUMORS OF THE FACE＆BY HARRY J．WARTHEN，JR327

Anatomy of the Parotid Gland327

Operations for Salivary Fistula327

Operations for Benign Parotid Tumors330

Operations for Malignant Tumors of Parotid333

Removal of Salivary Calculi334

Treatment of Benign Tumors of the Face334

Treatment of Angiomas335

Excision of Sebaceous Cysts(Wens337

Excision of Dermoid Cvsts337

CHAPTER 23 OPERATIONS FOR CARCINOMA OF THE FLOOR OF THE MOUTH，PALATE，LOWER AND UPPER JAWS＆BY LEROY SMITH339

Carcinoma of the Floor of the Mouth339

Carcinoma of the Palate340

Malignancy of the Mandible342

Maxilla345

CHAPTER 24 OPERATIONS ON THE TONGUE，LIPS，AND CHEEKS＆BY HARRY J．WARTHEN，JR349

Anatomy of the Tongue349

Operations on the Tongue for Benign Tumors350

Operations on the Tongue for Carcinoma350

Treatment of Carcinoma of the Floor of the Mouth356

Carcinoma of the Lip356

Operations for Carcinoma of the Lower Lip359

Operations upon the Upper Lip361

Carcinoma of the Cheek362

Facial Carcinoma362

CHAPTER 25 OPERATIONS ON THE NECK．GENERAL AND ANATOMIC CONSIDERATIONS；DISSECTIONS OF THE NECK＆BY HARRY J．WARTHEN，JR364

General Considerations364

Anatomy of the Cervical Lymphatics365

Suprahyoid Block Dissection of the Neck368

Complete Unilateral Block Dissection of the Neck370

Block Dissection of the Upper Cervical Lymphatic-Bearing Tissue378

Dissection of the Supraclavicular Space and Posterior Triangle of the Neck379

Wounds of the Thoracic Duct380

CHAPTER 26 OPERATIONS ON THE NECK(CONTINUED)．PRIMARY TUMORS；CONGENITAL CYSTS AND FISTULAS；TUBERCULOSIS OF CERVICAL LYMPH NODES＆BY HARRY J．WARTHEN，JR381

Tumors of the Carotid Body381

Carotid Sinus Syndrome382

Congenital Cysts and Fistulas of the Neck383

Locations of Incisions in Neck389

Tuberculosis of the Cervical Lymphatic Nodes390

CHAPTER 27 THE THYROID GLAND．HYPERTHYROIDISM；STRUMA；CARCINOMA；ADENOMATOUS GOITER；PARATHYROID ADENOMA＆BY CARRINGTON WILLIAMS392

Hyperthyroidism392

Struma393

Carcinoma393

Adenomatous Goiter393

Anesthesia in Thyroid Operations393

Subtotal Thyroidectomy394

Total Thyroidectomy406

Intrathoracic Goiter410

Aberrant Thyroids410

The Parathyroid Glands411

Parathyroid Transplantation413

Lingual Thyroidectomy．Cervical Approach＆By I．A．Bigger413

CHAPTER 28 TRACHEA AND LARYNX＆BY PETER N．PASTORE416

Trachea416

Larynx417

CHAPTER 29 THE THORAX＆BY FRANK PHILIP COLEMAN421

The Surface Anatomy of the Chest421

Mediastinum422

Physiology in Relation to Thoracic Surgery424

Factors Influencing the Development of Thoracic Surgery427

Fracture of the Ribs and Sternum428

Soft Tissue Wounds of the Thoracic Wall；Traumatic Pneumothorax；Traumatic Hemothorax434

Infections of the Soft Tissue，Bony and Cartilaginous Structures of the Thoracic Wall437

Tumors of the Chest Wall438

Hernia of the Lung440

CHAPTER 30 THORACIC INCISIONS；FUNNEL CHEST OR PECTUS EXCAVATUM＆BY I．A．BIGGER441

Thoracic Incisions441

Funnel Chest or Pectus Excavatum443

CHAPTER 31 OPERATIONS FOR LESIONS INVOLVING THE PLEURA AND PLEURAL SPACE．RECURRENT AND CHRONIC PNEUMOTHORAX；ACUTE EMPYEMA；CHRONIC EMPYEMA＆BY I．A．BIGGER447

Pneumothorax447

Acute Empyema449

Chronic Empyema453

CHAPTER 32 THE LUNGS AND BRONCHI＆BY I．A．BIGGER461

Repair of Wounds of the Lung461

Removal of Foreign Bodies462

Drainage of Lung Abscess463

Pulmonary Cysts465

Bronchotomy468

CHAPTER 33 PULMONARY RESECTION＆BY I．A．BIGGER470

History470

Lobectomy by the Tourniquet Technic471

Pulmonary Resection by Intrahilar Dissection and Individual Ligation Technic474

Pneumonectomy475

Technic of Pneumonectomy by Anterolateral Incision476

Right Upper Lobectomy480

Middle Lobe Lobectomy482

Right Lower Lobectomy483

Bilobectomy484

Left Upper Lobectomy485

Left Lower Lobectomy488

Radical Pneumonectomy489

CHAPTER 34 SEGMENTAL RESECTION OF THE LUNG＆BY LEWIS H．BOS HER，JR492

CHAPTER 35 SURGERY FOR PULMONARY TUBERCULOSIS＆BY FRANK PHILIP COLEMAN503

Operations Upon the Phrenic Nerve503

Therapeutic Pneumothorax507

Closed Internal Pneumonolysis509

Open Internal Pneumonolysis516

Extrapleural Pneumothorax517

Thoracoplasty521

Thoracoplasty With Extrafascial Apicolysis530

Anterolateral Extrapleural Thoracoplasty534

Revision Thoracoplasty536

Drainage of Pulmonary Cavities536

Pneumoperitoneum537

Pulmonary Resection540

CHAPTER 36 THE MEDIASTINUM；THYMECTOMY；THORACIC DUCT INJURIES＆BY I．A．BIGGER545

Median Sternotomy545

Drainage of the Superior Mediastinum547

Operations for Tumors of the Mediastinum548

Thymectomy for Myasthenia Gravis550

Thoracic Duct Injuries；Chylothorax551

CHAPTER 37 PHARYNX AND CERVICAL ESOPHAGUS＆BY FRANK PHILIP COLEMAN553

Incision553

Pharyngoesophageal Diverticula554

Carcinoma of the Cervical Esophagus558

CHAPTER 38 THORACIC ESOPHAGUS＆BY FRANK PHILIP COLEMAN566

Physiology and Anatomy566

Cardiospasm567

Epinephrenic Esophageal Diverticula571

Diverticulectomy572

Esophagoplasty572

Carcinoma of the Thoracic Esophagus580

Transpleural Resection of the Esophagus582

Partial Esophagectomy With Primary Intrathoracic Esophagogastrostomy584

Resection of the Esophagus for Supra-aortic Carcinoma With Primary Cervical Esophago-gastrostomy591

Combined Abdominothoracic Approach for Carcinoma of the Esophagus593

Benign Tumors of the Esophagus594

CHAPTER 39 CONGENITAL ATRESIA OF THE ESOPHAGUS．PRIMARY ANASTOMOSIS；DELAYED ANASTOMOSIS＆BY I．A．BIGGER596

CHAPTER 40 DIAPHRAGMATIC HERNIA＆BY I．A．BIGGER601

CHAPTER 41 PERICARDIUM AND HEART＆BY I．A．BIGGER609

Pericardicentesis609

Pericardiostomy610

Adhesive Pericarditis611

Pericardiectomy or Decortication of the Heart for Constrictive Pericarditis611

Operations Upon the Heart and the Adjacent Portions of the Great Vessels at the Base of the Heart614

Wounds of the Heart and Intrapericardial Portion of the Great Vessels616

Cardiorrhaphy618

Operations for Foreign Bodies in the Heart621

Operations for Coronary Sclerosis and Angina Pectoris623

CHAPTER 42 RESECTION OF THE AURICULAR APPENDAGES FOR THE PREVENTION OF ARTERIAL EMBOLISM；PULMONARY EMBOLECTOMY；CARDIAC RESUSCITATION；THE SURGERY OF ACQUIRED VALULAR DISEASE627

Resection of the Auricular Appendages for the Prevention of Arterial Embolism＆By I．A．Bigger627

Pulmonary Embolectomy＆By I．A．Bigger628

Cardiac Resuscitation＆By Fred Walls630

The Surgery of Acquired Valvular Disease＆By Lewis H．Bosher，Jr633

CHAPTER 43 CONGENITAL ANOMALIES OF THE HEART AND GREAT VESSELS＆BY I．A．BIGGER638

Closure of Patent Ductus Arteriosus638

Operative Correction of Coarctation of Aorta642

Operations for the Relief of Pressure Upon the Esophagus and/or Trachea，the Result of Certain Anomalies of the Aortic Arch646

Surgery of Pulmonary Stenosis＆By Lewis H．Bosher，Jr647

CHAPTER 44 THE MAMMARY GLAND＆BY GUY W．HORSLEY660

Indications for Operations660

Benign Tumors661

Cancer of the Breast664

Mastopexy672

Excision of Lesions of the Male Breast675

CHAPTER 45 HERNIA＆BY HERBERT C．LEE676

General Principles of Hernia Repair676

Inguinal Hernia680

Femoral Hernia705

Umbilical Hernia707

Incisional Hernia711