By Lee J. Skandalakis MD, FACS, John E. Skandalakis MD, FACS (auth.), Lee J. Skandalakis, John E. Skandalakis (eds.)

Generations of citizens and basic surgeons have relied upon and tired their copies of Surgical Anatomy and strategy: A Pocket Manual. completely revised and with dozens of recent illustrations, the fourth version keeps the culture of offering a concise, obtainable, and generously illustrated reminiscence refresher for either amateur and skilled clinicians.

The editors have incorporated strategies to maintain the content material clean, proper, and practice-based. one of the new subject matters are hand surgical procedure, a bit on important venous entry, and developing an AV fistula for dialysis. the entire latest chapters were up-to-date and improved to mirror present surgical methods and instrumentation.

This fourth variation of Surgical Anatomy and method: A Pocket Manual presents the foremost in correlating transparent, sensible anatomy with the proper approach within the pursuit of the absolute best sufferer results. this useful pocket guide continues to be a "must have" for each resident and normal surgeon.

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Prepare distal half of foot. Step 2. Use double rubber band around the proximal phalanx for avascular field. Inject lidocaine, 1–2 % without epinephrine, at the lateral and medial aspect of the second phalanx. Step 3. Insert a straight hemostat under the nail at the area of the inflammatory process until the edge of the instrument reaches the lunula. Step 4. Roll instrument and nail toward the opposite side for the avulsion of the nail. Step 5. Occasionally a small fragment of nail remains in situ and should be removed.

Am Surg 45(9):590–596, 1979). It is important to remember that: (1) the skin should be incised 4–5 cm below the mandibular angle, (2) the platysma and fat compose the superficial fascia, and (3) the cervical branch of the facial nerve (VII) lies just below the angle, superficial to the facial artery (Fig. 3). The mandibular (or marginal mandibular) nerve passes approximately 3 cm below the angle of the mandible to supply the muscles of the corner of the mouth and lower lip. The cervical branch of the facial nerve divides to form descending and anterior branches.

We believe that the patient should be told that in spite of all precautions, there is a possibility of some vocal disability following thyroidectomy. A sympathetic ganglion can be confused with a lymph node and removed when the surgeon operates for metastatic papillary carcinoma of the thyroid. In one of our patients, the inferior cervical and first thoracic ganglia were fused 40 2. 19. Branching of the superior laryngeal nerve and the carotid arteries. (a) The internal branch crosses the external carotid artery above the origin of the lingual artery.

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