Nathaniel J. Soper
Northwestern University
Feinberg School of Medicine
Chicago, Illinois, U.S.A.

Dixon B. Kaufman
Northwestern University
Feinberg School of Medicine
Chicago, Illinois, U.S.A.

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About this Book

The Northwestern Handbook of Surgical Procedures, 2nd Edition, is designed to be reviewed prior to performing or participating in an operation. The authors of the book have identified the key steps of performing each procedure, to provide a framework to the learner for understanding the tasks and the sequence of those tasks necessary for successful performance. Breaking a complex performance like an operation into a series of steps is a technique well validated in the educational literature and provides the basic scaffold upon which the surgeon-in-training can add nuances and variations that are encountered in the course of experience, ultimately building a strong mental model or image of the operation. It is the goal of this portable handbook to try to bring some degree of order to the complexity, focusing on many of the common operations in general, gastrointestinal, plastic, thoracic, vascular and pediatric surgery, and in organ transplantation. Each procedure has been divided into specific and well-defined steps to provide the beginner with a framework that can serve as a baseline and against which real-life experiences can be measured.

Table of Contents

Foreword
Richard H. Bell, Jr.
Before You Start: Optimizing Operative Care of the Surgical Patient
Amy L. Halverson

Section 1: Gastrointestinal
Section Editors: Nathaniel J. Soper and David M. Mahvi
1. Exploratory Laparotomy: Open
Eric Hungness
2. Inguinal Hernia Repair with Mesh: Open
Wilson Hartz
3. Inguinal Hernia Laparoscopic Repair: Extraperitoneal Approach
Mark Toyama
4. Ventral Hernia Repair: Open
Jay B. Prystowsky
5. Ventral Hernia Repair: Laparoscopic
Eric Hungness
6. Cholecystectomy with Cholangiography: Open
Jay B. Prystowsky
7. Cholecystectomy with Cholangiogram: Laparoscopic
Nathaniel J. Soper
8. Common Bile Duct Exploration: Open
Jay B. Prystowsky
9. Common Bile Duct Exploration: Laparoscopic
Alexander P. Nagle
10. Repair Common Bile Duct Injury: Open
Jonathan Fryer
11. Hepaticojejunostomy: Roux‑en‑Y
David Bentrem and Eric Cheon
12. Pancreatic Cystogastrostomy
David M. Mahvi
13. Pancreatic Necrosis: Debridement
David M. Mahvi
14. Transduodenal Sphincteroplasty
David Bentrem and Amanda Hayman
15. Longitudinal Pancreaticojejunostomy: Puestow Procedure
David M. Mahvi
16. Duodenum‑Preserving Subtotal Pancreatic Head Resection: Frey Procedure
David Bentrem
17. Distal Pancreatectomy and Splenectomy
David M. Mahvi
18. Pancreaticoduodenectomy: Whipple Procedure
David Bentrem and Seth Krantz
19. Splenectomy: Open
Mark Toyama
20. Splenectomy: Laparoscopic
Mark Toyama
21. Splenorrhaphy: Open
Michael B. Shapiro
22. Antireflux Procedure: Laparoscopic (Nissen)
Eric Hungness
23. Repair of Paraesophageal Hernia: Open
Eric Hungness
24. Repair of Paraesophageal Hernia: Laparoscopic
Eric Hungness
25. Thoracic Esophageal Perforation Repair
Alberto de Hoyos and Malcolm DeCamp
26. Heller Myotomy: Laparoscopic
Nathaniel J. Soper
27. Esophageal Diverticulectomy: Zenker’s
Malcolm DeCamp and Matthew G. Blum
28. Gastrostomy: Open
Eric Hungness
29. Gastrectomy: Subtotal or Partial
Jeffrey D. Wayne
30. Gastrectomy: Total
Jeffrey D. Wayne
31. Perforated Duodenal Ulcer Repair: Omental Patch
Carla Pugh
32. Truncal Vagotomy and Pyloroplasty
John J. Coyle
33. Gastric Bypass: Roux‑en‑Y: Open
Jay B. Prystyowsky
34. Gastric Bypass: Roux‑en‑Y: Laparoscopic
Alexander P. Nagle
35. Laparoscopic Gastric Banding for Obesity
Eric Hungness
36. Small Bowel Resection and Anastomosis (Enterectomy): Open
Carla Pugh
37. Enterolysis for Small Bowel Obstruction: Open
Carla Pugh
38. Ileostomy: Open Loop
Steven J. Stryker
39. Open Feeding Jejunostomy
Carla Pugh
40. Appendectomy: Open
Alexander P. Nagle
41. Appendectomy: Laparoscopic
Mark Toyama
42. Hemicolectomy (Right): Open
Anne‑Marie Boller
43. Hemicolectomy (Right): Laparoscopic
Anne‑Marie Boller
44. Sigmoid Colectomy: Open
Steven J. Stryker
45. Sigmoid Colectomy: Laparoscopic
Alexander P. Nagle
46. Colostomy: Transverse Loop
Wilson Hartz
47. Colostomy: End Sigmoid with Hartmann’s Procedure
Anne‑Marie Boller
48. Colostomy Closure
Anne‑Marie Boller
49. Laparoscopic Rectopexy
Amy L. Halverson
50. (Sub‑) Total Colectomy with Ileorectal Anastomosis
Anne‑Marie Boller
51. Proctocolectomy with Ileal Pouch: Anal Anastomosis
Amy L. Halverson
52. Proctocolectomy: Total with Ileostomy
Amy L. Halverson
53. Internal Hemorrhoids: Band Ligation
Steven J. Stryker
54. Anal Fissure: Lateral Internal Sphincterotomy
Anne‑Marie Boller
55. Anorectal Abscess: Drainage Procedure
Amy L. Halverson
56. Anal Fistulotomy
Anne‑Marie Boller
57. Breast Duct Excision
Seema A. Khan
58. Pilonidal Cystectomy
Anne‑Marie Boller
59. Major Hepatic Laceration: Open Repair
Michael B. Shapiro

Section 2: Endocrine
Section Editor: Cord Sturgeon
60. Adrenalectomy: Laparoscopic
Dina Elaraj and Cord Sturgeon
61. Enucleation of Insulinoma
Dina Elaraj and Cord Sturgeon
62. Parathyroidectomy: Four Gland Exploration
Cord Sturgeon and Dina Elaraj
63. Focused Parathyroidectomy for Primary Hyperparathyroidism
Dina Elaraj and Cord Sturgeon
64. Thyroidectomy
Cord Sturgeon and Dina Elaraj
65. Functional Neck Dissection for Thyroid Cancer
Cord Sturgeon and Dina Elaraj

Section 3: Surgical Oncology
Section Editor: David M. Mahvi
66. Transanal Excision of Rectal Tumor
Amy L. Halverson
67. Abdominoperineal Resection
Steven J. Stryker
68. Right Hepatic Lobectomy
David M. Mahvi
69. Axillary Lymphadenectomy
Kevin Bethke
70. Inguinal Lymphadenectomy
Kevin Bethke
71. Breast Biopsy after Needle Localization
Jacqueline Jeruss and Nora Hansen
72. Lymphatic Mapping and Sentinel Node Biopsy
Seema A. Khan
73. Partial Mastectomy and Axillary Dissection
Jacqueline Jeruss and Nora Hansen
74. Modified Radical Mastectomy
Jacqueline Jeruss and Nora Hansen
75. Simple Mastectomy
Jacqueline Jeruss and Nora Hansen
76. Major Excision and Repair/Graft for Skin Neoplasms
Jeffrey D. Wayne
77. Sentinel Lymph Node Biopsy for Melanoma
Jeffrey D. Wayne
78. Radical Excision of Soft Tissue Tumor (Sarcoma)
Jeffrey D. Wayne

Section 4: Plastic Surgery
Section Editor: Thomas Mustoe
79. Burn Debridement and/or Grafting
John Kim
80. Split‑Thickness Skin Grafts
Robert D. Galiano
81. Debride/Suture Major Peripheral Wounds
Gregory Dumanian
82. Repairing Minor Wounds
Thomas Mustoe
83. Removal of Moles and Small Skin Tumors
Thomas Mustoe
84. Removal of Subcutaneous Small Tumors, Cysts and Foreign Bodies
Gregory Dumanian

Section 5: Cardiothoracic Surgery
Section Editor: Malcolm DeCamp
85. Esophagectomy: Ivor‑Lewis
Alberto de Hoyos and Malcolm DeCamp
86. Esophagectomy: Left Transthoracic
Alberto de Hoyos and Malcolm DeCamp
87. Esophagectomy: Transhiatal
Alberto de Hoyos and Malcolm DeCamp
88. Mediastinoscopy: Cervical
Alberto de Hoyos and Malcolm DeCamp
89. Lung Biopsy: Thoracoscopic
Alberto de Hoyos and Malcolm DeCamp
90. Pulmonary Lobectomy: Open
Alberto de Hoyos and Malcolm DeCamp
91. Pneumonectomy
Malcolm DeCamp
92. Pleurodesis: Thoracoscopic
Malcolm DeCamp
93. Tracheostomy
Alberto de Hoyos
94. Cricothyrotomy
Alberto de Hoyos and Malcolm DeCamp
95. Median Sternotomy and Cardiopulmonary Bypass
S. Chris Malaisrie, Richard Lee, Edwin McGee and Patrick M. McCarthy

Section 6: Transplantation
Section Editor: Dixon B. Kaufman
96. Arteriovenous Graft (AVG)
Anton I. Skaro
97. Primary Radial Artery‑Cephalic Vein Fistula for Hemodialysis Access
Joseph R. Leventhal
98. Laparoscopic Donor Nephrectomy
Joseph R. Leventhal
99. Kidney Transplantation
Dixon B. Kaufman
100. Distal Splenorenal (Warren) Shunt
Michael Abecassis
101. H‑Interposition Mesocaval Shunt
Michael Abecassis
102. Portacaval Shunts
Michael Abecassis
103. Liver Transplantation
Jonathan Fryer
104. Pancreas Transplantation
Dixon B. Kaufman

Section 7: Vascular Surgery
Section Editor: Mark K. Eskandari
105. Carotid Endarterectomy
Mark D. Morasch
106. Repair Infrarenal Aortic Aneurysm: Elective
Mark K. Eskandari
107. Repair Infrarenal Aortic Aneurysm: Emergent for Rupture
Mark K. Eskandari
108. Endovascular Repair of Infrarenal Aortic Aneurysm
Heron E. Rodriguez
109. Aortofemoral Bypass for Obstructive Disease
Mark K. Eskandari
110. Axillofemoral Bypass
Melina R. Kibbe
111. Femorofemoral Bypass
Melina R. Kibbe
112. Femoral‑Popliteal Bypass with a Vein or Prosthetic Graft
Heron E. Rodriguez
113. Composite Sequential Bypass
William H. Pearce
114. Infrapopliteal Bypass: Vein or Prosthetic
Heron E. Rodriguez
115. Lower Extremity Thrombectomy/Embolectomy
Mark K. Eskandari
116. Repair Popliteal Aneurysm: Emergent(Thrombosed)
Mark K. Eskandari
117. Exploration for Postoperative Thrombosis
Heron E. Rodriguez
118. Fasciotomy: Lower Extremity
Mark K. Eskandari
119. Toe Amputation
Mark K. Eskandari
120. Transmetatarsal Amputation
Mark K. Eskandari
121. Below Knee Amputation (BKA)
Heron E. Rodriguez
122. Above Knee Amputation (AKA)
Heron E. Rodriguez
123. Varicose Veins
William H. Pearce

Section 8: Pediatric Surgery
Section Editor: Marleta Reynolds
124. Pediatric (Indirect or Congenital) Inguinal Hernia
Anthony C. Chin
125. Hypertrophic Pyloric Stenosis
Katherine A. Barsness
126. Operation for Malrotation
Mary Beth Madonna
127. Intussusception Reduction: Laparoscopic and Open
David Rothstein