Surgical Anatomy - Delaney

Author: Conor P. Delaney

ISBN: 9781437708332

The Neck

1: Selective (Supraomohyoid) Neck… (pages 3-12, 5 images)

Page 5: Patient Positioning and Anatomy in Neck Dissection
Page 7: Flap Elevation in Neck Dissection
Page 9: Dissection of Level I (Submental and Submandibular Regions)
Page 11: Dissection of Levels II (Upper Jugular Modal Chain) and III (Midjugular Nodal Chain)
Page 12: Lymphadenectomy (Levels I-III)

2: Tracheotomy and Cricothyrotomy (pages 13-18, 2 images)

Page 15: Tracheotomy Procedure, Steps 1-6
Page 17: Infrahyoid and Suprahyoid Musculature for Tracheotomy

Endocrine

3: Thyroidectomy and Parathyroide… (pages 21-36, 7 images)

Page 23: Thyroid Gland, Anterior View
Page 25: Anatomic Landmarks for Thyroidectomy or Parathyroidectomy Incision
Page 27: Surgical Anatomy for Thyroidectomy and Parathyroidectomy
Page 29: Anatomy of Superior and Recurrent Laryngeal Nerves
Page 31: Preoperative Imaging of Neck: Scintigram and Sonogram
Page 33: Anatomy and Embryology of Parathyroid Glands
Page 35: Anatomic Sites for Ectopic Parathyroid Adenoma, With Images of Abnormal Focus and A Corresponding Specimen

4: Laparoscopic Adrenalectomy (pages 37-48, 7 images)

Page 38: Adrenal Glands in Situ, Anterior Views
Page 39: Histology of Adrenal Glands
Page 41: Port Site Placement for Transabdominal Laparoscopic Adrenalectomy
Page 43: Peritoneum of Posterior Abdominal Wall
Page 44: Right Laparoscopic Adrenalectomy Technique
Page 45: Arteries and Veins of Suprarenal Glands in Situ.
Page 47: Left Laparoscopic Adrenalectomy Technique

Upper Gastrointestinal

Hepatobiliary

12: Laparoscopic and Open Cholecys… (pages 127-140, 7 images)

Page 129: Gallbladder and Extrahepatic Bile Ducts and Arterial Supply
Page 130: Variations in Cystic and Hepatic Ducts
Page 131: Hepatic Artery Variations
Page 133: Cholelithiasis (Gallstones)
Page 135: Cholecystectomy and the Critical View
Page 137: Intraoperative Imaging in Cholecystectomy
Page 139: Postcholecystectomy Syndromes

13: Common Bile Duct Surgery and C… (pages 141-152, 5 images)

Page 143: Cystic Duct Anatomy and Variants
Page 145: Choledocholithiasis: Pathologic Features
Page 147: Transystic and Transductal/Choledochotomy Approaches
Page 149: Open Common Bile Duct Exploration
Page 151: Choledochoduodenostomy

14: Hepatectomy (pages 153-170, 10 images)

Page 155: Liver Segments and Lobes: Vessel and Duct Distribution
Page 156: Variations in Origin and Course of Hepatic Artery and Branches
Page 157: Hepatic Artery: Magnetic Resonance Image and Surgical View
Page 159: Variations in Cystic and Hepatic Ducts
Page 160: Variations in Form of Liver
Page 161: Cirrhosis I: Pathways of Formation
Page 163: Right Hepatic Lobectomy
Page 165: Right Hepatic Lobectomy, Continued
Page 167: Left Hepatic Lobectomy
Page 169: Left Hepatic Lobectomy, Continued

15: Distal Pancreatectomy (pages 171-184, 6 images)

Page 173: Anatomy for Preoperative Evaluation of Pancreas
Page 175: Open Retrograde Distal Pancreatectomy With Splenectomy
Page 177: Division of Splenic Artery and Vein and Pancreas
Page 179: Lymphatic Drainage of Pancreas
Page 181: Mobilization of Pancreas During Spleen-Preserving Distal Pancreatectomy
Page 183: Port Site Placement for Laparoscopic Distal Pancreatectomy

16: Pancreaticoduodenectomy (pages 185-196, 6 images)

Page 187: Pancreatic Cancer: Clinical Features
Page 189: Arterial Supply of Stomach and Duodenum
Page 190: Variations in Origin and Course of Hepatic Artery and Branches
Page 191: Hepatic Portal Vein Tributaries: Portocaval Anastomoses
Page 193: Liver and Arterial Anatomy of Hepatoduodenal Ligament for Suprapancreatic Dissection
Page 195: Venous Anatomy and the Resection Bed

17: Splenectomy (pages 197-202, 2 images)

Page 199: Spleen and Surrounding Structures
Page 201: Venous Anatomy and the Resection Bed in Splenectomy

18: Organ Transplantation (pages 203-228, 12 images)

Page 205: Abdominal Anatomy and Organ Procurement Exposures
Page 207: Suprahepatic Aortic Exposure During Abdominal Organ Procurement
Page 209: Pancreas and Kidney Procurement
Page 211: Anatomic Variations of Kidney Allograft
Page 213: Vascular Anastomoses of Kidney Allograft
Page 215: Ureteral Anastomosis of Kidney Allograft
Page 217: Arterial Reconstruction for Pancreas Allograft
Page 219: Superior Mesenteric Vein Anatomy for Portal Drainage of Pancreas Allograft
Page 221: End-Stage Liver Disease
Page 223: Liver Anatomy
Page 225: Liver Surgical Approaches and Completed Transplant
Page 227: Anastomoses in Liver Transplant

Lower Gastrointestinal

19: Appendectomy (pages 231-244, 7 images)

Page 233: Autonomic Innervation of the Intestine
Page 235: Cross-Sectional Periappendicular Anatomy
Page 237: Ileocecal Region
Page 239: Vermiform Appendix
Page 241: Variations in Cecal and Appendicular Arteries
Page 242: Ileocecal Region and Iliac Vessels
Page 243: Right Lower Quadrant Anatomy: Laparoscopic View

20: Abdominal Wall Anatomy and Ost… (pages 245-256, 5 images)

Page 247: Abdominal Wall Anatomy and Rectus Sheath
Page 249: Ileostomy: Anatomic Landmarks and Surgical Technique
Page 251: End Colostomy
Page 253: Brooke Ileostomy Technique
Page 255: Loop-End Iliostomy Technique

21: Right Colectomy (pages 257-264, 3 images)

Page 259: Right Colectomy and Arteries of the Colon
Page 261: Retroperitoneal Structures
Page 263: Variations in Vascular Anatomy of Right Colon

22: Left Colectomy (pages 265-276, 6 images)

Page 267: Left Colectomy: Authors' Preference for Laparoscopic Port Placement
Page 269: Vascular Supply to Colon
Page 270: Left Resection Pattern; Autonomic Nerves and Lymphatic Drainage to Colon
Page 271: Vascular Variations in Conon; Duodenal Anatomy
Page 273: Splenic Flexure
Page 275: Left Hemicolectomy: Skeletonization

23: Transverse Colectomy (pages 277-286, 4 images)

Page 279: Hepatic and Splenic Flexures
Page 281: Greater Omental and Stomach in Transverse Colectomy
Page 283: Arteries of Large Intestines
Page 285: Middle Colic Artery in Transverse Colectomy

24: Low Anterior Resection With To… (pages 287-306, 11 images)

Page 289: Pelvic Viscera and Perineum: Female
Page 290: Endopelvic Fascia and Potential Spaces: Female
Page 291: Arteries and Veins of Colon and Rectum
Page 292: Autonomic Nerves and Ganglia of Abdomen
Page 293: Anatomic Relations of Ureters: Male and Female
Page 295: Inferior Mesenteric Artery
Page 297: Inferior Mesenteric Vein and Splenic Flexure
Page 299: Upper Posterior Mesorectal Dissection
Page 301: Lower Anterior Mesorectal Dissection
Page 303: Stapled Rectal Transection
Page 305: Intersphincteric Transanal Transection of Rectum

25: Abdominoperineal Resection (pages 307-318, 5 images)

Page 309: Proctoscopy and Endorectal Ultrasonography
Page 311: Arteries and Nerves of Pelvis and Rectum
Page 313: Approach for Rectal Dissection
Page 315: Prostate and Seminal Vesicles
Page 317: Perineal Dissection

26: Hemorrhoids and Hemorrhoidecto… (pages 319-326, 3 images)

Page 321: Anatomy and Types of Hemorrhoids
Page 323: Office Procedures for Hemorrhoids
Page 325: Hemorrhoidectomy and Incarcerated (Strangulated) Hemorrhoids

27: Perirectal Abscess and Fistula… (pages 327-338, 5 images)

Page 329: Sites of Periectal Abscess
Page 331: Perianal Innervation and Patient Positioning
Page 333: Deep Postanal Space Abscess
Page 335: Types of Anorectal Fistula and Goodsail's Rule
Page 337: Perirectal Fistula Examination and Management

Hernia

28: Open Inguinal Hernia Repair (pages 341-354, 7 images)

Page 343: Inguinal Region: Dissections
Page 344: Patent Processus Vaginalis and Indirect Inguinal Hernia
Page 345: Types of Hernias: Incarcerated, Strangulated, and Amyand's (Appendix in Sac)
Page 347: Abdominal Wall and Anatomic Landmarks in Hernia Repair
Page 349: Exposed Anatomy for Hernia Repair
Page 351: Tension-Free Hernia Repair
Page 353: Bassini and McVay Hernia Repairs

29: Laparoscopic Inguinal Hernia R… (pages 355-366, 5 images)

30: Femoral Hernia Repair (pages 367-374, 3 images)

Page 369: Anatomy of Femoral Hernia
Page 371: Open Surgical Repair of Femoral Hernia
Page 373: Laparoscopic Surgical Repair of Femoral Hernia

31: Open Ventral Hernia Repair (pages 375-386, 6 images)

Page 377: Innervation of Abdomen and Perineum
Page 378: Course and Relations of Intercostal Nerves and Arteries
Page 379: Arteries of Anterior Abdominal Wall
Page 381: Cross Section of Anterior Abdominal Wall and Creation of Retrorectus Space
Page 383: Posterior View of Pelvis and Lower Abdominal Wall
Page 385: Open Ventral (Abdominal) Hernia Repair

Vascular

32: Exposure of the Carotid Bifurc… (pages 389-398, 4 images)

Page 391: Carotid Stenosis, Incision Lines for Endarterectomy, and Platysma
Page 393: Nerves and Fascial Layers of Neck
Page 395: Endarterectomy for Extracranial Carotid Artery Atherosclerosis
Page 397: Nerves and Carotid Arteries

33: Aortic Exposure From the Midli… (pages 399-412, 6 images)

Page 401: Abdominal Incision Lines and Exposure of Midline Retroperitoneum
Page 403: Aortic and Lilac Arterial Relationships With Retroperitoneal Structures
Page 405: Aortic Relationships: Colon, Duodenum, and Left Renal Vein
Page 407: Aortic Relationships With Retroperitoneum and Left Renal Vein
Page 409: Aortic Relationships With Lumbar Spine and Visceral Vessels
Page 411: Abdominal Aortic Aneurysm and Anatomy

34: Exposure of the Superior Mesen… (pages 413-420, 3 images)

Page 415: Celia Axis an Superior Mesenteric Artery (SMA)
Page 417: Anterior Transperitoneal Exposures and Configuration of Graft
Page 419: Retroperitoneal Exposures Through Abdomen or Flank

35: Upper Extremity Arteriovenous … (pages 421-430, 4 images)

Page 423: Preoperative Duplex Ultrasound Vein Mapping
Page 425: Radiocephalic, Brachiocephalic, and Brachiobasilic Arteriovenous Fistulas
Page 427: Prosthetic Arteriovenous Graft
Page 429: Cutaneous Innervation of Upper Limb

36: Saphenofemoral Exposure (pages 431-438, 3 images)

Page 433: Femoral Canal and Inguinal Anatomy With Digital Subtraction Angiogram
Page 435: Anatomic Landmarks for Femoral Incisions
Page 437: Saphenofemoral Junction Exposure and Lower Limb Veins/Nerves

37: Exposure of the Common Femoral… (pages 439-448, 4 images)

Page 441: Anatomy of Inguinal Region and Femoral Triangle
Page 443: Accessing the Femoral Artery
Page 445: Branches of External Lilac and Common Femoral Arteries; Aberrant Obturator Artery
Page 447: Avoiding the Femoral Artery

38: Exposure of the Popliteal Arte… (pages 449-456, 5 images)

Page 451: Arteries of Knee and Thigh Incisions
Page 452: Muscles of Thigh: Anterior View
Page 453: Muscles of Knee and Thigh (Deep Dissection): Medial and Anterior Views
Page 455: Muscles of Thigh (Superficial/Deeper Dissections) and Leg (Superficial Dissection)
Page 456: Popiliteal Artery Aneurysm Before (left) and After (right) PTFE Bypass Graft

39: Above-Knee and Below-Knee Ampu… (pages 457-466, 5 images)

Page 459: Fascial Compartment of Leg
Page 460: Cross-Sectional Anatomy of Thigh
Page 461: Arteries and Veins of Leg
Page 463: Below-Knee Amputation and Closure
Page 465: Above-Knee Amputation and Closure

Vascular Access and Emergency Procedures

40: Central Line Anatomy (pages 469-476, 3 images)

41: Arterial Line Anatomy (pages 477-484, 4 images)

42: Leg and Forearm Fasciotomy (pages 485-506, 13 images)

Page 487: Cross-Sectional Anatomy of Leg and Fascial Compartments
Page 488: Cross-Sectional Leg Anatomy, Below Knee
Page 489: Cross-Sectional Leg Anatomy, Middle and Lower Tibia
Page 491: Etiology of Compartment Syndrome
Page 493: Clinical Diagnosis of Compartment Syndrome
Page 494: Common Fibular (Peroneal) Nerve: Mixed Motor/Sensory Function
Page 495: Measurement of Intracompartmental Pressure
Page 497: Incisions for Compartment Syndrome of Leg
Page 499: Muscles of Leg With Superficial Peroneal Nerve: Lateral View
Page 501: Individual Muscles of Forearm: Flexors and Extensors
Page 503: Nerves of Upper Limb
Page 505: Cross-Sectional Anatomy and Incisions for Compartment Syndrome of Forearm and Hand
Page 506: Median and Ulnar Nerve in Forearm

43: Chest Tube Placement (pages 507-514, 3 images)

Page 509: Anatomy of Thorax
Page 511: Lung Topography, Lungs in Situ, and Chest Wall Cross Section
Page 513: Landmarks for Chest Tube Placement

44: Emergency Thoracotomy for Trau… (pages 515-524, 4 images)

Page 517: Entry Into Thoracic Cavity: ""Clamshell"" and Left Anterolateral Thoracotomy
Page 519: Pericardiotomy and Cardiorrhaphy
Page 521: Cardiac Massage, Left Thoracotomy, and Ligament Incision
Page 523: Pulmonary Tractotomy

45: Tracheal Intubation and Endosc… (pages 525-538, 6 images)

Page 527: Saggital Section of Pharynx
Page 529: Views of Larynx
Page 531: Nose and Lower Airway/Trachea
Page 533: Indications and Examination for Intubation
Page 535: Laryngoscopy
Page 537: Sinus Endoscopy

Breast and Oncology

46: Mastectomy (pages 541-546, 2 images)

Page 543: Partial Mastectomy
Page 545: Total Mastectomy With Modified Radical Technique

47: Duct Excision (pages 547-552, 2 images)

Page 549: Management Algorithm for Nipple Discharge
Page 551: Duct Excision and Intraductal Papilloma

48: Sentinel Lymph Node Biopsy (pages 553-560, 3 images)

Page 555: Sentinel Lymph Node Biopsy
Page 557: Axillary, Cervical, Popliteal, and Inguinal Lymph Nodes
Page 559: Identification for ""Hot"" Lymph Node

49: Axillary and Inguinal Lymphade… (pages 561-568, 3 images)

Page 563: Axilla (Dissection) and Lymph Vessels/Nodes of Mammary Gland
Page 565: Axillary Lymph Node Dissection
Page 567: Inguinal Lymph Node Dissection

50: Retroperitoneal Sarcoma (pages 569-574, 2 images)

Page 571: Retroperitoneal Anatomy and CT Scan of Large Tumor
Page 573: Abdominal Exposure of Retroperitoneal Tumor

Urology and Gynecology

51: Hysterectomy for Benign and Ma… (pages 577-586, 5 images)

Page 579: Uterus, Ovaries, and Uterine Tubes
Page 580: Ligamentous and Fascial Support of Pelvic Viscera
Page 581: Arteries and Veins of Pelvic Organs and Ureteral Injury
Page 583: Abdominal Hysterectomy: Isolation of Round and Infundibulopelvic Ligaments
Page 585: Pelvic Cross Section With Peritoneum Removed

52: Oophorectomy for Benign and Ma… (pages 587-596, 4 images)

Page 589: Arteries and Veins of Female Pelvic Organs
Page 591: Pelvic Cavity Lymphatics and Adult Uterus, Ovaries, and Tubes
Page 593: Ovarian Carcinomas: Diagnosis and Management
Page 595: Ovarian Malignancy and Radical Oophorectomy

53: Laparoscopic Transperitoneal R… (pages 597-606, 4 images)

Page 599: Preoperative Imaging of Renal Mass and Surgical Approach
Page 601: Reflected Colon and Mesentery Medially; Kidney and Gerota's Fascia Laterally
Page 603: Anatomic Relations of Kidney and Psoas Exposure
Page 605: Relationships of Renal Vessels and Adrenal Gland

54: Radical Prostatectomy (pages 607-620, 6 images)

Page 609: Robot-assisted Prostatectomy and Surgical Approaches to Prostate
Page 611: Posterior Prostatic Dissection
Page 613: Development of Space Retzius
Page 615: Bladder Neck Dissection and Neurovascular Bundle
Page 617: Prostatic Pedicle Ligation and Division of Deep Dorsal Venous Plexus
Page 619: Division of Urethra and Vesicourethral Anastomosis

55: Radical Cystectomy (pages 621-636, 7 images)

Page 623: Male: Fascial Planes and Pelvic Contents
Page 625: Peritoneum of Posterior Abdominal Wall
Page 627: Lymph Vessels and Nodes of Kidneys and Bladder
Page 629: Male: Vascular Supply of Pelvic Organs and Loss of Erection
Page 631: Pelvic Viscera and Perineum: Male
Page 633: Female: Vascular Supply of Pelvic Organs and Anterior Exenteration Resections
Page 635: Urethra Incision and Resection