Daniel B. Jones - Pocket Surgery

Pocket

SURGERY

Second Edition

Editor:

D ANIEL B. J ONES , MD, MS, FACS

Acquisitions Editor: Brian Brown
Development Editor: Brendan Huffman
Editorial Coordinator: Annette Ferran
Senior Production Manager: Alicia Jackson
Manufacturing Manager: Beth Welsh
Marketing Manager: Dan Dressler
Design Coordinator: Steve Druding
Production Service: Aptara, Inc.

2nd edition

Copyright 2018 Wolters Kluwer

2011 by LIPPINCOTT WILLIAMS & WILKINS, a WOLTERS KLUWER business. All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form by any means, including photocopying, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright.

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Printed in China

Library of Congress Cataloging-in-Publication Data

Names: Jones, Daniel B., 1964- editor.

Title: Pocket surgery / editor, Daniel B. Jones.

Other titles: Pocket surgery (Goldfarb) | Pocket notebook.

Description: 2nd edition. | Philadelphia: Wolters Kluwer, 2017. | Series:

Pocket notebook | Preceded by Pocket surgery: the Beth Israel Deaconess

Medical Center handbook of surgery / editors, Melanie Goldfarb... [et al.].

c2011. | Includes bibliographical references.

Identifiers: LCCN 2017026170 | ISBN 9781975103750

Subjects: | MESH: Surgical Procedures, Operative | Handbooks

Classification: LCC RD31 | NLM WO 39 | DDC 617dc23 LC record available at https://lccn.loc.gov/2017026170

DISCLAIMER

This work is provided as is, and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work.

This work is no substitute for individual patient assessment based upon healthcare professionals examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments.

Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturers package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.

LWW.com

In memory of George Blackburn, MD, PhD, the S. Daniel Abraham Professor at Harvard Medical School. Dr. Blackburn pioneered the development of intravenous hyperalimentation formulations and the safe delivery of total parenteral nutrition. He established the field of Bariatric Surgery. He will be remembered as a thoughtful investigator and selfless mentor. Dr. Blackburn served as the Director of the Study of Nutrition Medicine at Beth Israel Deaconess Medical Center.

One doesnt discover new lands without consenting to lose sight of the shore for a very long time.

Andre Gide

As you set out for Ithaka

hope the voyage is a long one,

full of adventure, full of discovery

And if you find her poor, Ithaka wont have fooled you.

Wise as you will have become, so full of experience,

you will have understood by then what these Ithakas mean.

C. P. Cavafy

To be a surgeon is to dedicate ones life in the service of others through the application of acquired clinical wisdom in the broad domains of repair, reconstruction, and replacement. It means learning to use ones mind and ones hands and of interacting with others in new ways so as to meet the challenges that face our patients each and every day to the best of our ability. It means that while at times a surgeon may be an anatomist, physiologist, pathologist, or internist, as the leader of a surgical team, whether in the operating room or on the floor, surgeons must always see with their mind, as well as their eyes.

For over a century, a foundation of excellence in the Department of Surgery at Beth Israel Deaconess Medical Center has been nurtured and sustained by a variety of outstanding leaders of Harvard Medical School. Written by the surgical faculty and house staff of our department, this handbook is principally directed toward those students commencing their clinical work in the operating room, outpatient clinics, and surgical wards. It is intended as a vade mecum, which translated from the Latin means go with me, a handbook to be carried at all times.

The emphasis of this handbook is to provide students with a critical summary of broad anatomic, physiologic, and pathologic principles that form the framework for surgical decision-making. The intent of this handbook is not to provide facts to be memorized, but a guide to better understand a select number of common problems, diagnostic approaches, and those operative interventions that can be called upon to cure or to relieve suffering. Building upon this initial foundation, we believe that future leaders in American medicine will be best able to challenge currently accepted truths, through their creativity, original thought, and innovations.

E LLIOT L. C HAIKOF , MD, P H D
Chairman, Department of Surgery
Beth Israel Deaconess Medical Center
Harvard Medical School

Pocket Surgery is the go to resource for medical students and Surgery house staff. The bulleted format gets the information usually found in a two-volume surgery textbook into one loose leaf notebook small enough to fit into your white coat pocket. Pocket Surgery, Second Edition builds on the success of the first edition. With this release we have updated content and added more illustrations. Every chapter has been written by surgery residents and fellows and coauthored by experts in the field. The goal is to make sure medical students excel in their surgery clerkship rotation and surgery shelf exam. Interns and junior surgery residents will appreciate having outlines for relevant facts, medication doses, and management algorithms. Residents will also find