Agarwal Anil - Oxford Handbook of Operative Surgery

OXFORD MEDICAL PUBLICATIONS

Oxford Handbook for the Foundation Programme 4e

Oxford Handbook of Acute Medicine 3e

Oxford Handbook of Anaesthesia 4e

Oxford Handbook of Applied Dental Sciences

Oxford Handbook of Cardiology 2e

Oxford Handbook of Clinical and Healthcare Research

Oxford Handbook of Clinical and Laboratory Investigation 3e

Oxford Handbook of Clinical Dentistry 6e

Oxford Handbook of Clinical Diagnosis 3e

Oxford Handbook of Clinical Examination and Practical Skills 2e

Oxford Handbook of Clinical Haematology 4e

Oxford Handbook of Clinical Immunology and Allergy 3e

Oxford Handbook of Clinical Medicine Mini Edition 9e

Oxford Handbook of Clinical Medicine 9e

Oxford Handbook of Clinical Pathology

Oxford Handbook of Clinical Pharmacy 3e

Oxford Handbook of Clinical Rehabilitation 2e

Oxford Handbook of Clinical Specialties 9e

Oxford Handbook of Clinical Surgery 4e

Oxford Handbook of Complementary Medicine

Oxford Handbook of Critical Care 3e

Oxford Handbook of Dental Patient Care

Oxford Handbook of Dialysis 4e

Oxford Handbook of Emergency Medicine 4e

Oxford Handbook of Endocrinology and Diabetes 3e

Oxford Handbook of ENT and Head and Neck Surgery 2e

Oxford Handbook of Epidemiology for Clinicians

Oxford Handbook of Expedition and Wilderness Medicine 2e

Oxford Handbook of Forensic Medicine

Oxford Handbook of Gastroenterology & Hepatology 2e

Oxford Handbook of General Practice 4e

Oxford Handbook of Genetics

Oxford Handbook of Genitourinary Medicine, HIV and AIDS 2e

Oxford Handbook of Geriatric Medicine 2e

Oxford Handbook of Infectious Diseases and Microbiology

Oxford Handbook of Key Clinical Evidence

Oxford Handbook of Medical Dermatology 2e

Oxford Handbook of Medical Imaging

Oxford Handbook of Medical Sciences 2e

Oxford Handbook of Medical Statistics

Oxford Handbook of Neonatology

Oxford Handbook of Nephrology and Hypertension 2e

Oxford Handbook of Neurology 2e

Oxford Handbook of Nutrition and Dietetics 2e

Oxford Handbook of Obstetrics and Gynaecology 3e

Oxford Handbook of Occupational Health 2e

Oxford Handbook of Oncology 3e

Oxford Handbook of Operative Surgery 3e

Oxford Handbook of Ophthalmology 3e

Oxford Handbook of Oral and Maxillofacial Surgery

Oxford Handbook of Orthopaedics and Trauma

Oxford Handbook of Paediatrics 2e

Oxford Handbook of Pain Management

Oxford Handbook of Palliative Care 2e

Oxford Handbook of Practical Drug Therapy 2e

Oxford Handbook of Pre-Hospital Care

Oxford Handbook of Psychiatry 3e

Oxford Handbook of Public Health Practice 3e

Oxford Handbook of Reproductive Medicine & Family Planning 2e

Oxford Handbook of Respiratory Medicine 3e

Oxford Handbook of Rheumatology 3e

Oxford Handbook of Sport and Exercise Medicine 2e Handbook of Surgical Consent

Oxford Handbook of Tropical Medicine 4e

Oxford Handbook of Urology 3e

Great Clarendon Street, Oxford, OX2 6DP,

United Kingdom

Oxford University Press is a department of the University of Oxford. It furthers the Universitys objective of excellence in research, scholarship, and education by publishing worldwide. Oxford is a registered trade mark of Oxford University Press in the UK and in certain other countries

Oxford University Press 2017

The moral rights of the authors have been asserted

First Edition published in 1996

Second Edition published in 2006

Third Edition published in 2017

Impression: 1

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by licence or under terms agreed with the appropriate reprographics rights organization. Enquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above

You must not circulate this work in any other form and you must impose this same condition on any acquirer

Published in the United States of America by Oxford University Press

Madison Avenue, New York, NY 10016, United States of America

British Library Cataloguing in Publication Data

Data available

Library of Congress Control Number: 2016951475

ISBN 9780199608911

eISBN 9780191059261

Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breast-feeding

Links to third party websites are provided by Oxford in good faith and for information only. Oxford disclaims any responsibility for the materials contained in any third party website referenced in this work.

AKA

For Charu, Mitali, and Kunal

NB

For Alexander, Christopher, and Jennifer

GRM

For Ross, Cameron, Ailidh, Claire, and Calum

The story always old and always new

The Ring and the Book

It is twenty years since the first edition of Operative Surgery was published. At that time trainees were apprentices in surgery and the emerging consultant was a varied creature in terms of skill and experience, but had the advantage of many hours of exposure to surgical procedures.

By contrast, when the second edition appeared ten years later, the number of training hours had been considerably reduced while training had become more formalized to ensure the standardization of surgical excellence by regular attendance at educational and surgical skills courses. Further, the specialty of general surgery gradually gave way to specialized surgical units including emergency surgery.

As a result this third edition covers the operations listed in the intercollegiate surgical curriculum for each of the ten surgical specialties. It has been extensively updated and rewritten in keeping with the advances of the last ten years.

Trainees in their early years, while sampling a number of surgical specialties, will find in the handbook a detailed description of common operations at which they will assist and ultimately perform. For the specialty-specific intermediate and final stages of training a range of operations that trainees will perform is concisely described. In addition, medical students and housemen will find the descriptions useful during their surgical attachments as will specialist senior nurses and nurse assistants.

A section of tips and tricks is included to add the wisdom of years of experience.

We hope the handbook meets individual needs and will continue to impact on the subsequent production of highly-skilled and well-trained surgeons both now and in the future.