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  • Book
    Lee J. Skandalakis, John E. Skandalakis, editors ; with contributions by Panagiotis N. Skandalakis.
    Summary: Generations of residents and general surgeons have relied upon and worn out their copies of Surgical Anatomy and Technique: A Pocket Manual. Thoroughly revised and with dozens of new illustrations, the fourth edition continues the tradition of providing a concise, accessible, and generously illustrated memory refresher for both novice and experienced clinicians. The editors have included techniques to keep the content fresh, relevant, and practice-based. Among the new topics are hand surgery, a section on central venous access, and creating an AV fistula for dialysis. All the existing chapters have been updated and expanded to reflect current surgical approaches and instrumentation. This fourth edition of Surgical Anatomy and Technique: A Pocket Manual provides the gold standard in correlating clear, practical anatomy with the correct technique in the pursuit of the best possible patient outcomes. This handy pocket manual remains a "must have" for every resident and general surgeon.

    Contents:
    Skin, Scalp, and Nail
    Neck
    Breast
    Abdominal Wall and Hernias
    Diaphragm
    Esophagus
    Stomach
    Duodenum
    Pancreas
    Small Intestine
    Appendix
    Colon and Anorectum
    Liver
    Extrahepatic Biliary Tract
    Spleen
    Adrenal Glands
    Vascular System
    Uterus, Tubes, and Ovaries
    Carpal Tunnel
    Microsurgical Procedures
    Miscellaneous Procedures
    Bariatric Surgery.
    Digital Access Springer 2014
  • Article
    Kent KM, Borer JS, Green MV, Bacharach SL, McIntosh CL, Conkle DM, Epstein SE.
    N Engl J Med. 1978 Jun 29;298(26):1434-9.
    To determine the effect of coronary revascularization on exercise-induced abnormalities of left ventricular-ejection fraction and regional contraction, we obtained electrocardiograph-gated 99mTc radionuclide cineangiograms before and after operation in 23 consecutive patients. At rest, their average ejection fraction remained unchanged: 51 +/- 3 versus 54 +/- 4 per cent (+/- S.E.M.). However, 17 of the patients showed improvement of ejection fraction during postoperative exercise (increase of 51 per cent). The remaining six patients had no change or a decreased ejection fraction during exercise. All patients with improved ejection fractions during exercise were symptomatically improved. No improvement of regional function occurred at rest, but improvement did occur in regions of exercise-induced dysfunction. Although coronary revascularization has little effect on left ventricular function at rest, the ejection fraction during exercise and exercise-induced wall-motion abnormalities improve in most patients who experience symptomatic improvement.
    Digital Access Access Options