Thoracic Key

DETAILS OF PROCEDURE Print Section Listen The schematic drawing shows the position of the viscera after this operation is completed, along with the alternative antecolic placement of the jejunal loop….

INDICATIONS Print Section Listen The Polya procedure, or a modification of it, is one of the safest and most widely used repairs after extensive gastric resections have been performed, whether…

INDICATIONS Print Section Listen Subtotal gastrectomy is indicated in the presence of malignancy; in the presence of gastric ulcer that persists despite intensive medical therapy; and sometimes in the presence…

REMOVAL OF OMENTUM Print Section Listen DETAILS OF PROCEDURE In cases of malignancy of the stomach, it is desirable to resect the greater omentum, because it allows for improved removal…

INDICATIONS Print Section Listen The Billroth I gastric resection along with truncal vagotomy is frequently performed for intractable duodenal ulcer or benign gastric ulcer. The procedure may be performed when…

INDICATIONS Print Section Listen The Billroth I procedure for gastroduodenostomy is the most physiologic type of gastric resection, since it restores normal continuity. Although long preferred by some in the…

A. CLOSURE OF PERFORATION Print Section Listen INDICATIONS Perforation of an ulcer of the stomach or duodenum is a surgical emergency; however, before performing the operation, sufficient time should be…

INDICATIONS Print Section Listen The long-term results of vagotomy are closely related to the completeness of the vagotomy and to efficient drainage or resection of the antrum (see Chapter 22)….

INDICATIONS Print Section Listen These procedures may be used when the vagus innervation of the stomach has been interrupted either by truncal vagotomy, selective vagotomy, or division of the vagus…

INTRODUCTION Print Section Listen Bilateral resection of segments of the vagus nerves in the region of the lower esophagus is a key component in treating intractable duodenal or gastrojejunal ulcers,…