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Titlebook: Operative Strategy in General Surgery; An Expositive Atlas Jameson L. Chassin Textbook 1980 Springer-Verlag New York Inc. 1980 Chirurgie.b

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Proximal Gastric Vagotomy the course of a 5–10 year follow-up period. Because many of the complications following drainage procedures and gastric resection can be extremely unpleasant—such as dumping, weight loss, and malabsorption—it may prove worthwhile to assume the risk of a 10% recurrence rate to avert all these complications.
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Operations for Peptic Ulcer unnecessary. Vagotomy, then, should be routinely employed in surgery for duodenal ulcer. Which type of vagotomy, and which type of resection or drainage procedure should be employed, is a controversial question.
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Perforated Peptic Ulcerstric resection is . to simple plication. If for technical reasons, a sound plication cannot be constructed, then gastric resection is ., regardless of the risk, as a recurrent gastric leak into the peritoneal cavity is almost always fatal.
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n is su­ perbly qualified to author this work. During more than three decades as a member of the faculty of the New York University School of Medicine, he has taught countless residents many aspects of the art of surgical technique. One measure of Dr. Chassin‘s unusual teaching ability is that he is
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Surgical Stapling: Principles and Precautionsnd beyond the stapled anastomosis. If the tissues being stapled are so thick that compression by the stapling device is likely to produce necrosis, this technique is contraindicated. On the other hand, if the tissues are so thin that the staples cannot provide a firm approximation, bleeding and anastomotic leakage may occur.
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