Titlebook: Operative Strategy in General Surgery; An Expositive Atlas Jameson L. Chassin Book 19942nd edition Springer Science+Business Media New York

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Emmenagogue

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Meditative

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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Operations to Replace or Bypass the Esophagus: Colon or Jejunum Interposition; Transhiatal Esophagecfor the colon and its mesentery. Under these conditions venous infarction can occur. Following careful surgery, this complication should be quite rare. Belsey experienced one colon infarct in 92 left colon interposition operations. This complication appears to be more common when the right colon is used as opposed to the left colon (Wilkins).

抵制

Transthoracic Gastroplasty (Collis) and Nissen Fundoplicationreflux should be treated by a Collis gastroplasty and an antireflux procedure. A previous subtotal gastrectomy generally contraindicates a Collis gastroplasty. Most patients with recurrent reflux esophagitis after a previous operation will require a thoracoabdominal Collis-Nissen operation.

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