Farquharson's Textbook of Operative General Surgery

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Therefore, the choice of suture material is sometimes crucial, although more often it is mainly a matter of surgeon preference, cost or availability. After dealing with the subcutaneous fat, the skin edges must be held in accurate apposition and supported for as long as it takes forvip. However, consistency and cross-referencing between chapters have remained of paramount importance during the editorship. Advice from surgeons practising in other surgical disciplines has been extensively utilised in these sections. Relevant procedures are therefore described for the experienced general surgeon who may have to operate in another surgical discipline.

Smaller laparoscopes and those with a more angled view in general provide less light and inferior views. The needle is most easily positioned for placing a stitch with the right hand by first grasping it loosely near the tip with the left hand needle holder. This is extensively used in vascular surtourniquet may technique result in iatrogenic chemical burns. Where a knot needs tying under tension or slips during tying, a useful technique can be to create an intentional slip knotThe tissue reaction induced by catgut was sufficiently severe to preclude its use as a subcuticular suture.

D) (d)The Thewhite whitestrand strandhas hasbeen beencorrectly correctly has pulledto tothe theright, right,the theblack blacktotothe theleft; left;see see(B). Techniques are described in sufficient detail to allow a surgeon who has limited experience of a particular operation to proceed with confidence and safety. All the common operations in the General Surgical subspecialties that are likely to be encountered during Higher Surgical Training are described and, additionally, basic techniques are explained for the junior trainee. Lasers are not used extensively in general surgery but have an increasing role in ophthalmology and prostatic surgery.New contributing authors in the subspecialties of general surgery bring their own particular expertise to the book. A long suture is difficult to tie within the visual field of the laparoscope, and sutures should be cut down to 10–15 cm. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines.