By Prema Dhanraj, L. B. M. Joseph
Cosmetic surgery is a surgical forte related to the recovery, reconstruction, or alteration of the human physique. It contains beauty or aesthetic surgical procedure, reconstructive surgical procedure, craniofacial surgical procedure, hand surgical procedure, microsurgery, and the therapy of burns
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T/F: Cigarette smoking is the most strongly associated risk factor for adenocarcinoma of the pancreas. True. ❍ How many molecules of ATP does glycolysis generate for each molecule of glucose? 37, with one molecule being utilized for storage. ❍ T/F: The falciform ligament demarcates the right hepatic lobe from the left hepatic lobe. False. The gallbladder fossa and IVC are the landmarks. ❍ When performing complex biliary procedures, where in the hepatoduodenal ligament would you expect to find the common bile duct?
A patient with severe reflux symptoms has virtually complete relief with proton-pump inhibitor therapy. The patient still requests an operation so that medication will not be required. Is the patient a candidate for surgery? Yes. Surgery for gastroesophageal reflux (GER) is an option for patients who are concerned about the inconvenience, cost, and long-term medical consequences of daily medication, provided the patients are medically fit for an operation. ❍ How is GER most objectively documented?
What is the appropriate treatment? Esophagomyotomy after carcinoma is ruled out. ❍ A 45-year-old woman presents with manometrically documented primary achalasia. Her esophagus is massively dilated and contains a significant amount of undigested food. She has failed several prior attempts at modified Heller myotomies and has had several hospital admissions. What is the treatment of choice? Total esophagectomy. ❍ What are the potential intraoperative complications during transhiatal esophagectomy? Recurrent laryngeal nerve injury, tear in the membranous wall of the trachea, azygous vein disruption, hemothorax, and pneumothorax.