Download Atlas of Operative Procedures in Surgical Oncology by Constantine P. Karakousis PDF

Download Atlas of Operative Procedures in Surgical Oncology by Constantine P. Karakousis PDF

By Constantine P. Karakousis

This quantity is the fabricated from the author's lengthy adventure with melanomas and sarcomas and to a lesser yet major measure with higher gastrointestinal cancers, colorectal and breast cancers. As such, it deals a “hands-on” functional advisor to imminent complicated soft-tissue tumors and for acting extra large tumor resections according to over forty years of surgical event. It offers very important information about the site of sufferers, incision forms, and publicity that are of paramount value within the resection of sure tumors. The e-book includes vital normal surgical rules for impending tumors in quite a few destinations but in addition bargains the element precious for the secure and oncologically sound resection of those malignancies. in addition, this operative atlas includes particular info for systems which aren't as generally encountered in surgical education, yet might be priceless within the administration of sufferers with in the neighborhood competitive tumors, reminiscent of hemipelvectomy and its editions, sacral resections, and forequarter amputation.

Through using a number of precise illustrations, Atlas of Operative strategies in Surgical Oncology serves as a beneficial source to the final health care professional or surgical oncologist within the operative administration of sufferers with melanoma within the stomach, retroperitoneum, pelvis or extremities.

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The posterior flap was further developed (Fig. 11), and the tumor mass was separated superiorly from the radial nerve, which coursed behind the brachial artery and then shifted posterolaterally to follow the spiral groove of the humerus. The long head of the triceps was exposed posteromedially (Fig. 12), and because the tumor was embedded in the triceps, its long and medial heads were removed (Fig. 13). After removal of the ulnar nerve, flexion at the wrist is maintained through the flexor carpi radialis, and flexion and extension of the fingers are intact.

The palmar aponeurosis was incised, and the motor branch of the median nerve was identified and dissected laterally (Fig. 6). The sensory branches of the median nerve to the second digit were divided proximally. The flexor tendons also of the second finger were divided proximally. The adductor pollicis was divided close to the surface of the first metacarpal. This muscle, arising from the distal two thirds of the palmar surface of the third metacarpal bone, was also separated from its broad origin to the third metacarpal bone, so that the bulk of this muscle remained in front of the second metacarpal bone, to be removed with the specimen (Fig.

Clin Plast Surg. 2004;31(1):113–9. Fig. 9 The median nerve dissected from the elbow to the wrist, shown after resection of sarcoma of the ventral forearm 6 Tumor in the Dorsal Aspect of the Forearm The dorsal antebrachial muscles may be distinguished in the superficial group, which includes the brachioradialis, extensor carpi radialis longus, extensor carpi radialis brevis, extensor digitorum, extensor digiti minimi, extensor carpi ulnaris, and anconeus, and in the deep group, including the supinator, abductor pollicis longus, extensor pollicis brevis, extensor pollicis longus, and extensor indicis.

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