Fundamental Anatomy for Operative General Surgery by S. J. Snooks MD, FRCS, R. F. M. Wood MD, FRCS (auth.)

By S. J. Snooks MD, FRCS, R. F. M. Wood MD, FRCS (auth.)

Safe surgical procedure is based upon cautious dissection and transparent id of important buildings. wisdom of the perfect anatomy and anatomical relatives is consequently crucial, not just in the course of surgical education, yet because the cornerstone of surgical perform. the purpose of this e-book is to explain the fundamental anatomical foundation of various universal approaches generally and vascular surgical procedure. The large-format multi-volume texts on operative surgical procedure, regardless of their undoubted excellence, are actually too dear for person buy. Single-volume books on operative surgical procedure were not able to commit adequate recognition to anatomical aspect and the medical professional is left ploughing via anatomy texts, usually failing to discover illustrations which exhibit sincerely the beneficial properties which are vital in an operative dissection. the current textual content highlights beneficial properties of the operations that are very important anatomically whereas now not trying to provide a whole description of the operative approach. a mix of line diagrams and go sections has been used to supply the topographical aspect. the quantity is aimed generally at surgeons in education, to assist them on a day-to­ day foundation and to supply a textual content with a purpose to be important in revising for submit­ graduate examinations in surgical procedure. it's also was hoping that the booklet might be of use to working towards surgeons, offering a simple technique of highlighting vital anatomical facets of the techniques they practice really every now and then. 1989 S.J.S.

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8 Transverse section through the stomach to show relations of the spleen to the pancreas, lesser sac, gastrosplenic and lienorenal ligaments. X, Division ( - - -J, lienorenal ligament. Y. Division, gastrosplenic ligament containing the short gastric vessels (.. J. 34 Splenectomy The size of the spleen to be removed affects the approach to the operation. As the spleen enlarges it may become adherent to the underside of the diaphragm, the stomach and splenic flexure of the colon. For very large spleens a thoracoabdominal approach may therefore be required.

C) • This space lies between the diaphragm, liver and stomach. • The lateral boundary is the inferior vena cava with the abdominal portion of the oesophagus medially. • Anteroposteriorly the space extends from the caudate lobe of the liver to the right crus of the diaphragm and the thoracic aorta. 33 Splenectomy Stomach Kidney Transverse colon FIG. A Spleen and ligamentous attachments. A, gastrosplenic; 8, lienorenal; and C, adhesion to splenic flexure of colon. Short gastric vessel FIG. 8 Transverse section through the stomach to show relations of the spleen to the pancreas, lesser sac, gastrosplenic and lienorenal ligaments.

39 Right Hemicolectomy Right gonadal artery Right gonadal vein l<\"~~~--Quadratus lumborum 1t--I1'-tt---- Left ureter Right ureter -----'~+--H-:'_Hf-t Psoas major muscle Femoral nerve FIG. --~;;::::;;--;n,(/f)~ part of duodenum) Left renal vein Aorta Duodenum (3rd part) -~ Duodenal-jejunal flexure Right colic artery Marginal artery of Drummond Ileocolic artery Transverse mesocolon (containing the middle colic artery) FIG. C Sagittal section through the upper abdomen in order to demonstrate the course of the superior mesenteric artery and its branches (middle colic artery).

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