Operative Dictations in General and Vascular Surgery

1098 Pages·2012·47.58 MB·English

by  Carol E. H. Scott-Conner M.D. (auth.)

Operative Dictations in General
and Vascular Surgery

Jamal J. Hoballah
Carol E.H. Scott-Conner
Editors
Operative Dictations
in General and Vascular
Surgery
Second edition
Editors
Jamal J. Hoballah, MD, MBA, Carol E.H. Scott-Conner, MD, PhD,
FACS MBA, FACS
Professor and Chairman Professor of Surgery
Department of Surgery Department of Surgery
American University of Beirut University of Iowa Carver College
Medical Center of Medicine
Beirut, Lebanon Iowa City, IA, USA
[email protected]
Professor of Surgery
Department of Surgery
Vascular Surgery Division
University of Iowa Carver
College of Medicine
Iowa City, IA, USA
[email protected]
ISBN 978-1-4614-0450-7 e-ISBN 978-1-4614-0451-4
DOI 10.1007/978-1-4614-0451-4
Springer New York Dordrecht Heidelberg London
Library of Congress Control Number: 2011935376
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To Harry (CSC)
To Leila, Jawad, Nader and Wafa (JJH)

Preface
A SPECIAL WORD TO SURGICAL RESIDENTS AND FELLOWS
Surgeons love to operate, but nobody likes paperwork. The opera-
tive dictation, or “op note” as it is commonly called, is one of
the most important pieces of paperwork that a surgeon creates.
Accurately recording what happened in the operating room –
what the indications were, what was found, what was done, who
was there, what sutures and devices were used, what individual
differences in anatomy were encountered – is a crucial skill that
all surgeons must learn. Yet, surgical residents rarely receive
detailed instruction in how to dictate concise, informative opera-
tive notes.
Quite simply, this is a book we wish we had had when we were
residents. It is a book we want our residents to have and to use.
Personalize your copy. Use the space labeled “notes” to take note
of particular technical variations favored by the various attending
surgeons with whom you scrub. Note their preferences in suture
materials, patient positioning, and other small details. Make it
your practice to review this material before scrubbing on a case.
Surgery is made up of thousands of small details. Note what works
well, and what is less useful. Sooner than you might believe, you
will be facing your board exams and working independently. When
you do, this book will help you recall everything you have learned,
and help you to determine your own technical preferences.
We hope you will enjoy using this unique resource. We wel-
come your comments or suggestions.
Jamal J. Hoballah
Carol E.H. Scott-Conner
vii

Introduction
The second edition of this book, once again, seeks to put a world
of technical information in your pocket, or OR locker. A total of 60
new operations have been added, expanding the content by more
than 35%. A large number of endovascular procedures have been
added in the second edition, reflecting the changes in the manage-
ment of vascular pathology.
The volume has two primary objectives. First, it is designed
to serve as a source of model operative dictations that may be
individualized and used as templates. Second, it is intended as an
aide-memoir, giving the surgeon a short list of pertinent informa-
tion about each procedure. Ample space is provided to allow each
surgeon to add notes. By reviewing this introductory material
before scrubbing on a procedure, the trainee surgeon will enter
the operating room better prepared to participate actively and to
learn as much as possible. At the end of training, this book, with
the notes accumulated by the resident, will serve as an invaluable
review resource analogous to the individualized notebooks many
surgeons keep. The first edition was noted to be very valuable by
graduating surgical trainees in preparation for the certifying exam
of the American Board of Surgery.
This book is also intended for practicing surgeons, who may
modify each template to reflect their own individual practice. It
also serves as a concise reminder of essential steps in those opera-
tions that may be only rarely performed.
Here you will find concise summaries of 226 operations. This
comprises the majority of procedures commonly performed by
general and vascular surgeons. For each procedure, a list of com-
mon indications is given. This list is by no means exhaustive, but
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