1887

Surgical principles and instrumentation

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Abstract

Surgery of the head, neck and thorax forms a large part of soft tissue surgery. This chapter covers many perioperative aspects of head, neck and thoracic surgery including patient assessment, anaesthesia and analgesia, patient positioning, equipment and surgical instrumentation, postoperative care, and surgical principles.

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/content/chapter/10.22233/9781910443347.chap1

Figures

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1.1 Spiral computed tomography creates excellent images of the pulmonary parenchyma. A hyperdense mass (m) is present in the periphery of the left lung.
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1.2 Positioning of a Bulldog for an oral approach to the airway.
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1.3 Scissors. 1 = Mayo; 2 = Metzenbaum; 3 = Iris; 4 = 45-degree Potts.
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1.4 (a) Thumb forceps: 1 = Debakey forceps; 2 = Adson forceps. (b) Debakey detail.
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1.5 Tissue forceps and clamps. 1 = Allis; 2 = Babcock; 3 = Backhaus; 4 = Lane’s.
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1.6 Angled forceps. 1 = Mixter; 2 = Lahey bile duct; 3 = Waterston.
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1.7 Hand-held retractors. 1 = Senn; 2 = Parker-Kerr; 3 = Army–Navy; 4 = Langenbeck.
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1.8 Self-retaining retractors. 1 = Gelpi; 2 = West; 3 = Travers; 4 = Finochietto.
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1.9 Periosteal elevators. 1 = Senn; 2 = Molt; 3 = Freer; 4 = Goldman-Fox; 5 and 6 = feline.
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1.10 Rongeurs. 1 = Lempert; 2 = Ruskin; 3 = Kerrison.
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1.11 Vascular clamps. 1 = straight; 2 = right-angled; 3 = tangential.
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1.12 The sternebrae of a large dog may be cut using (a) an oscillating saw or (b) a sagittal saw.
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1.13 Spring-loaded mouth gags.
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1.14 Suction tips. 1 = Poole; 2 = Frasier.
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1.15 Nova Pulse CO laser. (Courtesy of Lumenis Inc.)
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1.16 Diathermy equipment. 1 = monopolar; 2 = bipolar.

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