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Surgical Procedures Summary (Lower GI (McEvedy Approach (Femoral Hernia,…
Surgical Procedures Summary
Upper GI
Ramstedt’s pyloromyotomy
Congenital pyloric stenosis
Longitudinal incision through muscularis
propria @ the pylorus
Ivor-Lewis
Oesophageal Ca
Two-stage oesophagectomy
Heller’s cardiomyotomy
Achalasia
Longitudinal incision through muscularis
propria @ the LOS
Can → GORD
Nissen Fundoplication
GORD
Wrap fundus around distal oesophagus
Can → dysphagia
Whipple’s
Pancreatic Ca
Pancreaticoduodenectomy
Dohlman’s Procedure
Pharyngeal pouch
Minimally invasive endoscopic stapling
Vascular
Varicosities
Trendelenberg Op
SFJ ligation
Cockett’s Op
Perforator ligation
Chronic
venous
insufficiency
Kistner Operation
Venous valvuloplasty
Palma Operation
Bypass venous obstruction c¯ contralateral
GSV
Trahere Transplantation
Transplant of axillary vein w/ valve into
deep venous leg veins
Urology
Palomo Operation
Varicocele
High retroperitoneal approach for ligation
of testicular veins
Transverse incision at the level of the
ASIS centred on the mid-inguinal point.
Jaboulay’s Repair
Hydrocele
Eversion of the tunica vaginalis
Dartos Pouch Procedure
Undescended testis
Mobilisation of testis and placement in a
s/c pouch via a hole in the dartos muscle.
Dartos prevents retraction
Lord’s Repair
Hydrocele
Plication of the tunica vaginalis
Lower GI
TEP
Inguinal Hernia
Totally ExtraPeritoneal lap hernia repair
TAPP
Inguinal Hernia
Trans-Abdominal Pre-Peritoneal lap
hernia repair
McEvedy Approach
Femoral Hernia
High approach in inguinal region
Herniotomy and herniorrhaphy
Used in emergency situation
Allows inspection and
resection of non-viable bowel
Lat. Sphincterotomy
Anal fissure
Division of internal anal sphincter @ 3
O’clock
Used when medical Mx fails
SE: minor faecal incontinence
Lockwood Approach
Femoral Hernia
Low incision over hernia w/ herniotomy and
herniorrhaphy.
Used electively
Delorme’s Procedure
Rectal prolapse
Perineal approach w/ mucosal excision
Mayo Repair
Umbilical Hernia
Double-breast the linea alba ± sublay mesh
Head and Neck
Sistrunk’s Operation
Thyroglossal
cyst
Excision of cyst and thyroglossal duct