This popular resource delivers a thorough overview of every basic surgical term, concept, and technique. The essentials of surgery are concisely presented and abundantly illustrated. From tissue injury, local anesthetics, and surgical instruments.through obtaining hemostasis, skin flaps, scar excision and closure.to postoperative wound care, the 2nd Edition presents everything readers need to know to perform all of the maneuvers essential to surgical success. Two bonus CD-ROMs complement the text, using full-color animations and live-action video to demonstrate all of the skills step by step.

• Detailed illustrations and intra-operative photographs make every point clear.
• Video clips of operating room preparation and procedures show readers how to proceed-step by
• 17 quizzes throughout the book as well as a 100-question test (with answers) enable readers to assess their mastery of the material.
• CD-ROM #2 presents another 100-question test (with answers) that provides immediate feedback and scores as well as 25 randomized questions (without answers,) scored after the quiz is completed.

A. THE OPERATING ROOM

B. THE WOUND

1. Tissue Injury-Wounding
Inflammation Proliferation of collagen and scar formation Scar maturation

2. Wound Classification
Clean wounds  Clean contaminated wounds Contaminated wounds  Infected wounds

3. Factors That Affect Wound Healing
Age  Weight  Nutrition Dehydration  Blood supply  Immune responses  Chronic illness  Drugs and radiation therapy  Smoking

4. Healing
Primary intention  Secondary intention  Tertiary intention  Complications

C. BASIC PRINCIPLES IN SURGERY

1. Hemostasis

2. Handling of the Tissues

3. Incision Planning

4. Relaxed Skin Tension Lines

5. Undennining

6. Choice of Suture Materials

7. Closing With Sufficient Tension

8. Tissue Moisture

9. Debriding Necrotic Tissue

10. Dead Spaces

11. Postoperative Wound Stress

D. LOCAL ANESTHETICS

1. Anesthetics

2. Injection Technique

E. SCRUBBING

1. Washing Your Hands

2. Gowning

3. Gloving

F. SURGICAL INSTRUMENTS

1. Scalpel

2. Tissue Scissors

3. Forceps

4. Skin Hooks

5. Retractor

6. Needle Holder

7. Hemostat

8. Suction

9. Cautery

10. Suture Scissors

11. Towel Clip

12. Staple Gun

Quiz

G. SUTURES AND KNOTS

1. Introduction

2. Suture Materials

3. Needle Types

4. Knot Tying
- Two-Hand Tie  Square Knot  Comparison Between Surgeon's Knot and Square Knot  Surgeon's Knot  Instrument Tie

H. OBTAINING HEMOSTASIS

1. Free Vessel Ligature

2. Figure-of-8 Stick Tie

3. Electrocautery

4. Bone Wax

I. WOUND CLOSURE

1. Principles of Halving

2. Subcutaneous Closure

3. Subcuticular Closure

4. Skin Closure
- Simple Interrupted Suture  Vertical Mattress Suture  Horizontal Mattress Suture  Running Closure (Baseball Stitch)  Running-Lock Closure  Running Intracuticular Closure Staples  Skin Adhesive Closure  Purse String Suture Drains

J. SKIN FLAPS

1. Introduction

2. Fusiform (Elliptical) Excision

3. Advancement Flap

4. Rotation Flap

5. Z-Plasty

K. POSTOPERATIVE WOUND

1. Local Wound Care

2. Steri-Strips

3. Suture Removal

4. Staple Removal

5. Drain Removal

L. QUIZ QUESTIONS

M. GLOSSARY OF TERMS

N. QUIZ ANSWERS 145

0. MAIN MENU FOR CD ROM

1. Scrubbing-washing hands

2. Gowning and Gloving

3. Surgical Instruments

4. Knot Tying

5. Laboratory Preparations (Pigs' Feet)

6. Laboratory Exercises (Surgical Techniques)

Quiz

By David A. Sherris, MD, Associate Professor and Interim Chair of Otolaryngology, University at Buffalo, State University of New York, Buffalo, New York; Former Associate Professor and Chair Division of Facial Plastic Surgery, Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota; and Eugene B. Kern, MD, Emeritus Endicott Professor of Medicine, Mayo Foundation, Emeritus Professor of Rhinology and Facial Plastic Surgery, Division of Facial Plastic Surgery, Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota