Gray's Surgical Anatomy

Colon, rectum and anus

Core Procedures Colon and Appendix Segmental colectomy Appendicectomy Hartmann's procedure Rectum (Low) anterior resection Abdominoperineal resection Anal Canal Internal anal sphincterotomy Fistulotomy Incision and drainage of perianal abscess Haemorrhoidectomy Clinical anatomy The colon is a capacious tubular conduit that extends…

Small intestine

Core Procedures Small intestinal resection and anastomosis Small intestinal bypass Stricturoplasty Ileostomy creation and reversal Surgery of the small intestine was rarely performed successfully prior to the development of anaesthetics and antisepsis. The advances of Bigelow and Lister allowed operations…

Abdominal oesophagus and stomach

Core Procedures Oesophagectomy for gastro-oesophageal junction cancer: resection of the oesophagus generally with creation of a gastric conduit to facilitate a thoracic or cervical anastomosis Subtotal or total gastrectomy and lymph node retrieval for cancer: varying amounts of gastric resection…

Peritoneum, mesentery and peritoneal cavity

Core Procedures All operations can be performed via open, laparoscopic or robotic approaches and therefore the approach is not specified. Stomach: total gastrectomy, partial gastrectomy Pancreas: subtotal pancreatectomy, pancreaticoduodenectomy Liver: hepatectomy Spleen: splenectomy Appendix: appendicectomy Colon: complete mesocolic excision, total…

Posterior abdominal wall and retroperitoneum

Core Procedures Pancreas Pancreaticoduodenoectomy (Whipple procedure) Distal pancreatectomy ± splenectomy Total pancreatectomy Spleen Splenectomy Partial splenectomy Colon and Rectum Right hemicolectomy ± extended resection Left hemicolectomy ± extended resection Total abdominal colectomy Total proctocolectomy Anterior resection Abdominoperineal resection Colostomy Vascular…

Anterior abdominal wall and inguinal region

Part 1: Anterior abdominal wall Duncan SG Scrimgeour, Matthew J Laviolette, Sam M Wiseman Core Procedures Laparotomy Vertical, transverse and oblique incisions Ventral incisional hernia repair Umbilical hernia repair Spigelian hernia repair Epigastric hernia repair Abdominal wall closure Laparoscopy Hasson's…

Overview of the abdomen

This chapter is an overview of the surgical anatomy of the abdomen, the region of the body that is located between the thoracic diaphragm and the pelvic inlet. It is bounded by muscular layers of the abdominal wall and by…

Ventricles, coronary vessels and access to conduits for grafting

Core Procedures Sternotomy Redo sternotomy Right ventricular outflow tract operations Left ventricular vent insertion Left ventricular aneurysm repair Left ventricular rupture repair Post-infarct ventricular septal defect repair Long saphenous vein harvest Radial artery harvest Internal thoracic (mammary) artery harvest Coronary…

Mitral and tricuspid valves

Core Procedures Mitral valve repair/replacement The fibrous skeleton of the heart The aortic, mitral and tricuspid valves form one continuous structure, with each valve in close approximation to the other and connected by the fibrous skeleton of the heart. They…