1 Introduction ▴ Suprapubic, subxiphoid, and lumbar/flank hernias, often referred to as atypical hernias, occur close to bony structures or off midline, making them challenging to repair. Their location can limit the surgeon’s ability to provide wide mesh overlap and…
1 Introduction and Clinical Anatomy ▴ Compared with traditional open ventral hernia repair, minimally invasive approaches offer several advantages, including reduced wound and mesh infections, quicker return of bowel function, and reduced length of hospitalization as well as improved cosmesis.…
1 Clinical Anatomy 1 Overview ▴ The anterior abdominal wall ( Figs. 1.1–1.3 ) is a hexagonal area defined superiorly by the costal margin and xiphoid process; laterally by the midaxillary line; and inferiorly by the symphysis pubis, pubic tubercle,…
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
1 What is a profession? The professions are the means by which the complex services needed by society are organized. A profession has been defined by the American College of Surgeons as: …an occupation whose core element is work that…
1 Are there any principles of medical ethics? Yes, there are four: a. Beneficence: The intent of doing good and offering net benefit by therapeutic intervention. This principle requires maintenance of professional knowledge and skill by ongoing education throughout one’s…
1 Is healthcare reform an oxymoron? Yes. 2 What is fee for service? The doctor establishes the price, and the patient agrees to pay it. This traditional system of exchange has great merit if both parties understand the value of…
1 How should we evaluate a patient with febrile urinary tract infection (UTI)? After treatment of the infection, the patient should undergo a urinary tract evaluation with a renal-bladder sonogram and ± voiding cystourethrogram (VCUG). Approximately 50% of children under…
1 What is an urodynamic study? Urodynamic studies assess the functional aspects of the storage and emptying ability of the lower urinary tract (LUT). The principles of urodynamic studies originated from hydrodynamics. The components of urodynamic studies are cystometrogram, leak…
1 What is the prevalence of prostate cancer in the United States? Prostate cancer is the most common cancer among men, except for skin cancer. In 2016 an estimated 180,890 men in the United States will be diagnosed with prostate…