外科技能精粹（第2版）Essential Surgical Skills with CD-ROM fb2 pdf azw3 网盘 rtf 免费 下载 txt

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.

Preface to First Edition

Preface to Second Edition

Introduction

A. THE OPERATING ROOM

B. ANATOMY OF THE SKIN AND

　DEEPER AREAS

　1. Epidermis

　2. Dermis

　3. Deeper Areas

C. THE WOUND

　1. Tissue Injury -- Wounding

　　 a. Stage 1, Inflammation

　　 b. Stage 2, Proliferation

　　 c. Sage 3, Scar maturation

　2. Wound Classification

　　 a. Clean Wounds

　　 b. Clean Contaminated Wounds

　　 c. Contaminated Wounds

　　 d. Infected Wounds

　3. Factors That Affect Wound

　　 Healing

　　 a. Age

　　 b. Weight

　　 c. Nutrition

　　 d. Dehydration

　　 e. Blood Supply

　　 f. Immune Responses

　　 g. Chronic Illness

　　 h. Drugs and Radiation Therapy

　　 i. Smoking

　4. Healing

　　 a. Primary Intention

　　 b. Secondary Intention

　　 c. Tertiary Intention

　　 d. Complications

D. BASIC PRINCIPLES IN SURGERY

　1. Hemostasis

　2. Handling of the Tissues

　3. Incision Planning

　4. Relaxed Skin Tension Lines

　5. Undermining

　6. Choice of Suture Materials

　7. Closing With Sufficient Tension

　8. Tissue Moisture

　9. Debriding Necrotic (Dead) Tissue

　10. Dead Spaces

　11. Postoperative Wound Stress

E. LOCAL ANESTHETICS

　1. Anesthetics

　2. Injection Technique

E SCRUBBING

　1. Washing Your Hands

　2. Gowning

　3. Gloving

G. SURGICAL INSTRUMENTS

　1. Scalpel

　2. Tissue Scissors

　3. Forceps

　4. Skin Hooks

　5. Retractor

　6. Needle Holder (Needle Driver)

　7. Hemostat

　8. Suction

　9. Cautery

　10. Suture Scissors

　11. Towel Clip

　12. Staple Gun

　13. Additional Equipment

　　 a. Laryngoscope

　　 b. Endotracheal Tube

　　 c. Oral Airway

　　 d. Endoscopes

　　 e. Anesthesia Cart

　　 f. Some Endoscopic Equipment

　　　 Used in General Surgery

　　 g. Polypropylene (Proleneo) Mesh

H. SUTURES, NEEDLES

　AND KNOTS

　1. Introduction

　2. Suture Materials

　　 a. Absorbable Surures

　　 b. Non-Absorbable Sutures

　3. Choosing a Surgical Needle

　4. Common Needle Types

　　 a. Tapered Needles

　　 b. Cutting Needles

　　　 1. Conventional Cutting Needles

　　　 2. Reverse Cutting Needles

　　 c. Blunt Needles

……

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书籍介绍

Mayo Clinic, Rochester, MN. Provides succinct, easy-to-understand surgical techniques and procedures. Precise halftone illustrations accompany each procedure along with detailed explanation. Focuses on the basic techniques for those medical students interested in a surgical career. Previous edition: c1999. Softcover.